University of Missouri

Revenue Integrity Manager

University of Missouri$78K — $127K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in business, management, healthcare, or related field.
  • Five years in progressively responsible healthcare revenue cycle roles.
  • Certifications such as CPC, CPC-H, CPC-P, CIA, CHC, RHIA, RHIT, or relevant health technician credentials.
  • Experience in auditing and compliance strategies in healthcare settings.
  • Strong analytical skills and familiarity with revenue assurance needs.

Responsibilities

  • Assist with hiring and coordinating Revenue Integrity and Authorizations teams.
  • Mentor team members and manage performance evaluations.
  • Develop and review charge audit and capture processes.
  • Oversee authorization reject and terminal denial reviews.
  • Engage department stakeholders to implement revenue improvement initiatives.
  • Monitor integrity risks and adapt the revenue integrity program accordingly.
  • Lead internal staff meetings and provide updates to the Director.

Benefits

  • Comprehensive medical, dental, and vision plans.
  • Retirement plans available to employees.
  • Paid time off including holidays and vacation days.
  • Disability insurance options for short- and long-term needs.
  • Paid parental and caregiver leave benefits.
  • Educational fee discounts applicable to all four UM System campuses.
Full Job Description
Hiring Department

Department of Plan Administration

Job Description

#upjobs

Assists with hiring of Revenue Integrity and Authorizations team members.
Coordinates the work of the teams and approves time off requests.
Mentors, sets goals and manages performance evaluations for Revenue Integrity team and Authorizations team staff.
Responsible for the development and concurrent review of charge audit, charge capture, reconciliation.
Responsible for oversight of authorization reject and terminal denial reviews.
Coordinates charge capture improvement and evaluates revenue impact.
Engages with department stakeholders to implement process improvement initiatives related to revenue enhancement opportunities.
Facilitates collaborative work effort between the Revenue Integrity team and other University Physicians teams.
Monitors and assesses integrity risks, and ensures that the revenue integrity program is responsive to those risks
Leads regular internal staff meetings
Provides periodic reports to the revenue integrity Director regarding the nature, progress, and status of the revenue integrity program, any corrective action being taken, and any recommended changes
Ensures staff members are knowledgeable about revenue assurance needs and reimbursement issues identified through audits, reviews, and aggregate data analysis
Monitors and reports Return on Investment (ROI) of the Revenue Integrity team.
This position is eligible for University Physicians work from home program.

Shift

Monday - Friday

Minimum Qualifications

Bachelor's degree in business, management, healthcare, or a related field.
Five (5) years of progressively responsible experience in healthcare revenue cycle.

Preferred Qualifications

Additional Training:

--Certification in Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified
Professional Coder-Payer (CPC-P) by American Academy of Professional Coders (AAPC); or
--Certified Internal Auditor (CIA) by Institute of Internal Auditors (IIA); or
--Certified Healthcare Compliance (CHC) by Compliance Certification Board (CCB); or
--Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT) by American
Health Information Management Association (AHIMA); or
--Missouri Board of Nursing RN/LPN or Nurse Licensure Compact multi-state RN/LPN; or
--other registered health technician such as Respiratory Therapists, Radiology Technicians etc.

Anticipated Hiring Range

Salary Range: $78,520.00 - $127,961.60 annually
Grade: PAT - 011
University Title: MANAGER REV INTEG, UNI PHYS
Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

Application Materials

In addition to the Online Application, please provide Resume and cover letter.

Sponsorship Information

Employment visa sponsorship is not available for this position.

Benefit Eligibility

This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at https://www.umsystem.edu/departments-staff/human-resources/benefits-retirement

About University of Missouri

The University of Missouri (Mizzou) is a public research university in Columbia, Missouri. It was founded in 1839 and has a total undergraduate enrollment of 22,197. The university is organized into 18 schools and colleges, including the only schools of journalism, veterinary medicine, and law in the state. Mizzou is also a member of the prestigious Association of American Universities.
Learn more about University of Missouri
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