Manager – Revenue Integrity

Job not on LinkedIn

🕒 August 5

🇺🇸 United States – Remote

💵 $82k - $122.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💹 Revenue Operations

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Tenet Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

👥 B2C

💰 $2G Post IPO debt on 2022-07

Healthcare • B2C

Tenet Healthcare is a for-profit healthcare services company that owns and/or operates hospitals and hospital programs through subsidiaries and affiliates across the United States. The company's website and materials describe acute-care hospitals, emergency centers, specialty services (including cancer centers and advanced cardiac imaging), medical office buildings, physician careers and community health networks; Tenet emphasizes compliance, community service, and clinical innovation.

📋 Description

• Oversee professional staff managing, coordinating, and implementing Charge Description Master (CDM) and charge capture initiatives and processes • Provide senior leadership and interact with internal and external executive-level staff • Facilitate CDM and charge capture education • Ensure adherence to government and non-government regulatory directives and establish controls for audits and reviews • Facilitate revenue management communications and information flow • Oversee accurate and timely patient accounting system changes and updates to support data integrity and claims processing • Ensure quality reviews identify and minimize system errors • Plan revenue management strategies using data and report analyses • Prepare and administer the annual budget and maintain budgetary controls • Serve as a resource and consultant to customers and collaborate with internal departments • Manage a professional team evaluating, planning, implementing, and reporting revenue management strategies • Evaluate and maintain workflow processes for efficiency across the revenue cycle • Research and interpret regulatory guidance, billing and coding changes, and managed care contracts • Provide incident management, problem resolution, and enterprise-wide solutions • Oversee special projects including new clients, system conversions, acquisitions, departments, service lines, regulatory changes, and legal reviews • Oversee strategic pricing initiatives and conduct financial analyses • Manage CDM and charge capture corrective measures and monitoring tools • Review statistics and key performance indicators to identify improvement opportunities and ensure compliance • Interview, hire, train, assign, direct, and appraise employees; address complaints and resolve problems

🎯 Requirements

• Bachelor’s degree or higher; related experience may be considered in lieu of degree • Prior supervisory experience required • Minimum of five years healthcare-related experience required • Working knowledge of laws and regulations pertaining to the healthcare industry required • Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required • Prior CDM or charge capture experience required • Strong interpersonal communication and presentation skills • Ability to present ideas clearly and concisely to executives, management, facility groups, and individuals • Ability to respond professionally to complex inquiries • Ability to define problems, collect data, establish facts, draw conclusions, and make recommendations • Understanding of external and internal drivers affecting revenue management • Ability to analyze state and federal regulatory information, managed care contracts, claims production systems, patient accounting systems, clinical/order entry systems, ancillary systems, and CDM • Ability to research published resources, reference materials, Internet resources, seminars, and related information sources • Working knowledge of MS Office applications, including Excel, Word, Access, and PowerPoint • Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, and CCS highly desirable • Ability to sit for long periods, use hands and fingers, reach, talk, and hear • Must frequently lift and/or move up to 25 pounds • Some travel required

🏖️ Benefits

• Management level positions may be eligible for sign-on and relocation bonuses • Medical, dental, vision, disability, life, and business travel insurance • Paid time off (vacation & sick leave) – min of 12 days per year • 401k with up to 6% employer match • 10 paid holidays per year • Health savings accounts • Healthcare & dependent flexible spending accounts • Employee Assistance program • Employee discount program • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance • For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act