Providence Health & Services Revenue Integrity Manager in Portland, Oregon
Providence is calling a Revenue Integrity Manager to Providence Health & Services in Portland, OR.
We are seeking a Revenue Integrity Manager to be responsible for charge integrity, charge reconciliation and financial analysis as it relates to regulatory compliant charging and billing guidelines. The position supports finance and operations by using clinical expertise and analytical skills to resolve charging and billing issues. The position also enforces ministry wide standards as determined by collaborative build and governance decisions.
In this position you will:
Be responsible for monitoring daily revenue processes as related to charging and for maintaining charge capture standards across the region.
Ensure WQ management and conduct root cause analysis with Epic/CDM teams.
Support ongoing system of concurrent and retrospective billing reviews to ensure compliant charging practices.
Assist services lines with standardizing charge capture processes.
Support charge master team in conducting CPT/HCPC code updates and partner with finance in completing FSC updates.
Participate in various RC and Finance governance committees as a subject matter expert.
Support Epic pre go live, go live, stabilization and ongoing operational functions.
Perform other duties as assigned.
Required qualifications for this position include:
Bachelor’s Degree in Accounting, Business, Finance or related field. Equivalent experience and education may be substituted if the experience is closely and strongly linked to revenue enhancement and compliance and financial analytics.
A minimum of five to seven years of professional and analytical experience, project management and process improvement and experience with an electronic medical record system.
Knowledge of accounting and ability to complete financial analysis. Strong analytical and problem solving skills.
Extensive knowledge of CPT and ICD coding as well as charge accuracy programs
Proven knowledge of financial and charge capture audit process
Clinical knowledge of hospital services and medical record documentation
Strong computer skills: Excel, Access, Word, PowerPoint.
Preferred qualifications for this position include:
- Experience in health care finance operations and clinical experience.
About the department you will serve.
Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
We offer a full comprehensive range of benefits - see our website for details
As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.
Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 76,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 475 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Finance & Accounting
Req ID: 140873