What are the responsibilities and job description for the Revenue Integrity Manager position at Hawaii Health Systems Corp?
Position Summary
As a member of East Hawaii Medical Group, an affiliate of Hawaii Health Systems Corporation’s East Hawaii Region, the Revenue Integrity Manager develops, implements and manages the revenue integrity program for the acute and outpatient services of Hilo Benioff Medical Center. This includes charge capture, late charges, reconciliation, chargemaster maintenance, coding and documentation alignment, denial prevention, revenue leakage identification, analytics, and operational leadership. Now's a great time to join EHMG and HHSC's East Hawaii Region! Our facilities transitioned to the Epic e-health record system on November 1, and we are looking forward to the addition of 55 additional beds at Hilo Benioff Medical Center and the upcoming expansion of East Hawaii Health Clinics.
Location
This position allows for a hybrid (remote/in office) work environment, with a requirement for an incumbent living outside of Hilo to work on-site on the Big Island at regular intervals throughout the year (approximately four times per year for visits of approximately one week each). Airfare and lodging will be paid for by the organization, in accordance with our policies.
Job Duties
- Manage revenue integrity functions including charge capture workflow, late charge remediation, charge reconciliation and audit programs
- Oversee CDM governance with CDM analysts and IT, ensuring compliance with CMS PPS/OPPS, CPT/HCPCS, payer rules, and hospital service changes
- Develop and maintain dashboards and KPIs to detect late charges, missing charges, revenue leakage, and errors
- Partner with clinical service lines, coding, CDI, and utilization review to validate documentation
- Lead root-cause analysis and implement action plans for revenue integrity issues
Education & Experience
- Bachelor's degree in finance, healthcare administration or a related field. Additional experience as described below may be substituted for a degree on a year-for-year basis
- A minimum of three (3) years of acute-care hospital revenue cycle experience
- Knowledge of CMS PPS/OPPS, CPT/HCPCS, UB-04 billing, and payer rules
- RHIA, RHIT, CCS, CPC, CHRI or CRCR certifications preferred
Salary : $105,000 - $130,000