Join the MercyOne Family as a Supervisor, Medical Group Revenue Integrity!

Uses specialized knowledge to support key areas of the organization related to an area of expertise. Frontline, department-based role that supervises daily functions of assigned area(s). Provides clear direction & manages / advances people, processes, structures & / or programs that support direct / indirect care. Demonstrates behaviors in alignment with culture & creates / supports comprehensive strategies & measures progress to achieve desired outcomes.

ESSENTIAL FUNCTIONS

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.

• Supervises revenue integrity operations for assigned ministries in a region. Provides oversight & leadership for a team responsible for, but not limited to, charge description master (CDM) maintenance, centralized charge control, pre-bill edits, accurate revenue & reimbursement, complex claim denial coordination, payer audits & denial/operational write-off prevention.

• Monitors work queues, performs and oversees data analysis & root cause identification to assist ministry stakeholders with corrective action plans. Responsible for building collaborative relationships with RHM leadership, Enterprise Patient Financial Services (EPFS) & other key operational and revenue stakeholders.

• Responsible for ensuring all charge revenue is identified in payer contracts, implemented at time of billing, charges are submitted accurately and timely and all expected reimbursements are received.

• Oversee complex case denial coordination with Enterprise Patient Financial services (EPFS), ensuring all denial prevention and resolution actions are performed timely.

• Performs root cause analysis on denials to gather a better understanding of issues. Prepares & conducts identified education & training services to departments & staff pursuant to denial analysis & root cause findings, regulatory changes & requirements, coding updates & managed care billing requirement changes.

Schedule:  

General Requirements:  

• Must possess a comprehensive knowledge of medical group operations, as normally acquired through the completion of associate’s degree or related field & progressively responsible experience in healthcare revenue cycle operations including revenue integrity & charge control, preferably in a multi-site, integrated healthcare setting, or an equivalent combination of education & experience.

• Supervisory experience in a multi-facility, integrated health care delivery system or revenue cycle or revenue integrity consulting experience.

• Knowledge & experience in acute care & / or physician practice setting preferred.

• Supervisor or team leader experience preferred.

• Licensure / Certification: RHIA, RHIT, CCS, CPC/COC, or other coding credentials preferred.

• Experience in Charge Description Master (CDM) maintenance preferred.

• Must be comfortable operating in a collaborative, shared leadership environment.

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!  

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System’s circle of care. 

Want to learn more about MercyOne Des Moines? Click here: Find a Location Des Moines, Iowa (IA), MercyOne Des Moines  

 Des Moines  

Iowa’s capital city offers a balanced urban-suburban experience with a cost of living below the national average. It’s ranked among the top safest large metros and boasts strong education options, including highly rated public schools, private academies and nearby universities like Drake University and Grand View University. Cultural highlights include theaters, museums, music festivals and a thriving food scene, while outdoor enthusiasts enjoy extensive parks and bike trails. Located just minutes from the airport, Des Moines offers easy access to regional attractions and a welcoming, community-focused atmosphere.  

MercyOne Des Moines Medical Center is a leading 656-bed acute‑care, not‑for‑profit Catholic hospital and one of Iowa’s largest employers. Founded in 1893, it’s the longest continuously operating hospital in Des Moines. Accredited as a Top Regional Hospital by U.S. News & World Report, named one of Becker’s 100 Great Hospitals, and ranked among the top 50 cardiovascular hospitals by IBM Watson Health. With Joint Commission Gold Seal accreditation, stroke and heart care awards, CAP-accredited lab and ACS-certified Cancer Center, this flagship facility offers comprehensive services including robotic surgery, cancer care, neurosciences, rehab, emergency/trauma, maternity, behavioral health and a robust nursing excellence program.