REVENUE INTEGRITY MANAGER

Job Description

WORK SCHEDULE

100% FTE

Weekdays

Remote

DEPARTMENT DESCRIPTION

UW Medicine's Revenue Integrity (RI) Department is a shared services organization, which supports all of UW Medicine. UW Medicine entities include but are not limited to UW Medical Center (UWMC), Harborview Medical Center (HMC).

POSITION HIGHLIGHTS

• The Revenue Integrity Manager should be an Epic systems expert along with being an operational subject matter expert on the entire revenue cycle
• Manage the Revenue Integrity Analyst (RIA) team – who are responsible for ensuring all revenue is captured appropriately, billed in a timely and compliant manner; in addition to proactively identifying processes to pinpoint root causes of charge/billing errors and conceptualize process changes for service line leaders by developing education plans to assist clinical service lines

PRIMARY JOB RESPONSIBILITIES

• Serves as a liaison and works with departmental and clinical leadership to resolve issues affecting delayed or missing charge capture
• Assist RIA’s with prepares departmental summaries that pinpoint root causes of charge/billing errors and conceptualize process changes for service line leaders; uses hospital denials data to support findings, as needed
• Develop and maintain a service-oriented relationship with executive project sponsor(s), organization leadership, principal stakeholders, and project teams. Communications, relationship development and progress/status reporting
• Collaborates with key constituents in different functional areas to create charge and billing reports that meet the organization’s requirements and trains individual departments on how to properly generate such reports
• Provide regular status of current efforts, achieved milestones, and current risks and issues to Director and Senior Director of Revenue Integrity

REQUIRED

• Bachelor's Degree in a healthcare-oriented field - Equivalent experience may substitute for degree requirement
• 6-8 years’ experience effectively working with multiple, diverse stakeholders in a complex environment 
• 6-8 years' recent experience in healthcare finance/revenue cycle management/revenue integrity  
• 6-8 years’ experience serving in a team leadership role hiring, coaching, mentoring staff  
• Coding credentials CCS, COC, RHIT or RHIA from AAPC, or AHIMA – if not credentialed, must be credentialed within one year of hire date
• Excellent communication and interpersonal skills, both verbally and in writing, with employees, medical staff, board members and external parties; strong presentation skills.
• Exceptional attention to detail, analytical skills and independent motivation
• Proven analytic and problem-solving skills including the ability to extract and analyze relevant data
• Ability to self-manage, prioritize multiple tasks, adjust to change, and handle stress
• Detailed knowledge of ICD-10-CM, ICD-10-PCS, CPT, DRG, and HCPCS coding guidelines
• Understanding of hospital billing or reimbursement and charge capture operations
• Proven capability to motivate, collaborate, effect change, and promote teamwork
• Demonstrated working knowledge of considerations and processes surrounding Revenue Cycle Operations in a healthcare environment, including both hospital and physician settings
• Understanding of CMS and Medicaid regulations and ability to interpret healthcare guidelines and regulations
• Demonstrates knowledge and proficiency of standard Microsoft Suite including Teams, Word, Excel, Visio, Outlook, and PowerPoint 

ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER

UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.

All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Become part of our team. Join our mission to make life healthier for everyone in our community. 

Compensation, Benefits and Position Details

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About the UW 

Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world.  

UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. 

Our Commitment 

The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.

To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu. 

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.