Revenue Integrity Manager

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Job ID

60756

Location

Columbia

Full/Part Time

Full-Time

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Hiring Department

Department of Plan Administration

Job Description

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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

Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer.

To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.