What are the responsibilities and job description for the Mgr. Revenue Integrity position at University Medical Center of El Paso (UMC)?
Job Summary
The Revenue Integrity Hospital Manager plays a leadership role in a high-profile team tasked with assuring billing and coding accuracy, regulatory compliance, optimal charge capture, and prevention of clinical revenue leakage across the organization. Manages the facility Chargemaster and Professional Fee Schedules, including daily maintenance, quarterly, and annual updates. Works cross-functionally and collaboratively with the Director and Charge Capture Integrity Manager and team to minimize, remediate and prevent charge capture errors, missed and late charges, payer edit failures, and other issues that threaten the support of optimal patient care and financial objectives throughout the organization.
Minimum Job Requirements
Work Experience:
Five years of operational experience in Revenue Integrity, Chargemaster maintenance, or related experience required.
Three years of management experience, preferably in a hospital or physician group practice setting.
License/Registration/Certification
Certified Coding Specialist (CCS), Certified Coding Specialist–Physician Based (CCS-P), or Certified Professional Coder (CPC) required; or completion of certification within two years in the position.
Education
Education and Training:
Bachelor’s degree in related field required.
Skills
Skills:
The Revenue Integrity Hospital Manager plays a leadership role in a high-profile team tasked with assuring billing and coding accuracy, regulatory compliance, optimal charge capture, and prevention of clinical revenue leakage across the organization. Manages the facility Chargemaster and Professional Fee Schedules, including daily maintenance, quarterly, and annual updates. Works cross-functionally and collaboratively with the Director and Charge Capture Integrity Manager and team to minimize, remediate and prevent charge capture errors, missed and late charges, payer edit failures, and other issues that threaten the support of optimal patient care and financial objectives throughout the organization.
Minimum Job Requirements
Work Experience:
Five years of operational experience in Revenue Integrity, Chargemaster maintenance, or related experience required.
Three years of management experience, preferably in a hospital or physician group practice setting.
License/Registration/Certification
Certified Coding Specialist (CCS), Certified Coding Specialist–Physician Based (CCS-P), or Certified Professional Coder (CPC) required; or completion of certification within two years in the position.
Education
Education and Training:
Bachelor’s degree in related field required.
Skills
Skills:
- Demonstrated knowledge of CPT, HCPCS, ICD coding, and revenue code assignment.
- Understanding of hospital and professional coding, pricing, charge capture, and advanced understanding and use of medical terminology.
- Knowledge of Texas Medicaid.
- Knowledge of Federal and Medicare regulatory compliance. Demonstrated ability to research relevant regulations and guidance.
- Effective leadership skills. Knowledge of management and supervisory skills and responsibilities.
- Ability to implement change in a positive, sensitive and forward-thinking manner.
- Excellent planning and problem solving skills.
- Strong analytical skills to develop goals and objectives and establish priorities.
- Possesses leadership abilities and empowers team members.
- Demonstrates good judgment and the ability to act decisively.
- Self-starter with the ability to work with minimal supervision.
- Ability to react to frequent changes in duties, priorities, and volume of work
- Effective communication skills and ability to listen empathetically.
- Ability to manage multiple concurrent activities.
- Ability to analyze data and workflows in order to recommend solutions, and solve complex problems and issues.
- Strong customer service and human relations abilities.
- Ability to complete medium to large scale projects involving multiple resources and spanning many months from start to finish.
- Ability to effect collaborative alliances and promote teamwork. Excellent PC operating skills including use of MS Office, with intermediate Excel skills and proficiency in Word and PowerPoint.
- Broad knowledge of health care and/or hospital business office practices and principles.
- Knowledge of general accounting principles.
