RN/LPN -Revenue Integrity Manager - PROF: PATIENT SVCS

The Revenue Integrity Manager is responsible for the daily operations of assigned RI Analyst. This person will work directly with the staff to ensure quality and efficiency of certain elements of claims processing and charge capture. This person will work directly with the facility CFO as Revenue Integrity Department representative and serve as a key promoter of the Service Center, which strives to meet and exceed the needs of its customers. Position will support management with detailed account flow analysis and work standard review, especially as they relate to quality and production of work. Staff and order supplies according to budget guidelines and department needs. Assist with the processing of payroll for his/her direct reports by maintaining employee edit requests, PTO requests, etc. Maintain accurate attendance records for employees

 Maintain up-to-date knowledge of regulatory changes impacting charging practices. Maintain QA statistics as needed and reports results to the Revenue Integrity Director. Assist with or perform employee evaluations with input from Revenue Integrity Director. Directly oversee the daily activities of the RI Analyst to ensure department standards are met. Continually educate staff of any changes pertinent to their roles. Track, trend, and analyze Unbilled reports and give feedback to Revenue Integrity Director regarding identified issues. Work closely and professionally with nursing and ancillary departments in an effort to maintain a teamwork approach. Ensure adequate staffing and problem-solving. Schedule and assist with evaluation processes; help resolve employee concerns. Assist Revenue Integrity Director to ensure all personnel and department policies and procedures are followed. Openly communicates issues and opportunities to appropriate person(s). Supervise and maintain effectiveness of workflow and staff responsibilities.

Will supervise RI Analysts up to 10 FTE's

CREDENTIAL REQUIREMENTS:

LPN/LVN, or RN preferred

EDUCATION REQUIREMENTS:

Must hold a degree    

EXPERIENCE REQUIREMENTS:

3 yrs of healthcare exp required. clinical experienced preferred. Management experience required.

***NOT OPEN TO VENDORS***