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State of Minnesota · 1 day ago

Revenue Integrity Manager / State Program Admin Manager Sr

Vadnais Heights, MN

Full-time

Hybrid

Senior Level

$43.38/hr - $62.41/hr

7+ years exp

The State of Minnesota is seeking a Revenue Integrity Manager to join their Direct Care and Treatment Finance Team. This role is responsible for managing the daily operations of the revenue integrity team, ensuring compliance with billing, coding, and documentation standards, and leading continuous improvement initiatives in revenue integrity.

Government Administration

No H1B

Responsibilities

Managing the daily operations of the DCT revenue integrity team

Monitoring the requirements of CMS and other payers for policy, procedures, and protocol changes to assure revenue collections are consistent with all rules and regulations

Reviewing coding and billing strategies while implementing quality assurance processes

Understand charge master set up and manage updates and on-going charge master maintenance

Preparing and participate in internal and external audits

Leading revenue integrity continuous improvement initiatives

Providing education and training on revenue integrity best practices, compliance requirements, and changes in billing and coding regulations

This position serves as a Systems Administrator for DCT's patient accounting modules within the DCT practice management system. The position oversees complex audit functions and works with DCT Compliance officials to identify and resolve findings within DCT

Qualification

Revenue Cycle ManagementMedical BillingCoding ComplianceLeadership ExperienceICD-10-CM KnowledgeCPT/HCPCs CodingCharge Master ManagementAudit PreparationCommunication SkillsProblem SolvingTeam Leadership

Required

Two (2) years of supervisory experience assigning priorities, developing staff and implementing improvements

Five (5) years of billing, coding, or revenue collection and integrity experience

Experience with medical billing, cash posting, and charge entry

Experience reading, interpreting, and understanding statutes, rules, and regulations

Experience researching, solving problems, and initiating correction actions

Experience communicating complex accounting, collection, and compliance concepts

Demonstrated leadership experience

Experience as a supervisor, lead worker, team lead, project lead

Completion of a State of Minnesota leadership program (e.g. ELI, L4)

A paid/unpaid position leading a program or chairing a committee (e.g. Employee Resource Group) - experience must include: 1+ year of experience identifying issues, goals, and strategic actions; 100+ hours per year time commitment

Preferred

Bachelor's degree in business administration, healthcare administration, finance, or related field

Knowledge of ICD-10-CM, CPT/HCPCs procedure coding

Knowledge of hospital revenue cycle operations

Demonstrated oral and written communication skills sufficient to establish and maintain effective working relationships with internal and external stakeholders

Training as a Certified Revenue Cycle Professional (CPCR), Certified Healthcare Financial Professional (CHFP), or Certified Payment and Reimbursement (CSPR)

Preferred candidates will have a variety of experiences working effectively with others from different backgrounds and cultures

Benefits

Paid vacation and sick leave

12 paid holidays each year

Annual pay increases

Low-cost medical, dental, vision, and prescription drug plans

Fertility care, including IVF

Diabetes care

Dental and orthodontic care for adults and children

6 weeks paid leave for parents of newborn or newly adopted children

Pension plan that provides income when you retire (after working at least three years)

Employer paid life insurance to provide support for your family in the event of death

Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury

Tax-free expense accounts for health, dental, and dependent care

Resources that provide support and promote physical, emotional, social, and financial well-being

Training, classes, and professional development

Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov)

Employee Assistance Program (EAP) for work/life support

A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well-being, or job performance

Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues

Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care