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UHS · 5 months ago

Revenue Cycle Program Manager - Revenue Integrity (CDM)

TREDYFFRIN, Pennsylvania

Full-time

Onsite

Senior Level, Lead/Staff

8+ years exp

UHS is one of the nation’s largest and most respected providers of hospital and healthcare services. The Revenue Cycle Program Manager will assess current revenue cycle processes, collaborate with teams to enhance efficiency, and analyze metrics for improvement.

Health CareHospitalMedicalPersonal Health

Responsibilities

Monitors, reads, interprets, and disseminates regulatory and payer requirements to identified parties timely through the creation of communications, trainings, and policies

Performs and/or coordinates revenue integrity audits to verify adherence to policy, regulatory guidance and industry standards, analyzes audit findings to create action plans, and coordinates efforts for remediation as needed

Supports the implementation and maintenance of revenue cycle management software and tools based on end user requests and regulatory guidance

Communicates CDM maintenance activities to clinical departments and information systems staff to implement necessary changes that affect charge identification, capture, reconciliation, and claim processing

Responds to internal and external audit requests in a timely manner

Provide guidance, coaching, and mentorship to junior team members

Generates reports related to revenue cycle metrics, such as CDM accuracy, charge capture, claim denials, write-offs, and payment delays, and assist in analyzing trends

Performs all other duties as assigned/required

Qualification

Revenue Cycle ManagementHealthcare ComplianceMedical BillingCodingPatient Accounting SystemsMicrosoft OfficeAnalytical SkillsCommunication SkillsTeam LeadershipProject Management