MANAGER REVENUE INTEGRITY
QUALIFICATIONS:
Education Required: Bachelor's degree - Finance or Related field
Preferred educational qualifications: Graduate Degree
Licensure/Certification/Registration:
Epic Hospital Billing or Epic Charge Master is preferred. Coding certification in at least one of the following is also preferred: CPC, CPC-P, RHIA, RHIT, and/or certification in auditing and/or Healthcare compliance. Designation of proficiency in Hospital Billing and Charge Master is required.
Experience
Minimum Level of Experience Required: 5 - 7 years of job related experience
Prior job title or occupational experience: Minimum of five to seven years in hospital finance and or healthcare reimbursement. 3 to 5 years of prior management experience required.
Other experience requirements:
A strong understanding of healthcare reimbursement required
Knowledge of CPTs, APCs, DRGs, and HCPCS code is required
Current knowledge hospital billing practices is required.
Current knowledge of Medicare and Medicaid regulations is required.
Two years of project management experience
Experience in working with upper management, physicians, and information systems is required
File maintenance experience required
Report writing experience required
Understanding of Managed Care contracts and language