What are the responsibilities and job description for the Revenue Integrity Manager - Charge Description Master (CDM) position at ECU Health?
ECU Health
About ECU Health
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
Position Summary
The Revenue Integrity Manager (CDM) evaluates revenue cycle functions across ECU Health with the goal of maximizing net revenue for the system. Accomplish established goals through direct management in areas of responsibility and provide mentoring and training to supervisors with a focus on quality improvement and leadership. Continuously research, monitor, and implement payer regulations and guidelines related to revenue management activities. Ensure Charge Description Master is in compliance with Third Party Regulations and Requirements. Ensure timely resolution of billing edits and denials to contribute to goals for days in Accounts Receivable and cash collections.
Minimum Requirements
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
About ECU Health
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
Position Summary
The Revenue Integrity Manager (CDM) evaluates revenue cycle functions across ECU Health with the goal of maximizing net revenue for the system. Accomplish established goals through direct management in areas of responsibility and provide mentoring and training to supervisors with a focus on quality improvement and leadership. Continuously research, monitor, and implement payer regulations and guidelines related to revenue management activities. Ensure Charge Description Master is in compliance with Third Party Regulations and Requirements. Ensure timely resolution of billing edits and denials to contribute to goals for days in Accounts Receivable and cash collections.
Minimum Requirements
- Bachelor's degree in Healthcare Administration, Business, Finance, Health Information Management (HIM), or a related field required.
- 5 years of experience in Revenue Integrity, Charge Description Master management, or hospital revenue cycle operations.
- 3 years of leadership experience in revenue integrity, CDM, or charge capture.
- 40 hours a week
- Remote ()
- Monday - Friday (8 am - 5 pm); flexible working hours
- Great Benefits
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
