As an entity of the Confederated Tribes of the Goshute Reservation, we, at Sacred Circle Healthcare, preserve the Goshute heritage of protecting and caring for family and extend the tradition to all marginalized and underserved populations in our area. We refuse to let access, ethnicity, or socioeconomic status restrict someone from receiving complete healthcare.

Interested in joining our team? We are looking for people who are genuine, kind, ambitious, positive, and helpful - exceptional people building on a celebrated heritage who are passionate about delivering uncompromising care - people who make a difference every day no matter what their role or position. If you are looking for a job where the work you do impacts lives for the better every day, you are in the right place!

Sacred Circle Healthcare is seeking a full-time Revenue Integrity Director, in Salt Lake City, Utah.

Job Summary

• Overview: This position is responsible for ensuring that all provider-based revenue is captured, coded, and billed accurately and in compliance with all applicable regulations. The Revenue Integrity Director will work closely with providers and compliance to identify and resolve revenue integrity issues and will also develop and implement policies and procedures to prevent future issues.
• Reports to: Finance Officer
• Department: Billing
• Business Unit: Finance
• Patient Care: No
• Worker Status: Full-time, salary
• Benefits Eligible: Yes
• Work Schedule: To Be Determined with the availability of 8:00 am – 6:00 pm Monday through Friday. Evening and weekend work may be required as needed.

The successful candidate:

Minimum Requirements

• EDUCATION: Bachelor’s degree in Health Information Management, Business Administration, Finance, Accounting, or related field.
  • Six plus (6 ) years of progressively responsible revenue cycle experience, or financial analysis/billing experience in a high volume, data complex environment, with compliance and Medicaid billing experience.
  • Five (5) year management experience leading a team
  • Experience in a variety of Patient Accounting systems/EMRs.
  • Preferred education and experience:
    • Master’s degree in Health Information Management, Business Administration, Finance, Accounting, or related field.
    • Ten plus (10 ) years of progressively responsible revenue cycle experience, or financial analysis/billing experience in a high volume, data complex environment, with compliance and Medicaid billing experience.
    • Direct experience with revenue integrity regulations.
    • Previous healthcare billing, specifically Medicare and/or working with a 638 clinic.
    • Certification in CHRI (Certified Health Revenue Integrity).
    • CERTIFICATION: CPC (Certified professional coder) also a plus.

Knowledge, Skills, and Abilities

• Ability to effectively build relationships with external and internal stakeholders.
• Ability to get along well with a variety of personalities and individuals.
• Ability to influence others to perform their jobs effectively and to be responsible for making decisions.
• Ability to make critical decisions while following company procedures.
• Ability to work independently and part of a team.
• Driven ability to complete assigned tasks under stressful situations.
• Excellent ability to find a solution for or to deal proactively with work-related problems.
• Excellent ability to organize and direct oneself and effectively supervise others.
• Excellent ability to take care of the customers’ needs while following company procedures.
• Excellent analytical and problem-solving skills, with the ability to interpret complex financial and billing data.
• Excellent verbal and written communications skills.
• Exceptional Excel skills (pivot tables, v-lookups, macros).
• Experience managing large volumes of data
• Experience working for a public company with SOX compliant internal control oversight considered a plus.
• In-depth knowledge of healthcare reimbursement systems, billing regulations, and financial management principles.
• Must be results driven with the ability to multi-task and use good judgment to handle multiple projects with conflicting deadlines and priorities.
• Self-starter with strong initiative and drive.
• Well organized with strong attention to detail.

Additional Information – Join us as we are Redefining Compassionate Healthcare, together!

As group of 4 healthcare clinics, diversity drives our identity. We are proud of our Native American heritage. Whether you are seeking your first job, transitioning back into the workforce, looking to start your career, or grow an existing one, Sacred Circle Healthcare walks with you. We need you for what you can do. We strive for a mix of benefits to help you combine great work with a great life.

• Competitive pay
• Healthcare coverage for you and your family
• Generous PTO, paid holidays and floating holidays to celebrate what is important to you (prorated for part-time employees)
• Retirement matching to invest in your future
• Colleagues that are unparalleled
• A culture that is second to none