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This contract-to-permanent position offers the opportunity to contribute to a dynamic hospital environment, ensuring the accuracy and compliance of revenue operations across multiple departments. The role is vital for maintaining financial integrity, optimizing charge capture processes, and supporting strategic initiatives within the organization.
Job Responsibility:
Oversee daily revenue integrity operations to ensure precise and compliant charge capture
Develop and deliver training programs focused on best practices in revenue integrity
Conduct detailed reviews of revenue processes and provide actionable recommendations to leadership
Collaborate with Charge Description Master management teams to maintain and update charge master systems
Create and manage analytics tools to monitor charge capture activities and departmental compliance
Stay informed on regulatory and legislative changes, adapting revenue integrity programs as needed
Partner with departments like Supply Chain, Coding, and Finance to enhance revenue recognition and charge optimization
Support pricing and reimbursement strategies through data-driven analysis and recommendations
Maintain dashboards to track revenue integrity metrics, initiative progress, and reimbursement trends
Act as a subject matter expert, providing guidance and support to staff on revenue integrity operations
Requirements:
At least 5 years of experience in healthcare revenue cycle operations, including medical billing and claims processes
Proficiency in managing insurance denials and accounts receivable follow-up
Strong familiarity with revenue cycle processes, KPI reporting, and billing functions
Knowledge of strategic pricing and reimbursement practices in a hospital setting
Experience working with Cerner Sorian or similar systems is preferred
Exposure to environments such as Supply Chain, Clinical Operations, Coding, or General Ledger
Bachelor’s degree is preferred but not required
Ability to document processes and ensure compliance with industry standards