Overview and Responsibilities
Reporting to the Director of the Central Business Office, the Manager Revenue Integrity - Hospital CDM plays a leadership role in a group tasked with improving revenue results for the Medical Center.
This position is responsible for managing the routine review of the hospital Charge Master for accuracy of CPT/HCPCS coding, including annual pricing and code set updates. With a focus on improving revenue and ensuring compliance with federal, local and third-party payer requirements, this manager will ensure required billing elements are in the system and new charge code requests are handled timely and efficiently.
This position is responsible for education of the department and senior leadership relative to charge master issues and must demonstrate a strong commitment to stakeholder relationships by taking ownership of issues and facilitating effective outcomes in a timely manner. Establishing policies and procedures for all operations is also a critical success factor.
- Education: Bachelor's degree in a work-related discipline/field from an accredited college or university strongly desired.
- Experience: Five years of progressively responsible directly related work experience
Certified Outpatient Coder-Hospital (COC), or
Certified Professional Coder-Hospital (CPC-H), or
Certified Professional Coder (CPC), or
Registered Health Information Technician (RHIT), or
Registered Health Information Administrator (RHIA), or
Certified Coding Specialist- Physician based (CCS-P), or
Certified Coding Specialist (CCS)