Revenue Integrity Manager at AdventHealth in Altamonte Springs, Florida

Job Description:

Description

Revenue Integrity Manager

Location Address: 900 Hope Way, Altamonte Springs, Florida 32714- 

This position is eligible for a Fully Remote Work Arrangement consideration.

Top Reasons to Work at AdventHealth Corporate

• Great benefits


• Immediate Health Insurance Coverage


• Career growth and advancement potential

• Full-Time, Monday – Friday

You Will Be Responsible For:

• Fulfills the primary management role between Corporate Revenue Integrity and facility Revenue Integrity Departments to champion, communicate, and execute corporate revenue integrity objectives, to identify areas for process improvement in current business processes and effectively communicate and execute these solutions


• Perform Corporate Revenue Integrity quality assurance charge audits; establish, measure, and document KPI's and mitigation plans as needed, including Revenue Integrity Scorecard improvements and other quality controls needed to successfully monitor and control charging and billing integrity


• Lead focused clinical denial prevention initiatives related to clinical practice, documentation, and pre-billing chart reviews to provide recommendations for improving payer denial trends as needed


• Uses data and reports to perform root cause analysis to identify areas of strengths, weaknesses, opportunities, and threats to organizational revenue integrity.  Collaborate and recommend solutions with AdventHealth entities to drive charge capture improvement in the middle revenue cycle


• Support AdventHealth growth goals and revenue integrity optimization by developing methods to effectively communicate information through presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to leaders and staff in other disciplines on revenue integrity topics


• Document, escalate and manage issues that arise and impact both onsite and Corporate Revenue Integrity operations, standardization, and optimization activities


• Work collaboratively with all entities to accomplish desired outcomes


• Develops policy and procedures; educate entities on revenue integrity functions as needed


• Independently lead, manage, monitor and control revenue integrity projects as directed


• Completes any duties and special assignments as requested


• Ability to travel within state and out of state up to 50%

• Bachelor's degree from a recognized college or university in business, healthcare, or a closely related field


• Minimum of five years’ experience in healthcare revenue cycle with a focus in one or more of the following areas: coding, charge integrity, charge reconciliation, charge compliance, charge auditing, CDM compliance, and Hospital Billing


• Demonstrated leadership ability, including the ability to work in a team, build consensus, problem-solve, influence others outside a direct reporting relationship and handle conflicts with tact.  Self-directed with the ability to work with various stakeholders and teams


• Established ability to manage projects, investigate, analyze, and resolve issues at a high level


• Excellent communication, presentation, organizational, analytical, and problem-solving skills.  Must approach problem-solving challenges independently, have strong attention to detail, and enjoy working in a fast-paced, collaborative team-based environment.  Computer skills - MS Office including Word, PowerPoint, Excel, and Outlook

This position contributes to the AdventHealth vision to achieve a world-class Revenue Cycle and foster a positive culture of Revenue Integrity, with focus on ensuring optimal reimbursement of entitled revenue, and providing management, support, and development of revenue integrity teams across the enterprise. The position proactively identifies revenue integrity and process improvement opportunities and partners with corporate revenue integrity leadership to develop and execute these plans. The Revenue Integrity Manager performs a critical role in the success of AdventHealth’s healthcare system's revenue integrity, the capture of entitled revenue, and guidance and direction to revenue integrity departments within the organization. Under the collaborative guidance of both AdventHealth Corporate Director of Nurse Auditing and Corporate Executive Director of Revenue Integrity, the position fulfills a critical leadership role.   The position serves as the primary liaison for executing Corporate Revenue Integrity goals by interfacing with hospital entities across the organization. This position will continue to grow and adapt as required to achieve AdventHealth’s vision of a world-class revenue cycle.  

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.