Revenue Integrity Manager

Madre Integrated Engineering; Doha; Presencial; QAR 437 000 - 655 000; Tempo integral

Resumo da oferta

Madre Integrated Engineering is seeking a senior Revenue Integrity professional in Doha, Qatar, to lead charge capture, coding, and billing operations.

You will oversee CDM governance, ensure payer compliance, and drive process improvements across clinical, finance, and insurance teams to enhance revenue capture and reimbursement accuracy.

Qualificações

• Bachelor's degree required in a related field.
• Master's degree preferred.
• Professional certification such as CPC, CCS, RHIA, RHIT, CHFP is preferred.

Responsabilidades

• Lead and manage Revenue Integrity operations, ensuring accurate charge capture, coding, billing, and reimbursement processes.
• Oversee the maintenance and governance of the Charge Description Master (CDM), including code updates, pricing changes, and regulatory compliance.
• Ensure proper mapping of charge codes and billing workflows within the hospital information system.
• Develop and implement charge audit, reconciliation, and monitoring processes to identify revenue leakage and improve revenue capture.
• Conduct financial and operational reviews to assess charge capture accuracy and billing completeness.
• Ensure compliance with payer requirements, healthcare regulations, and coding standards including CPT, HCPCS, and DRG methodologies.
• Collaborate with clinical, finance, revenue cycle, billing, and insurance departments to improve revenue cycle performance.
• Lead cross-functional initiatives focused on revenue enhancement, operational efficiency, and process improvement.
• Oversee pricing structures and support the preparation of patient and payer cost estimates.

Conhecimentos

Revenue cycle operations

Revenue integrity

Coding compliance

Auditing

Leadership

Stakeholder management

Process improvement

Communication skills

Formação académica

Bachelor's degree in Healthcare Administration/Health Information Management/Finance/Accounting/Business Administration or related field

Master's degree preferred

Ferramentas

Cerner

Billing platforms

Descrição da oferta de emprego

Madre Integrated Engineering | Full time

• Lead and manage Revenue Integrity operations, ensuring accurate charge capture, coding, billing, and reimbursement processes.
• Oversee the maintenance and governance of the Charge Description Master (CDM), including code updates, pricing changes, and regulatory compliance.
• Ensure proper mapping of charge codes and billing workflows within the hospital information system.
• Develop and implement charge audit, reconciliation, and monitoring processes to identify revenue leakage and improve revenue capture.
• Conduct financial and operational reviews to assess charge capture accuracy and billing completeness.
• Ensure compliance with payer requirements, healthcare regulations, and coding standards including CPT, HCPCS, and DRG methodologies.
• Collaborate with clinical, finance, revenue cycle, billing, and insurance departments to improve revenue cycle performance.
• Lead cross-functional initiatives focused on revenue enhancement, operational efficiency, and process improvement.
• Oversee pricing structures and support the preparation of patient and payer cost estimates.

Qualifications

• Bachelor's degree in Healthcare Administration, Health Information Management, Finance, Accounting, Business Administration, or a related field.
• Master's degree preferred.
• Professional certification such as CPC, CCS, RHIA, RHIT, CHFP, or equivalent preferred.
• Strong knowledge of healthcare revenue cycle operations, coding compliance, and reimbursement methodologies.

Requirements

• Minimum 5-7 years of progressive experience in Revenue Cycle, Revenue Integrity, Patient Financial Services, Healthcare Finance, or related healthcare operations.
• Demonstrated experience managing Charge Description Master (CDM) processes and charge capture programs.
• Strong knowledge of CPT, HCPCS, DRG, revenue codes, and payer reimbursement methodologies.
• Experience with healthcare information systems, preferably Cerner or equivalent electronic health record and billing platforms.
• Excellent analytical, auditing, and problem-solving skills.
• Strong leadership and stakeholder management capabilities.
• Ability to lead multidisciplinary teams and drive process improvement initiatives.
• Excellent communication and presentation skills.