Manager Revenue Integrity jobs in United States
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Baylor Scott & White Health ยท 4 hours ago

Manager Revenue Integrity

Baylor Scott & White Health is a healthcare provider seeking a Manager of Revenue Integrity. This role is responsible for overseeing a team ensuring compliance with charge capture methodologies and developing audit programs while collaborating with various departments to resolve issues.

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H1B Sponsor Likelynote

Responsibilities

Collaborates with the BSWH Director of Revenue Integrity to develop department strategy, structure, productivity standards/metrics, applicable policies and procedures, etc
Responsible for hiring, training, developing, and evaluating assigned direct reports and provides ongoing oversight and support to direct reports and assigned service lines
Serves as the definitive resource and point of contact to provide guidance and advice regarding the Charge Description Master (CDM) and charge capture related topics throughout the System to all BSWH key stakeholders
Partners with other Revenue Cycle, clinical, and Information Services departments to identify, research, and resolve charge capture issues
Maintains knowledge of all charge capture methodologies, workflows, and processes for assigned service lines
Shares ownership in the development of the Revenue Integrity Audit Program annually in collaboration with the Director of Revenue Integrity
Evaluates charge capture workflows across all service lines and identifies areas of risk for inclusion in the audit program
Establishes scope, schedules, and timeline, assigns responsibilities, drafts/edits audit reports, and presents findings to applicable department, facility, and system leadership
Responsible for ensuring the accuracy of all key data elements of the Charge Description Master (CDM) and remains updated with all government and commercial payor coding and regulation changes through a system-wide CDM program
Assists with establishing and implementing CDM-related policies and procedures including an annual CDM Audit program
Serves as an internal resource to inform and consult with departments when regulatory changes occur to ensure ongoing charge capture and CDM compliance
Develops strategy for performing CDM and charge capture education and assists direct reports with providing education to key stakeholders
Supports new department, facility, and service implementations for the Revenue Cycle to ensure charge capture is performed accurately, consistently, and compliantly by serving as a project manager, reviewing regulations, designing and reviewing charge capture workflow build, and ensuring post-go-live charge capture audits are performed and identified issues are mitigated
Develops and maintains workflows to support the BSWH Charge Reconciliation policy and procedure across all revenue generating departments
Responsible for ensuring frequent and consistent Charge Reconciliation training and education is provided to department leaders
Establishes and executes a Charge Reconciliation audit program in line with the larger Revenue Integrity Audit program
Performs other position appropriate duties as required in a competent, professional, and courteous manner

Qualification

Charge Description Master (CDM)Revenue Cycle ExperienceData AnalyticsExcel ProficiencyHealthcare Billing KnowledgeLeadership SkillsOrganizational SkillsCommunication SkillsProblem-Solving SkillsTeam Collaboration

Required

Bachelor's or 4 years of work experience above the minimum qualification
5 Years of Experience

Preferred

Revenue Cycle/ Revenue Integrity Experience
Epic Hospital Billing, Professional Billing, and Chargemaster experience

Benefits

Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1

Company

Baylor Scott & White Health

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Baylor Scott & White Health is a non-profit health care system that research about the outpatient, and emergency treatment services.

H1B Sponsorship

Baylor Scott & White Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (10)
2024 (9)
2023 (6)
2022 (5)
2021 (4)
2020 (6)

Funding

Current Stage
Late Stage

Leadership Team

J
Jennifer Mitzner
Executive Vice President & CFO
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Lynne O'Connor
Manager, Medical Staff Services
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Company data provided by crunchbase