Employment Type:

Full time

Shift:

Day Shift

Description:

Trinity Health of New England has an exciting opportunity to join our team as a Supervisor of Revenue Integrity. The Supervisor of Revenue Integrity . The Supervisor provides day-to-day operational supervision for local hospital and/or Medical Group Provider Services revenue integrity functions. Responsible for motivating staff to achieve the highest levels of performance, working in conjunction with all key stakeholders and varying levels of leadership to prevent revenue leakage and maximize potential revenue for the region.

What will you do:

• Supervises the Charge Description Master (CDM), revenue integrity pre-bill edits, root cause analysis, denials coordination with the Patient Business Service (PBS) center, including complex case denials, denial prevention, audits, and educating and training of multi-disciplinary teams.

• Responsible for optimizing staff performance through process redesign, policy/procedure implementation, communications, continuing education and professional development activities, staff empowerment and feedback.

• Works with Revenue Integrity leadership and Payer Strategies to ensure understanding of payer contracts, application of contract terms and ensures alignment with processes.

• Monitors all Medicare and Medicaid websites, other payer websites and newsletters regarding medical policies and changes impacting charging, compliance, coding and billing.

• Provides education to departments and colleagues on audit and root cause analysis findings, regulatory changes and requirements, coding updates and payer billing requirement changes.

Requirements:

• Must possess a comprehensive knowledge of Hospital and Physician Practice operations, and a minimum of three (3) years of progressively responsible experience in revenue cycle operations or an equivalent combination of education and progressive revenue cycle experience or revenue cycle consulting experience.

• Associate's degree preferred.

• Supervisor or team leader experience preferred.

• Knowledge and experience in Revenue integrity in an acute care and/or Physician practice setting.

• Licensure / Certification: RHIA, RHIT, CCS, CPC/COC, or other coding credentials strongly preferred. CDC (Healthcare Compliance Certification) preferred.

• AAPC Certification Required

• Experience in Charge Description Master (CDM) maintenance is strongly preferred.

Highlights

• Remote Capability Full Time: Monday - Friday

• Eastern Standard time hours required.

• Become a valued member of an excellent, dedicated health care team.

• Engaged leadership.

• Excellent Benefits effective on 1st Day

Trinity Health Of New England is an integrated health care delivery system comprised of world-class providers and facilities dedicated to the full spectrum of preventive, acute, and post-acute care, all delivered with the triple aim of better health, better care, and lower costs for our patient populations.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran