Manager Division Revenue Integrity RemoteAltamonte Springs, FL

Manager Division Revenue Integrity

Hospitals, medical centers and facilities need more than physicians, nurses and specialists delivering care to our patients. A truly successful health care organization needs a thoughtful, dedicated, steady and experienced team working behind the scenes to make sure communities around the country receive the health care they need.

If you've also been interested in working in the health care field but aren't a health care provider, a corporate career at AdventHealth may just be the perfect fit. We're a faith-based health care organization headquartered in Altamonte Springs, Florida. As a national leader in quality, safety and patient satisfaction, our 92,000 team members maintain a long tradition of whole-person health by caring for the physical, emotional and spiritual needs of every patient.

Start your journey with a health care career at AdventHealth Corporate.

Every day, our fellow team members show up to work, unified by one shared mission : Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

All the benefits and perks you need for you and your family :

Benefits from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Shift : Monday-Friday

Job Location : Remote

The role you will contribute :

The Division Revenue Integrity (RI) Manager proactively identifies revenue integrity and process improvement opportunities and partners with Corporate Revenue Integrity leadership to develop and execute these plans. The Division Revenue Integrity Manager performs a critical role in the success of their region's revenue integrity, the capture of entitled revenue, and guidance and direction to the Division revenue integrity staff, as well as coordination of clinical departments within the region. Under the guidance of the Revenue Integrity Division Director, the position fulfills a critical leadership role. This role is responsible for overseeing the day-to-day management of Division revenue integrity operations and ensuring alignment with and execution of corporate initiatives. The Revenue Integrity Manager will continue to grow and adapt as required to achieve AdventHealth's vision of a world-class revenue cycle.

The value you will bring to the team :

• Lead and manage Revenue Integrity Team to implement and execute Revenue Integrity goals, roles and responsibilities :
• Fulfills the primary management role between Corporate Revenue Integrity and Division 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.
• Manage risk assessments, support the development of action plans, and monitor service line performance improvements based on clinical departments execution of improvement initiatives.
• Establish, measure, and document KPIs and mitigation plans as needed, including Revenue Integrity Scorecard improvements and other quality controls needed to successfully monitor and control charging and billing integrity.
• Identify trends based on CDS information and oversee Revenue Integrity teams root cause analyses and action plans to support necessary workflow modifications and / or educational opportunities.
• Use data and reports to perform root cause analysis to identify areas of strengths, weaknesses, opportunities, and threats to revenue integrity.
• Collaborate with Corporate Revenue Integrity to share lessons learned and recommend solutions within other AdventHealth entities to drive standardized charge capture improvements.
• Develop a deep understanding of all in-scope facilities charge capture workflows at the department level, including the revenue and coding impacts of those services performed across clinical areas.
• Support Division 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 Division 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.
• Complete any duties and special assignments as requested.
• Perform other duties as assigned and volunteer for team assignments; actively participate in team projects and implement changes.

The expertise and experiences you'll need to succeed :

Bachelor's Degree in Business, Accounting, Finance, Health Administration, or another related field

3 years experience

3 years of experience in healthcare revenue cycle with a focus on one or more of the following areas : coding, charge integrity, charge reconciliation, charge compliance, charge auditing, CDM (Charge Description Master) compliance, and Hospital / Professional 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.

Advanced knowledge of Microsoft applications including Word, Excel, Visio, Outlook, and PowerPoint

Ability to travel within state and out of state up to 25%

Preferred Qualifications :

Master's of Science in Health Administration (MHA) or Masters of Science in Nursing (MSN) / MHA or MSN in progress with a commitment to complete within 2 years of starting.

MBA / MBA in progress with a commitment to complete within 2 years of starting

Epic experience

HFMAs Certified Healthcare Financial Professional (CHFP) or Certified Revenue Cycle Representative (CRCR); or NAHRIs Certification in Healthcare Revenue Integrity (CHRI)

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

Category : Patient Financial Services

Organization : AdventHealth Corporate

Schedule : Full-time

Shift : 1 - Day

Req ID : 25035735

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability / handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.