Strategic Revenue Integrity Systems Manager

Bristol Hospital Group; Bristol (CT); On-site; USD 75,000 - 120,000; Full time

Job summary

Bristol Health is seeking a Systems Revenue Integrity Manager to define and execute strategy for maximizing revenue capture across the Bristol Health enterprise, reporting to the Systems Revenue Cycle Director in Bristol, CT. This role liaises between revenue cycle and clinical departments to drive financial improvement through analytics and reporting.

Responsibilities include leading the Revenue Integrity Department, monitoring charge capture, reconciliation, CDM management, pricing strategy,

Qualifications

• Master’s degree in Health Care Administration, Business Administration or equivalent preferred.
• Eight years hospital revenue cycle or reimbursement experience, including seven (7) years Management experience, with emphasis on project management.

Responsibilities

• Lead the Revenue Integrity Department in the efficient and compliant manner of the Revenue Cycle.
• Oversee monitoring and improvement efforts within Revenue Integrity: Charge Capture, Revenue Reconciliation, CDM Management, Strategic Pricing, Payment Validation, Denial Prevention, and Reporting/Analytics.
• Oversee all functions performed by the Revenue Integrity team, including analytics, communication with departments and external stakeholders, and ongoing strategy of the program.
• Develop meaningful metrics and KPIs with teams to drive analysis and decision-making.
• Lead revenue improvement opportunities and analyze financial impact for professional and hospital departments.
• Collaborate with Revenue Cycle and Finance leadership to prioritize focus areas and ensure ongoing performance.
• Assist in developing and maintaining controls and security of processes for accurate operations.

Education

Master’s degree in Health Care Administration, Business Administration or equivalent preferred

Job description

Bristol Health is seeking a Systems Revenue Integrity Manager to define and execute strategy for maximizing revenue capture across the Bristol Health enterprise, reporting to the Systems Revenue Cycle Director in Bristol, CT. This role liaises between revenue cycle and clinical departments to drive financial improvement through analytics and reporting.

Responsibilities include leading the Revenue Integrity Department, monitoring charge capture, reconciliation, CDM management, pricing strategy,