Remote Revenue Integrity Leader

MI_THC Trinity Health Corporation; Livonia (MI); Remote; USD 58,000 - 87,000; Full time

Job summary

Trinity Health in Livonia, MI, seeks a Revenue Integrity Leader to manage local hospital revenue integrity functions and drive performance across the PBS and denial management ecosystem.

You will lead CDM, pre-bill edits, denial coordination, root-cause analysis, audits and education for multidisciplinary teams, and implement policy changes to maximize revenue while supporting the organization's mission.

Qualifications

• Bachelor's degree in finance or business administration or related field with 5–7 years in revenue cycle operations.
• Minimum of 3 years of management experience in a multi-facility health system.
• Knowledge of revenue integrity, denial management, coding audits and prebill edits.

Responsibilities

• Lead Revenue Integrity and PBS to minimize denials and maximize revenue.
• Manage CDM maintenance, pre-bill edits, root-cause analyses and denial coordination.
• Educate departments on audit findings, regulatory changes and coding updates.
• Develop staff schedules and manage projects to meet cost and quality goals.
• Ensure compliance with applicable laws, policies, and Trinity Health core values.

Skills

Revenue Integrity

Denials Management

Coding Audits

DRG/OPPS knowledge

Education

Bachelor's degree in finance or business administration

Job description

Trinity Health in Livonia, MI, seeks a Revenue Integrity Leader to manage local hospital revenue integrity functions and drive performance across the PBS and denial management ecosystem.

You will lead CDM, pre-bill edits, denial coordination, root-cause analysis, audits and education for multidisciplinary teams, and implement policy changes to maximize revenue while supporting the organization's mission.