Job Information
Bozeman Health Revenue Integrity Supervisor (Remote Possible) in Bozeman, Montana
Approved Remote States
Arizona
Florida
Georgia
Idaho
Indiana
Iowa
Maine
Michigan
South Dakota
Texas
South Carolina
North Dakota
Wisconsin
Tennessee
Position Summary:
The Revenue Integrity Supervisor assists the System Manager of Revenue Integrity (RI) with planning, directing, organizing, monitoring, and staffing departmental services subject to policies, budgets, objectives, and directives mandated by regulatory agencies, DNV, and the executive team. Supports the revenue for the health system by maintaining a compliant and defensible Charge Master (CDM), claim integrity, and charger reconciliation program. Assists with departmental and organizational training and education to promote the overall integrity of the CDM program. Works closely with other organizational functions as directed and in collaboration with the RI Manager.
Minimum Qualifications:
Associate's degree in Business or Accounting; an equivalent combination of education and experience will be considered
Three (3) years of experience in a ChargeMaster role or Healthcare Charge Equivalent
Three (3) years of supervisory experience
Prior experience with Epic
Regulatory knowledge required for PPS and CAH Hospital, Provider-Based, Free-Standing Clinic, Swing Bed Billing, and Payer Enrollment
Preferred: Bachelor’s degree in business or related field
Preferred: Working knowledge of Coding and Payment Classification Systems, i.e. ICD-10, HCPCs, CPT, OPPS, IPPS, MPFS
Preferred: Three (3) years of experience in ChargeMaster role
Preferred: Coding Certificate; Certified Provider Credentialing Specialist (CPCS)
Essential Job Functions:
Assists leadership with broad operations to ensure the provision of comprehensive departmental services in compliance with all regulatory agencies and hospital requirements
Assists in the accurate development and submission of claims to support reimbursement, including timely filing requirements in collaboration with the RI Manager and other departments as directed
Assists RI Manager in developing and monitoring key performance indicators, i.e., specific candidate for billing, revenue guardian edits, charge-related edits, accounts receivable days, and applicable WQs
Assist RI Manager in report generation and analysis to identify root causes and develops solutions for issues identified.
Assists RI Manager on accurate and timely CDM updates as required by annual CPT and BH budget requirements, i.e., price increase in collaboration with IT
Assisted the RI Manager with the Revenue Reconciliation program for BH and was a member of the Revenue Reconciliation Committee.
Assists staff in any data analysis projects or ad-hoc projects as directed by RI Manager
Assists in internal quality monitoring programs of the CDM, including external reviews and internal monitoring, including the implementation of opportunities identified, as directed by the Manager of RI.
Ensures requests to make changes or updates to the CDM are done accurately and timely
Ensures payer enrollment is accurate and timely to avoid gaps in payer enrollment, i.e., facility and individual provider enrollment
Leads, teaches, inspires, helps, and consistently demonstrates hospital behavioral standards.
Knowledge, Skills, and Abilities
Strong leadership managerial skills; ability to plan, delegate, train, monitor and improve work performance
Demonstrates ability to lead to and motivate staff
Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
Ability to work in a busy and stressful environment
Familiar with business and medical terminology, billing codes, and coding systems (ICD-10, HCPCS, CPT)
Strong interpersonal, organizational, multi-tasking, verbal and written communication skills
Creativity, problem analysis and decision making
Exercises tact, discretion, sensitivity and maintains confidentiality
Detail oriented, organizational skills and the ability to prioritize
Standard office equipment and computer applications; MS Office, internet applications and proficient in Epic.
Ability to work varied shifts
The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by the personnel so classified.
77211370 Patient Financial Services
Working at Bozeman Health is more than just a job--it's a commitment to caring for the communities of Southwest Montana by being their partner in health and wellness, compassionately delivering the best care for each person, every time. In every role, our employees are inspired by their ability to care for our community and our Culture of Excellence guides each employee to be a high performer, engage in transparent and timely communication, demonstrate dynamic learning and teaching, excel through change, express gratitude and experience joy.