Manager Revenue Integrity

8 hours, 19 minutes ago
Full-time
Senior
Operations
Vail Health

Vail Health

Vail Health, formerly Vail Valley Medical Center, is a nonprofit community health care system providing a wide range of services including hospital care, orthopaedics, cardiology, physical therapy, cancer treatment, childbirth, and surgery. With a focu...

Health Care Providers & Services
251-1K
Founded 1965

Description

  • Supervise, train, and develop Revenue Integrity team members.
  • Manage and maintain the Charge Description Master, including charge codes, pricing, revenue codes, and CPT/HCPCS updates.
  • Develop policies, procedures, audits, reconciliation processes, and work plans related to charge capture and pricing.
  • Lead multidisciplinary efforts to ensure accurate revenue and billing information.
  • Lead the organization’s RAC Denials team and monitor coding-related denials with Patient Financial Services.
  • Coordinate system testing for upgrades, enhancements, implementations, and changes affecting charge data flow.
  • Analyze financial and clinical data, monitor KPIs, identify revenue improvement opportunities, and report performance.
  • Partner with finance, billing, compliance, and revenue-cycle teams on operational strategies.
  • Ensure clinical charges and billing codes are correctly established and captured in electronic medical record systems.
  • Educate departments on charging practices and maintain HIPAA compliance.

Requirements

  • Five years of healthcare revenue-cycle experience, including two years in Revenue Integrity.
  • Prior CDM or charge-capture experience.
  • Knowledge of healthcare laws and regulations.
  • Proficiency in medical terminology, hospital chargemasters, charge review, clinical information systems, and coding methodologies.
  • Experience leading and managing complex projects.
  • Prior supervisory experience preferred.
  • Hospital or integrated healthcare financial experience preferred.
  • Bachelor’s degree required; higher education preferred, with related experience potentially accepted in lieu of a degree.
  • RHIT, RHIA, CPC/CPC-H, CCS/CCS-P, CHRI, CRCR, CRCP, or another HIM-related certification preferred.
  • Working knowledge of spoken and written English; ability to work primarily from an approved state if remote.

Benefits

  • Colorado salary range of $76,939.20–$109,907.20 annually, adjusted by geographic location.
  • Medical, dental, and vision insurance.
  • Up to five weeks of paid time off during the first year, increasing over time.
  • Four weeks of paid parental leave, housing programs, and childcare reimbursement.
  • 403(b) retirement plan with immediate matching, life insurance, and short- and long-term disability coverage.
  • Tuition assistance, student loan repayment, certification reimbursement, and annual educational funds.
  • Up to $1,000 annual wellness reimbursement, recreation discounts, and pet insurance.

Interested in this position?

Apply directly on the company website

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