Revenue Integrity Manager

Scottish Rite for Children

$80K — $100K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree required
  • Minimum of three years experience in hospital or clinical revenue integrity audit and compliance
  • Strong understanding of charge capture and denials management
  • Knowledge of healthcare regulations and compliance standards
  • Proven ability to work collaboratively with cross-functional teams

Responsibilities

  • Manage daily operations of the Revenue Integrity function reporting to the CFO and VP of Revenue Cycle
  • Conduct audits and reviews of charge capture and reconciliation processes
  • Analyze denials and implement corrective action plans with departmental stakeholders
  • Facilitate departmental education on charge capture and revenue integrity best practices
  • Maintain and update the Charge Master in line with compliance requirements
  • Ensure timely and accurate reporting on unbilled claims and denial recaps
  • Communicate regularly with department leaders to address inquiries and operational changes

Benefits

  • Monday to Friday work schedule
  • Standard business hours from 8am to 5pm
  • Collaborative work environment with hospital and clinic leadership
  • Opportunities for professional development in revenue cycle management
  • Impact work contributing to children's healthcare outcomes
Full Job Description
Job Posting Title:
Revenue Integrity Manager

Location:
Dallas - Hospital

Additional Posting Details:

Monday - Friday

8am - 5pm

Hybrid (3 days in-office and 2 days working from home)

Job Description:

Duties/Responsibilities

This position is responsible for the daily management and direction of the Revenue Integrity function under the oversight of the Director and VP, Revenue Cycle at SRC.
  • This leader will perform audits and reviews of departmental charge capture and reconciliation, along with identification and implementation of process improvement opportunities, in collaboration with Revenue Cycle and hospital clinic operations to enhance revenue potential and compliance.
  • This role interfaces with hospital and clinic leadership, Billing and HIM staff, and departmental leadership and associates on a regular basis to ensure audits and corresponding action plans are done in a timely and effective manner.
  • Provide support to departments to assist with appropriate charge capture and reconciliation
  • Execute and maintain reports as requested to ensure timely distribution
  • Maintain the Charge Master in a manner that is compliant with insurance requirements and government regulations (this includes regularly searching for updates and maintaining current and previous billing requirements).
  • Communicates regularly with dept Directors and responds promptly to inquiries, concerns and problems as pertains to the charge master
  • Communicating with all dept Directors as new regulations and/or operational changes occur, maintains a positive dialogue and collaborative working environment.
  • Other duties as assigned.


Required Skills/Abilities and Education
  • Bachelor's Degree
  • Epic Experience required
  • Three or more years of experience in a hospital or clinical setting with revenue integrity audit and compliance.

#P1

Supervisory Responsibilities

Supervises Staff: No

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