Revenue Integrity Manager

Company: Burrell Behavioral Health
Location: Springfield
Posted on: May 16, 2022

Job Description:

Looking to feed your desire to give to your community and support those who need a helping hand? Look no further! Not only is Burrell growing the amount of its resources, services, and facilities to assist as many communities as possible, it also provides plenty of opportunity for growth in your current field and the freedom to explore others. Our culture and our environment are unlike any other. We offer highly-competitive pay and a full range of top-notch full-time employee benefits such as:

• Medical
• Dental
• Vision
• Life Insurance
• Paid Time Off
• Short Term Disability
• Long Term Disability
• Retirement Plan
• Tuition Reimbursement
• Student Loan Reimbursement
• Employee Assistance ProgramJob Description:"We are truly in the business of saving lives"
  • Dr. C.J. Davis; President and CEOWant to know what it's like to work at Burrell?Click on the link below to find out -Burrell Behavioral Health - Join our Team! - YouTube-Revenue Integrity ManagerThis position is accountable for organization-wide management of Revenue Integrity functions including accurate charge capture and reconciliation, Revenue Cycle Analytics, CDM coding updates and resolving pre-bill coding edits to facilitate clean claims and optimal revenue capture. The Manager - Revenue Integrity serves as an expert within the revenue cycle for Revenue Integrity and provides a bridge between programs and revenue cycle areas to support quality client care and revenue cycle objectives.
    Job Duties:
    • Provide leadership, oversight, and strategic direction for coding trends and charge capture
    • Manage the enhancement and overall effectiveness of client net revenue realization and minimizing revenue leakage across the organization
    • Assist System Director in the development and implementation of process enhancement for organization and departmental initiatives to enhance charge capture accuracy and reimbursement
    • Oversee staff within the Revenue Integrity Department and will be responsible for oversight and understanding of departmental charging processes including electronic health record charge capture interfaces
    • Responsible for establishing, designing, implementing, and enforcing charging and reconciliation policies and procedures as well as streamlining and creating effective charging processes
    • Responsible for reviewing and ensuring the maintenance of charge description master (CDM), and/or other pertinent regulations and policies, ensuring all data elements are accurate and comply with all payer requirements
    • Ensure the resolution of issues that arise from information submitted
    • Provide validation reviews, audits, documentation and training for the area of knowledge; sharing information with Finance, HIM, and other revenue producing areas or departments
    • May conduct daily charge capture audit and education in high performing areas
    • Serve as an active participant in the development and implementation of performance improvement program for charge capture
    • Review claim denials and rejections pertaining to billing, authorization, coding, and documentation requirements
    • Maintain current knowledge of insurance plans and government programs to ensure compliance with current organization policies and procedures
    • Maintain working knowledge of the flow of information for the billing process and the clinical documentation that provides support for the billing processQualifications:
      • Bachelor's degree required. Education requirements may be waived by way of comparable experience on a case-by-case basis
      • 2 years of coding and reimbursement experience required
      • 2 years of Management/Supervisory experience required
      • Pre-bills edits and Chargemaster or Revenue Cycle experience required
      • Strong analytical, communication and organization skills and the ability to work effectively with other leaders to achieve business objectives is required
      • Strong business skills, including strategic planning, executive presentation skills and business financial acumen
      • Experience in report generation, data collection systems and analysis techniqueWhere you'll be working:In a Burrell office setting in Springfield, MissouriWhat we offer:Burrell's dedication to promoting diversity, multiculturalism, and inclusion is clearly reflected in all of our content and across all of our agency. Diversity is more than a commitment at Burrell - it is the foundation of what we do. We are fully focused on equality and believe deeply in diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all the other fascinating characteristics that make us differentMP123We are an Equal Opportunity and Affirmative Action Employer, and encourage applications from all qualified individuals without regard to race, color, religion, sex, gender identity, gender expression, sexual orientation, national origin, age, marital status, disability or veteran status, or to other non-work related factors.Burrell is a Smoke and Tobacco Free Workplace.

Keywords: Burrell Behavioral Health, Springfield , Revenue Integrity Manager, Executive , Springfield, Missouri