Revenue Integrity Program Manager

Stanford Health Care; United States; Remote; USD 80,000 - 100,000; Full time

Job summary

A health care organization is seeking a Revenue Integrity Program Manager (Remote) to conduct audits, ensure compliance in charge capture processes, and enhance revenue capture. Candidates should have a bachelor's degree and at least five years of related experience. Preferred certifications include COC, CPC-H, CCS, or RHIT/RHIA.

Qualifications

• Bachelor's degree from an accredited college or university.
• Five years of progressively responsible experience in a related field.
• Proficient in hospital and professional revenue cycle operations.

Responsibilities

• Conduct reviews and audits of charge capture practices.
• Ensure compliance and consistency in charge description master.
• Lead projects to enhance revenue capture.

Skills

Revenue cycle operations

Knowledge of coding conventions

Auditing and compliance

Education

Bachelor's degree in relevant field

Job description

A company is looking for a Revenue Integrity Program Manager (Remote).

Key Responsibilities

• Conducts reviews and audits of charge capture practices and provides education to clinical staff
• Ensures compliance and consistency in the Charge Description Master (CDM) and evaluates CDM requests
• Leads projects to enhance revenue capture and improve charge capture processes

Required Qualifications

• Bachelor's degree in a relevant field from an accredited college or university
• Five years of progressively responsible experience in a related field
• Proficient in hospital and professional revenue cycle operations
• Knowledge of coding conventions and third-party payer rules and regulations
• Certifications such as COC, CPC-H, CCS, or RHIT/RHIA are preferred