Supervisor, Medical Group Revenue Integrity

🔥 0 minutes ago

🌾 Iowa – Remote

🌾 Iowa – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🤝 Non-profit

Healthcare • Education • Non-profit

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Supervise revenue integrity operations for assigned ministries in a region • Provide oversight and leadership for a team responsible for CDM maintenance, centralized charge control, pre-bill edits, accurate revenue and reimbursement, complex claim denial coordination, payer audits, and denial/operational write-off prevention • Monitor work queues and perform or oversee data analysis and root-cause identification • Assist ministry stakeholders with corrective action plans • Build collaborative relationships with RHM leadership, Enterprise Patient Financial Services, and other operational and revenue stakeholders • Ensure charge revenue is identified in payer contracts, implemented at billing, submitted accurately and timely, and reimbursed as expected • Oversee complex case denial coordination with Enterprise Patient Financial Services • Ensure denial prevention and resolution actions are completed timely • Perform root-cause analysis on denials • Prepare and conduct education and training for departments and staff based on denial analysis, root-cause findings, regulatory changes, coding updates, and managed-care billing requirement changes • Supervise daily functions of assigned areas and advance people, processes, structures, and programs supporting care • Demonstrate alignment with Trinity Health’s Mission, Vision, and Values

🎯 Requirements

• Associate’s degree or related field and progressively responsible experience in healthcare revenue cycle operations, including revenue integrity and charge control, or equivalent combination of education and experience • Supervisory experience in a multi-facility, integrated health care delivery system or revenue cycle/revenue integrity consulting experience • Comprehensive knowledge of medical group operations • Knowledge and experience in acute care and/or physician practice setting preferred • Supervisor or team leader experience preferred • RHIA, RHIT, CCS, CPC/COC, or other coding credentials preferred • Experience in Charge Description Master (CDM) maintenance preferred • Must be comfortable operating in a collaborative, shared leadership environment

🏖️ Benefits

• Competitive compensation • Full benefits package • Opportunity for growth throughout the system • Career development opportunities