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Manager, Revenue Integrity

Medical University of South Carolina
Charleston

Job Description

The Revenue Integrity Manager reports to the Director, Hospital Patient Accounting & Revenue Systems. Under limited supervision, the Revenue Integrity Manager is responsible for management of Revenue Integrity for MUSC Hospital including charge master oversight and maintenance as well as pricing and change process. This role demonstrates an understanding and communicating complex changes regarding regulatory compliance and reimbursement. This position focuses on the maximization of collections through the accurate and complete capture of all charges as well as the implementation and maintenance of charge capture processes. This role works closely with clinical departments to align processes with government, payer, and internal charge capture policies; provides education to the clinical departments. The Revenue Integrity Manager is responsible for the planning and implementation of Revenue Integrity and charge capture projects including developing work teams, delegating tasks, workflow and training and development of staff. This position analyzes and generates reports to monitor activity and recommend opportunities to increase revenue and reimbursement for the MUSC Medical Center.

Qualifications

Bachelors degree from an accredited college/university in Business Administration, Healthcare, Finance or other applicable field and a minimum of five years of revenue cycle experience; preferably in a major academic healthcare organization, required. At least two years of direct management experience required. Working knowledge of financial statements and ability to analyze financial information and determine financial impact of possible changes. Knowledge of governmental and third party payer regulations and comprehensive knowledge of billing and reimbursement processes. Strong verbal and written communication skills, interpersonal and listening skills essential. Excellent presentation skills and facilitation skills.

Required Licensure, Certifications, Registrations:

Additional Duties and Responsibilities:

Physical Requirements: Ability to perform job functions while standing. (Frequent) Ability to perform job functions while sitting. (Frequent) Ability to perform job functions while walking. (Frequent) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work outdoors in all weather and temperature extremes. (Infrequent) Ability to work in confined/cramped spaces. (Infrequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Infrequent) Ability to squat and perform job functions. (Infrequent) Ability to perform pinching operations. (Infrequent) Ability to fully use both hands/arms. (Continuous) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Continuous) Ability to fully use both legs. (Continuous) Ability to reach in all directions. (Frequent) Possess good finger dexterity. (Continuous) Ability to lift and carry 15 lbs. unassisted. (Infrequent) Ability to lift/lower objects 15 lbs. from/to floor from/to 36 inches unassisted. (Infrequent) Ability to lift from 36 inches to overhead 15 lbs. (Infrequent) Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Ability to work in a latex safe environment. (Continuous) Ability to deal effectively with stressful situations. (Frequent) Ability to maintain tactile sensory functions. (Continuous) *(Selected Positions) *Ability to maintain good olfactory sensory function. (Continuous) *(Selected Position) *Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions)

Employment Type

Full-Time

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