What are the responsibilities and job description for the Operations Manager, Revenue Integrity position at The Queen's Health Systems?
Responsibilities:
I. JOB SUMMARY/RESPONSIBILITIES:
- Supervises clinical and financial processes to improve revenue results, ensure integrity, and safeguard The Queen’s Health Systems (QHS) medical facilities against exposure and penalties.
- Provides oversight of the charge capture processes across QHS to ensure that all valid charges are captured in the billing process in a timely and compliant manner.
- Identifies charge compliance issues and root causes of noncompliance. Ensures correction of issues and develops changes to workflow processes to ensure that issues are prevented in the future.
- Ensures operations and functions are in compliance with regulatory requirements and policies and procedures of QHS.
- Prepares and presents financial reports for executive management review.
II. TYPICAL PHYSICAL DEMANDS:
- Seeing, hearing, speaking, finger dexterity.
- Frequent: sitting.
- Infrequent: walking, stooping/bending, reaching at and below shoulder level.
III. TYPICAL WORKING CONDITIONS:
- Not substantially subjected to adverse environmental conditions.
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION/CERTIFICATION AND LICENSURE:
- Bachelor’s degree in Business Administration, Finance, Health Care Administration or related field; or four (4) years of progressive experience in revenue cycle or finance may be substituted for the educational requirement.
- Master’s degree in a related field preferred.
B. EXPERIENCE:
- In addition to the educational requirement, four (4) years of experience in two (2) or more of the following revenue cycle areas: revenue integrity, charge capture, facility or professional coding, billing, compliance, or pricing and reimbursement, preferably in a comparable organization.
- One (1) year, supervisory/leadership experience.
- Experience to demonstrate the following:
o Working knowledge of charge master principles and the relationship to coding, billing and compliance in a hospital setting.
o Knowledge of contracts, financial analysis methods, accounting principles and health care delivery systems.
o Knowledge of requirements specific to government-funded health care program and third-party payer reimbursement.
o Proficiency with computer-based hospital billing/records applications and Microsoft Office applications, i.e. Word and Excel.
- Prior experience with Epic systems preferred.
Equal Opportunity Employer / Disability / Vet
Pay: $92,450.00 - $117,874.00 per year
Benefits:
- 401(k) matching
- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Professional development assistance
- Vision insurance
People with a criminal record are encouraged to apply
Work Location: In person
Salary : $92,450 - $117,874