Join the MercyOne Family as a Supervisor, Medical Group Revenue Integrity!

Uses specialized knowledge to support key areas of the organization related to an area of expertise. Frontline, department-based role that supervises daily functions of assigned area(s). Provides clear direction & manages / advances people, processes, structures & / or programs that support direct / indirect care. Demonstrates behaviors in alignment with culture & creates / supports comprehensive strategies & measures progress to achieve desired outcomes.

ESSENTIAL FUNCTIONS

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.

• Supervises revenue integrity operations for assigned ministries in a region. Provides oversight & leadership for a team responsible for, but not limited to, charge description master (CDM) maintenance, centralized charge control, pre-bill edits, accurate revenue & reimbursement, complex claim denial coordination, payer audits & denial/operational write-off prevention.

• Monitors work queues, performs and oversees data analysis & root cause identification to assist ministry stakeholders with corrective action plans. Responsible for building collaborative relationships with RHM leadership, Enterprise Patient Financial Services (EPFS) & other key operational and revenue stakeholders.

• Responsible for ensuring all charge revenue is identified in payer contracts, implemented at time of billing, charges are submitted accurately and timely and all expected reimbursements are received.

• Oversee complex case denial coordination with Enterprise Patient Financial services (EPFS), ensuring all denial prevention and resolution actions are performed timely.

• Performs root cause analysis on denials to gather a better understanding of issues. Prepares & conducts identified education & training services to departments & staff pursuant to denial analysis & root cause findings, regulatory changes & requirements, coding updates & managed care billing requirement changes.

Schedule:  

General Requirements:  

• Must possess a comprehensive knowledge of medical group operations, as normally acquired through the completion of associate’s degree or related field & progressively responsible experience in healthcare revenue cycle operations including revenue integrity & charge control, preferably in a multi-site, integrated healthcare setting, or an equivalent combination of education & experience.

• Supervisory experience in a multi-facility, integrated health care delivery system or revenue cycle or revenue integrity consulting experience.

• Knowledge & experience in acute care & / or physician practice setting preferred.

• Supervisor or team leader experience preferred.

• Licensure / Certification: RHIA, RHIT, CCS, CPC/COC, or other coding credentials preferred.

• Experience in Charge Description Master (CDM) maintenance preferred.

• Must be comfortable operating in a collaborative, shared leadership environment.

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!  

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