Revenue Integrity Lead: Data Quality, Compliance & Training

HFMA Australia; Canberra; On-site; AUD 130,000 - 170,000; Full time

Job summary

Canberra Health Services is seeking an experienced revenue professional to lead data quality, compliance and training within Patient Accounts. You’ll be part of the Patient Accounts leadership team and report to the Director, Patient Accounts.

Your teams will make sure patient and provider data is accurate. They will also keep revenue activity compliant with Medicare, NHRA and other legislative requirements.

Qualifications

• Experience in healthcare finance, revenue or related fields.
• Experience writing procedures, training materials, and operational documentation.
• Track record in data integrity, compliance or quality assurance.
• Strong analytical and reporting skills with advanced Excel.
• Experience with CHS systems, including PBRC IE and DHR.

Responsibilities

• Lead teams working on revenue data management, compliance and training.
• Develop and maintain the procedures, business rules and training resources that support revenue integrity.
• Monitor compliance, identify risks and recommend corrective action.
• Improve how rejected claims are investigated, corrected and resubmitted across inpatient and outpatient revenue.
• Work with Digital Canberra, ICT and business areas to resolve system issues that affect revenue and reporting.
• Produce and analyse reports that show trends, risks and opportunities for improvement.
• Build a positive, accountable team culture focused on continuous improvement.

Skills

Analytical skills

Reporting skills

Communication

Tools

PBRC IE

DHR

Job description

Canberra Health Services is seeking an experienced revenue professional to lead data quality, compliance and training within Patient Accounts. You’ll be part of the Patient Accounts leadership team and report to the Director, Patient Accounts.

Your teams will make sure patient and provider data is accurate. They will also keep revenue activity compliant with Medicare, NHRA and other legislative requirements.