Manager, Revenue Integrity

Swedish Hospital; Skokie (IL); On-site; USD 66,000 - 102,000; Full time

Benefits offered by this job

Annual Incentive Plan

Shift pay

On call pay

Holiday pay

Tuition Reimbursement

Free Parking

Health Savings Account Options

Retirement Match

Paid Time Off

Job summary

Endeavor Health is seeking a Manager of Revenue Integrity in Skokie, IL to lead a team responsible for accurate charges and compliant billing. You will oversee charge capture, CDI alignment, and audits to optimize revenue and regulatory compliance.

Responsibilities include supervising staff, analyzing revenue trends, collaborating with auditors, and guiding department budgeting. A strong healthcare revenue cycle background and leadership experience are essential.

Qualifications

• Education requirements as stated include bachelor and/or master degrees in health administration or business management.

Responsibilities

• Provide leadership and supervision to the revenue integrity team, including charge capture, charge reconciliation, and CDI staff.
• Oversee and optimize charge capture processes for accurate documentation and billing.
• Monitor and reconcile charges to reduce revenue leakage with clinical and billing teams.
• Collaborate with CDI staff to ensure comprehensive, accurate clinical documentation.
• Analyze revenue data, identify trends, and propose improvements for revenue capture.
• Ensure compliance with federal, state, and local regulations and billing standards.

Education

Bachelor's Degree Health Administration

Bachelor's Degree Business Administration/Management

Masters Degree Health Administration

Masters Degree Business Administration/Management

Job description

Hourly Pay Range

$47.72 - $73.97 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights

• Position: Manager, Revenue Integrity
• Location: Skokie, IL
• Full Time
• Hours: Monday-Friday, [hours and flexible work schedules]
• Required Travel:

A Brief Overview

The Manager of Revenue Integrity is responsible for overseeing the hospital's revenue integrity operations, ensuring that all charges and claims are accurate, compliant with regulations, and optimized for revenue capture. This position plays a pivotal role in maintaining financial accuracy and regulatory compliance.

What you will do

• Provide leadership and supervision to the revenue integrity team, including charge capture, charge reconciliation, and clinical documentation improvement (CDI) staff.
• Oversee and optimize charge capture processes, ensuring that all services and procedures are accurately documented and billed.
• Monitor and reconcile charges to reduce revenue leakage, working closely with clinical and billing departments.
• Collaborate with CDI staff to ensure that clinical documentation is comprehensive, accurate, and supports the services provided.
• Analyze revenue data, identify trends, patterns, and opportunities for improvement, and provide recommendations to enhance revenue capture and integrity.
• Ensure that revenue integrity practices adhere to federal, state, and local healthcare regulations, including billing compliance standards and documentation guidelines.
• Generate and review financial reports related to revenue integrity performance, providing insights and recommendations to hospital leadership.
• Provide training and ongoing education to revenue integrity staff to keep them updated on best practices, regulatory changes, and compliance standards.
• Collaborate with auditors and compliance teams to support financial audits, responding to inquiries, and providing necessary documentation.
• Assist in the development and management of the revenue integrity department budget.

What you will need

• Education: Bachelors Degree Health Administration Required Or Bachelors Degree Business Administration/Management Required Masters Degree Health Administration Preferred Or Masters Degree Business Administration/Management Preferred
• Experience: 5+ Years Revenue cycle or revenue integrity management experience in a healthcare setting, with at least 2 years in a leadership role.

Benefits (For full time or part time positions)

• Eligibility for our Annual Incentive Plan, which offers the potential to earn a certain percentage amount of your base salary based on organizational performance. (For AIP eligible positions)
• Premium pay such as shift, on call, holiday and more based on an employee's job (For eligible positions)
• Incentive pay for select positions
• Opportunity for annual increases based on performance
• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, Pet and Vision options
• Tuition Reimbursement
• Free Parking
• Wellness Program Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off and Holiday Pay
• Community In...

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website ( www.endeavorhealth.org ) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belonging-each of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.