Company Overview:
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Shriners Children’s is a family that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience defines us as leaders in pediatric specialty care for our children and their families.
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Job Overview:
Shriners Children's is the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center. We have an opportunity for a Revenue Integrity Analyst Manager reporting into our Headquarters location.
The Revenue Integrity Analyst Manager is responsible for management and coordination of all Revenue Integrity charge capture activities throughout the SHC organization. This includes the development of processes and procedures necessary to ensure accurate and timely capture of all chargeable procedures and oversight of all charge reconciliation processes. Also responsible for maintaining communication with key stakeholders regarding updates to charge capture processes to ensure charge capture accuracy is maintained and adhered to throughout SHC. Performs oversight of process adherence through regular reviews of chargeable services and activities throughout SHC and provides feedback and education to SHC colleagues on process improvements and areas of opportunity for revenue enhancement.
Responsibilities:
Responsibilities include all aspects of revenue cycle support including performance improvement, documentation, development, testing, upgrades, as well as assisting management in examining processes to improve workflow.
Qualifications:
The ideal candidate will have 10 years of hospital/clinic-based revenue integrity and compliance experience. 5 years of hospital-based billing, coding, and charge capture experience required. 5 years of Epic PB and HB experience preferred. Bachelor's Degree in related field, or equivalent experience, required. Critical skills for this role include quantitative, analytical, critical thinking and organizational skills. Detailed knowledge of charge capture and operational processes related to revenue cycle and medical records are important in this position. In-depth knowledge of revenue codes, CPT/HCPCS Level II codes, billing and coding edits (i.e., CCI, OCE and MUE) and billing/reimbursement practices are key.
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