Manager, Revenue Integrity

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! 

JOB SUMMARY
UT Southwestern has a new employment opportunity available for a Manager, Revenue Integrity within the Decision Support Department. The successful candidate in these duties will include but will not be limited to the following:

• Must be a Registered Nurse 
• Provide leadership, guidance and effectively manages the day-to-day operations of the Revenue Integrity Analyst, and Audit Nurses
• Ensure timely review, appeal and follow up.
• Analyze variances, rejections, and denials information to identify problems, trends and develop feedback and reports to be presented to senior management and clinical department heads.
• Hospital Billing/Charge Accuracy audits (prospectively or retrospectively), Insurance Defense audits, select Focus audits, Billing Compliance and Charge Capture audits.
• Provides support to Patient Financial Services, HIM/Coding and departments to promote sound revenue integrity. Analyze data and develops an overall approach for trending issues, report findings, continued education and training (as the content experts) for PFS, clinical departments.
• The Revenue Integrity manager provides management planning, development, and guidance to staff within the roles of Audit and Chargemaster. 
• Analyze data and develops an overall approach for trending issues, report findings, applying timely and constructive feedback, continued education, and training (as the "content experts") for Revenue Integrity, clinical departments, nursing units/depts.  Prepares departments summaries based upon audit findings and works closely with applicable staff/management for continued performance improvement ensure compliance with Medicare/Medicaid regulations, Managed Care contractual agreements and the applicable policies of UT Southwestern University Hospital.
   

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!
  
  EXPERIENCE AND EDUCATION
  
  Required
• Education
  Bachelor's Degree from a recognized college or university in business, healthcare or a closely related field or 10 years' of experience within the revenue cycle and coding. 
   

• Experience
  10 years' Experience in the hospital setting, healthcare industry or coding with a focus in one or more of the following areas: coding, char