Supervisor Medical Group Revenue Integrity-Full time-Remote

Trinity Health; Des Moines (IA); On-site; USD 90,000 - 120,000; Full time

Job summary

MercyOne Des Moines Medical Center seeks a Supervisor, Medical Group Revenue Integrity to oversee charge description master maintenance, denial coordination, and revenue integrity operations across the Des Moines region. The role requires leadership in a multi-site setting and expertise in healthcare revenue cycle processes.

Candidate should have an associate degree or related field and preferred coding credentials (RHIA/RHIT/CCS/CPC/COC).

Qualifications

• Must possess an associate degree or related healthcare field and experience in revenue cycle operations.
• Supervisory experience in a multi-facility integrated health system is preferred.
• Knowledge of acute care and physician practice settings is preferred.
• Demonstrated supervisory or team-leader capabilities.
• Licensure or certification in RHIA, RHIT, CCS, CPC/COC or related coding credentials is preferred.
• Experience with Charge Description Master (CDM) maintenance is preferred.
• Comfortable operating in a collaborative, shared leadership environment.

Responsibilities

• Supervises revenue integrity operations for assigned ministries, including CDM maintenance, centralized charge control, pre-bill edits, and reimbursement oversight.
• Monitors work queues and conducts data analysis with root-cause identification to guide corrective actions for stakeholders.
• Ensures all charge revenue is identified in payer contracts, billed accurately and timely, and reimbursements are received.
• Oversees complex denials coordination with EPFS and performs timely denial prevention and resolution actions.
• Performs root-cause analysis on denials and coordinates staff education and training on findings, regulatory changes, and coding updates.

Skills

Revenue integrity leadership

Data analysis

Root cause analysis

Collaboration with EPFS

Charge control

Education

Associate’s degree or related field

RHIA/RHIT/CCS/CPC/COC or coding credentials

Tools

CDM maintenance

Job description

Employment Type: Full time Shift: Day Shift Description: At MercyOne, health care is more than just a doctor’s visit or a place to go whenyou needmedical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well.

MercyOne Central Iowa sets the standard for personalized and radically convenient care in the Des Moines metro area and surrounding counties. MercyOne Des Moines Medical Center, founded by the Sisters of Mercy in 1893, is the longest continuallyoperatinghospital in Des Moines and Iowa’s largest medical center, with 802 beds available. The hospital is one of the Midwest’s largest referral centers.

With more than 7,000 colleagues and a medical staff of almost 1,500 physicians and allied health professionals, MercyOne Central Iowa is one of Iowa’s largest employers.

J oin the MercyOne Family as a Supervisor, Medical Group Revenue Integrity!

Uses specialized knowledge to support key areas of the organization related to an area of expertise. Frontline, department-based role that supervises daily functions of assigned area(s). Provides clear direction & manages / advances people, processes, structures & / or programs that support direct / indirect care. Demonstrates behaviors in alignment with culture & creates / supports comprehensive strategies & measures progress to achieve desired outcomes.

ESSENTIAL FUNCTIONS

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.

• Supervises revenue integrity operations for assigned ministries in a region. Provides oversight & leadership for a team responsible for, but not limited to, charge description master (CDM) maintenance, centralized charge control, pre-bill edits, accurate revenue & reimbursement, complex claim denial coordination, payer audits & denial/operational write-off prevention.

• Monitors work queues, performs and oversees data analysis & root cause identification to assist ministry stakeholders with corrective action plans. Responsible for building collaborative relationships with RHM leadership, Enterprise Patient Financial Services (EPFS) & other key operational and revenue stakeholders.

• Responsible for ensuring all charge revenue is identified in payer contracts, implemented at time of billing, charges are submitted accurately and timely and all expected reimbursements are received.

• Oversee complex case denial coordination with Enterprise Patient Financial services (EPFS), ensuring all denial prevention and resolution actions are performed timely.

• Performs root cause analysis on denials to gather a better understanding of issues. Prepares & conducts identified education & training services to departments & staff pursuant to denial analysis & root cause findings, regulatory changes & requirements, coding updates & managed care billing requirement changes.

Schedule:

General Requirements:

• Must possess a comprehensive knowledge of medical group operations, as normally acquired through the completion of associate’s degree or related field & progressively responsible experience in healthcare revenue cycle operations including revenue integrity & charge control, preferably in a multi-site, integrated healthcare setting, or an equivalent combination of education & experience.

• Supervisory experience in a multi-facility, integrated health care delivery system or revenue cycle or revenue integrity consulting experience.

• Knowledge & experience in acute care & / or physician practice setting preferred.

• Supervisor or team leader experience preferred.

• Licensure / Certification: RHIA, RHIT, CCS, CPC/COC, or other coding credentials preferred.

• Experience in Charge Description Master (CDM) maintenance preferred.

• Must be comfortable operating in a collaborative, shared leadership environment.

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

Des Moines

Iowa’s capital city offers a balanced urban-suburban experience with a cost of living below the national average. It’s ranked among the top safest large metros and boasts strong education options, including highly rated public schools, private academies and nearby universities like Drake University and Grand View University. Cultural highlights include theaters, museums, music festivals and a thriving food scene, while outdoor enthusiasts enjoy extensive parks and bike trails. Located just minutes from the airport, Des Moines offers easy access to regional attractions and a welcoming, community-focused atmosphere.

MercyOne Des Moines Medical Center is a leading 656-bed acute ‑ care , not ‑ for ‑ profit Catholic hospital and one of Iowa’s largest employers. Founded in 1893, it’s the longest continuously operating hospital in Des Moines. Accredited as a Top Regional Hospital by U.S. News & World Report, named one of Becker’s 100 Great Hospitals, and ranked among the top 50 cardiovascular hospitals by IBM Watson Health. With Joint Commission Gold Seal accreditation, stroke and heart care awards, CAP-accredited lab and ACS-certified Cancer Center, this flagship facility offers comprehensive services including robotic surgery, cancer care, neurosciences, rehab, emergency/trauma, maternity, behavioral health and a robust nursing excellence program.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.