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Explora oportunidades laborales en Vail Health
7180 Revenue Integrity
Manager Revenue Integrity
Vail Health se ha convertido en el sistema de atención médica de montaña más avanzado del mundo. Vail Health consta de un hospital actualizado de 520,000 pies cuadrados y 56 camas. Estas instalaciones de vanguardia brindan atención excepcional a todos nuestros pacientes, con las vistas más hermosas de la zona, ubicadas en el centro de Vail. Obtenga más información sobre Vail Health. aquí.
Algunos puestos pueden estar basados fuera de nuestra oficina de Colorado (puestos exclusivamente remotos). Los puestos basados fuera de nuestra oficina principal pueden estar ubicados en cualquiera de los siguientes estados: AZ, CO, CT, FL, GA, ID, IL, KS, MA, MD, MI, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA y WI. Por favor, postúlese solo si puede vivir y trabajar principalmente en uno de los estados mencionados anteriormente. Las ubicaciones estatales y los detalles específicos están sujetos a cambios a medida que cambien nuestros requisitos de contratación.
Sobre la oportunidad:
The Manager of Revenue Integrity oversees Vail Health’s database of service offerings, codes, rates, pricing and ongoing Chargemaster maintenance and also manages the adherence to coding and workflows around coding as relates to finance and the chargemaster. The CDM Manager ensures the management of Revenue Cycle initiatives associated with Charge Capture, Charge coding and Charge Reconciliation. This position will direct all aspects of Charge Description Master (CDM), including but not limited to development of new charge codes, compliance with third party coding regulations, revision of existing codes, CPT/HCPCS updates, revenue code changes, pricing, and maintaining compliance with current local regulations as well as payer requirements.
Lo que harás:
- Supervises, trains, and develops Revenue Integrity team members to ensure effective performance and adherence to best practices in revenue cycle operations.
- Oversees the management and maintenance of the Charge Description Master (CDM) to ensure accuracy, compliant effective and efficient operations. Work to implement strategies to improve charge capture and prevent revenue leakage.
- Develops CDM-related departmental, division and/or organizational policies and procedures for recommendation and approval including but not limited to pricing, CDM audits, charge reconciliation, and charge capture. Create and execute work plans to successfully implement changes to systems and/or process as necessary.
- Leads efforts of multidisciplinary groups where necessary to monitor the completeness and accuracy of revenue and billing information.
- Leads organization RAC Denials team and works closely with the Patient Financial Services (“PFS”) to track and monitor coding-related denials.
- Coordinates and/or participates in system testing as a result of upgrades, changes, enhancements, new application implementations, etc. that may impact the CDM, charge capture and/or charge data flow between systems or modules.
- Analyzes financial and clinical data to identify trends, revenue improvement opportunities, and potential risks. Monitor key performance indicators (KPIs) and provide regular reports on revenue integrity performance.
- Partners with finance, billing, compliance, and revenue cycle to develop strategies and ensure alignment across departments.
- Actively promotes and participates in initiatives to improve organization effectiveness and efficiency.
- Works with departmental managers to ensure that clinical charges and billing codes are fully and correctly established in Electronic Medical Record patient care applications and are captured by Electronic Medical Record patient billing applications. Provides education as needed to departments related to their charges and charging practices
- Regularly attends and actively participates in staff meetings, in-services and continuing education programs as offered in order to remain current with organizational and industry changes. Communicate and disseminate information to other departments as applicable.
- Successfully maintains staff engagement and satisfaction scores for responsible departments based on periodic internal surveys at or above the stated organizational goal.
- Modela los principios de una Cultura Justa y de Valores Organizacionales.
- Debe cumplir con HIPAA
Esta descripción no está destinada y no debe interpretarse como una lista exhaustiva de todas las responsabilidades, habilidades y esfuerzos o condiciones de trabajo asociadas con el puesto. Tiene la intención de ser un reflejo preciso de la naturaleza general y el nivel del puesto.
Lo que necesitarás:
Experiencia
- Five years healthcare-revenue cycle experience required, including two years in Revenue Integrity.
- Prior supervisory experience preferred.
- Demonstrated knowledge of laws and regulations pertaining to healthcare industry required.
- Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system preferred.
- Prior CDM or charge capture experience required.
- Proficiency in medical terminology, hospital charge masters, charge review, clinical record information systems, and coding methodologies required
- Prior experience leading and managing complex projects
Licencia(s) y Certificación(es):
- Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC/CPC-H), Certified Coding Specialist (CCS/CCS-P), Certification in Healthcare Revenue Integrity (CHRI), Certified Revenue Cycle Representative (CRCR), Certified Revenue Cycle Professional (CRCP) or other HIM related certification preferred.
Debe tener conocimiento práctico del idioma inglés, incluyendo leer, escribir y hablar inglés.
Educación:
- Bachelor’s degree required or higher preferred; related experience may be considered in lieu of degree.
The posted salary range for this position applies to Colorado and may be adjusted based on geographic location. Vail Health considers a variety of factors in making compensation decisions, including but not limited to experience, education, licensure and/or certifications, geographic location, market demand and other business and organizational needs.
Beneficios en Vail Health (Tiempo completo y parcial) incluyen:
- Salarios Competitivos y Beneficios Familiares:
- Salarios competitivos
- Licencia parental (4 semanas pagadas)
- Programas de vivienda
- Reembolso de cuidado infantil
- Beneficios Integrales de Salud:
- Medicinal
- Dental
- Visión
- Programas educativos:
- Asistencia de matrícula
- Pago de Préstamo Estudiantil Existente
- Reembolso de Certificación Especializada
- Fondos Educativos Complementarios Anuales
- Tiempo libre remunerado
- Hasta cinco semanas en tu primer año de empleo y continúa creciendo cada año.
- Seguro de jubilación y complementario
- Plan de jubilación 403(b) con igualación inmediata.
- Seguro de vida
- Incapacidad a corto y largo plazo
- Beneficios de Recreación, Bienestar y Más:
- Reembolso anual por gastos de bienestar de hasta 1 000 libras esterlinas
- Descuentos en recreación
- Seguro para mascotas