What are the responsibilities and job description for the Mgr-Revenue Integrity position at SSM Health?
It's more than a career, it's a calling.
MO-REMOTEWorker Type:
RegularJob Summary:
Manages the operations and staff within revenue integrity.Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
- Ensures compliance with all governmental and payer billing guidelines by auditing patient encounters to validate accuracy of registration, authorization, documentation, charging, billing, and reimbursement.
- Provides input into revenue integrity policies and procedures.
- Participates in system-wide education and compliance program related to payor requirements.
- Reviews audit workpapers to identify and capture entitled revenue.
- Manages staff which includes recruitment, orientation, training, performance management, as well as the development of staff.
- Responsible for management functions including activities related to staffing such as recruitment, hiring, performance evaluation, and compensation determination.
- Performs other duties as assigned.
EDUCATION
- Bachelor's degree
EXPERIENCE
- Five years' experience, with two years in leadership
PHYSICAL REQUIREMENTS
- Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
- Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
- Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
- Frequent keyboard use/data entry.
- Occasional bending, stooping, kneeling, squatting, twisting and gripping.
- Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
- Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
- None
Work Shift:
Day Shift (United States of America)Job Type:
Department:
8764040033 System Revenue IntegrityScheduled Weekly Hours:
40Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
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SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
