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Revenue Integrity Manager
Job Details
Job Location
Headquarters - Long Island City, NY
Position Type
Full Time
Education Level
Bachelors Degree
Salary Range
$75,000.00 - $85,000.00 Salary
Travel Percentage
None
Job Shift
Morning
Job Category
Billing & Insurance
Description
SUMMARY: The Revenue Integrity Manager will assist in implementing procedures to achieve the fiscal goals. This position works collaboratively with the Finance and the compliance team.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Ensure compliance with all regulations, policies and procedures related to medical billing for OASAS and OMH facility charges and services.
The Revenue Integrity Manager reviews systems and processes to identify potential compliance issues, works with appropriate departments to correct such issues, serves as the internal resource for billing-related questions, provides training related to appropriate billing, and works with various departments to help ensure billing compliance.
Performs other related duties as assigned to achieve the goals and objectives of the department and the organization.
Completes capture of patient revenue in every area that generates charges, management in relation to charging mechanisms and triggers, ensuring clean handoffs between clinical departments, denials management, billing management and clinical operations relations.
Fosters partnering relationships with the Compliance department, and other third parties to ensure the accuracy of the Charge Description Master (CDM) and fee schedules.
Review of monthly reports to provide educational feedback on areas of possible documentation improvement to staff and providers.
Assist in the maintenance of reports to external agencies, including the New York State Offices for Mental Health (OMH), and Alcoholism and Substance Abuse Services (OASAS).
Other duties and responsibilities may be assigned.
COMPETENCIES (KSAs)
Leadership
Initiative
Ethical Practices
Judgment
Relationship Management
Emotional Intelligence
Professional Boundaries
Global and Cultural Awareness
Critical Evaluation
Problem Solving
Decision Making
Communication
Teamwork
Crisis Management
Technical Capacity
Qualifications
REQUIRED EDUCATION
REQUIRED LICENSE/CERTIFICATIONS
REQUIRED EXPERIENCE
Knowledge of reimbursement regulations for Medicare, Medicaid and Managed Care.
Experience in management of clinical billing or healthcare experience required with knowledge of ICD-10-CM and CPT coding principles and guidelines.
Computer literacy required including working knowledge of relevant software packages such as Microsoft Office.
Proven communication, organizational, and leadership skills.
WORK ENVIRONMENT
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties and responsibilities of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities.
Regularly required to sit, use hands to type, handle or feel objects, tools or controls; reach with hands and arms, and talk or hear.
Frequently required to stand, walk, stoop, kneel or crouch and lift and/or move up to 30 pounds.
Phoenix House is an Equal Opportunity Employer providing equality of opportunity to all who are protected against discrimination by law, regulation or executive order, including veterans and individuals with disabilities. EEO is the Law: Applicants and employees are protected under Federal law from discrimination. Click https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf to learn more.
Full Time
$124k-180k (estimate)
05/01/2024
05/14/2024
HUNTSVILLE, AL
25 - 50
2006
BRYAN DODSON
<$5M
The following is the career advancement route for Revenue Integrity Manager positions, which can be used as a reference in future career path planning. As a Revenue Integrity Manager, it can be promoted into senior positions as a Revenue Cycle Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Revenue Integrity Manager. You can explore the career advancement for a Revenue Integrity Manager below and select your interested title to get hiring information.