Revenue Integrity Program Manager

🔥 8 minutes ago

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Logo of Stanford Health Care

Stanford Health Care

10,000+ employees

Founded 1885

🏥 Healthcare

Healthcare

Stanford Health Care is a major academic medical center and integrated hospital system delivering comprehensive clinical care, specialty services, and patient support. The organization operates hospitals, outpatient clinics and programs, offers clinical trials and telehealth (video visits), and provides patient-facing services such as a MyHealth patient portal, billing/insurance assistance, and resources for referring physicians, nurses and allied health professionals. It also engages with the community through donations, visitor services, and COVID-19 resources.

📋 Description

• Responsible for optimizing hospital and professional revenue, identifying potential revenue leakage. • Interfaces directly with clinical departments leaders. • Supports accurate capture of charges through data analytics. • Provides ongoing communication through reports & regular presentations. • Prepares and leads monthly Revenue Integrity meetings for professional revenue cycle. • Conducts reviews/audits of charge capture practices in clinical departments. • Provides education to Providers and charge capture support staff. • Leads projects to improve revenue capture and reduce provider burden.

🎯 Requirements

• Bachelor's degree in a work-related discipline/field from an accredited college or university (or equivalent combination of education/experience) • Five (5) years of progressively responsible directly related work experience • Proficient in hospital and professional revenue cycle operations. • Expert in analyzing revenue data to identify trends and opportunities. • Strong Interpersonal skills facilitating communication with clinical staff and faculty. • Solid understanding of coding conventions and rules. • Knowledge of computer systems, specifically, Epic Care and related interfaces. • Proven Ability to provide leadership skills in problem identification and resolution.

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Professional development opportunities • Remote work options

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