Revenue Management Mgr

6 days ago


Atlanta, Georgia, United States WellStar Health System, Inc. Full time
Job Summary

The Manager of Revenue Integrity will be responsible for overseeing the successful initiation, planning, design, execution, monitoring, controlling, and closure of projects related to revenue integrity. This includes managing charge capture, charge compliance, audits, workflows, process improvement, change management, and staff responsibilities to optimize reimbursement and improve process efficiencies.

Key Responsibilities
  • Manage the day-to-day operations of the Revenue Integrity department, including personnel management, staff assignments, and project delegation.
  • Develop and implement clinical workflows to optimize reimbursement and improve process efficiencies.
  • Address charging, charge capture, and compliance issues that adversely affect revenue-generating departments.
  • Provide education to charge-generating departments to ensure timeliness and accuracy of charging.
  • Develop and maintain project documentation, including spreadsheets, diagrams, and process maps.
  • Coordinate with cross-discipline team members to ensure all parties are on track with project requirements, deadlines, and schedules.
  • Facilitate change requests and ensure all parties are informed of the impacts on schedule.
  • Conduct post-project evaluations and identify successful and unsuccessful project elements.
  • Develop and implement internal controls to target revenue recovery by identifying charge capture, coding, and reimbursement problems.
Requirements
  • Bachelor's degree required; Master's degree preferred.
  • Minimum 5 years of experience in Revenue Integrity/Chargemaster Management, overseeing multi-disciplinary, complex charging and capture workflows.
  • Extensive knowledge of revenue cycle, clinical services, and regulatory compliance.
  • Outstanding communication and presentation skills.
  • Advanced Microsoft Office skills.


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