Manager Revenue Integrity

About Us

AtCooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.

Discover why Cooper University Health Care is the employer of choice in South Jersey.

Short Description

• The Manager of Revenue Integrity responsibilities are to ensure that all services are accuratelycharged by maintaining the chargemaster.
• To also ensure that the hospital is compliant withgovernment regulations for pricing and that the organization receives accurate reimbursement.In addition, they are to work closely with department leaders to validate charges, reduce denialsand develop missing charge capture strategies.
• Reporting to this position will be a Chargemaster Analyst who will help to maintain the chargemaster, research coding and billing guidelines, research insurance contracts and assist in updating the chargemaster.
• They will also perform audits to monitor compliance with corporate, federal and state guidelines. Allresults will be reviewed by this manager position. Inaddition, the Nurse Auditor and a Specialist will report up to this manager position.

Experience Required

• Must have 5+ years' experience overseeing the functionality of the CDM.• Responsible for coordinating a robust charge reconciliation process with department orservice line leaders.• Keeping abreast of coding and reimbursement changes to ensure we maximizesreimbursement, reduce denials for coding errors by maintaining an accurate chargemaster.• Manage the Chargemaster Analyst or equivalent directly for chargemaster maintainer.• Manage the Charge Auditor function to close gaps in missing charges.• Responsible for initiating process improvement objectives to reduce missing charges andunsure completeness of Revenue Integrity.• Collaborate with Informatics and IT resources to ensure upstream processes to ensurecomplete charging.• Collaborate with Supply Chain to ensure that new supplies, drugs and implants are beingcharges for correctly. Collaborate with decision support to ensure that charging is in linewith organizational goals.• Contribute to monthly Revenue Cycle meetings to report on revenue Integrity functions.• Collaborate with other Revenue Cycle leaders to develop denial reduction and missingcharge capture strategies.• Make recommendations for products and services that can improve our performance.• Other duties as assigned.

Education Requirements

BS/BA required.

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