MANAGER REVENUE INTEGRITY

Responsibilities include meetings with all levels of hospital and corporate leadership to represent the team, department or Director of Reimbursement on matters related to both gross revenue generation and net reimbursement from third party payors. Bachelor's degree in finance or related field is required. § Minimum Level of Experience Required: 5 - 7 years of job related experience § Prior job title or occupational experience: Minimum of five to seven years in hospital finance and or healthcare reimbursement. § 3-5 years of prior management experience preferred. § A strong understanding of healthcare reimbursement required § Knowledge of CPTs, APCs, DRGs, and HCPCS code is required § Current knowledge hospital billing practices is ~~~~required.~~~~ preferred § Current knowledge of Medicare and Medicaid regulations is required. § Two years of project management experience required. § Experience in working with upper management, physicians, and information systems is required § EPIC f ~~ ~~F~~~~ ile maintenance experience ~~~~required~~~~ preferred § Understanding of Managed Care contracts and language § Epic Hospital Billing or Epic Charge Master is preferred. § Coding certification in at least one of the following is also preferred: CPC, CPC-P, RHIA, RHIT, and/or certification in auditing and/or Healthcare compliance. § Designation of proficiency in Hospital Billing and Charge Master is preferred.