Revenue Integrity Operations Manager - 58959-1A

This job posting is no longer active.

Updated: Nov 2, 2023
Location: Orange
Job Type:
Department: Revenue Integrity

UC Title: REVENUE CYCLE HC MGR 1

Position Number: 41026146

Reports to: Asst Dir of Revenue Integrity

Working Title: Revenue Integrity Ops Mgr

Cost Center: Revenue Integrity (428534)

Bargaining Unit: No Bargaining Unit

FLSA: Exempt

Date Created: 9/11/2023

Job Code: 006618

Hours: 40

Shift: Not Applicable

FTE: 1

Position Summary: 

This position oversees UCI Health revenue integrity operations and manages Revenue Integrity staff as direct reports in a multi-site and multispecialty academic medical center.  The incumbent is responsible for all revenue management activities, ensuring we promote integrity and stability in our revenue operations, while leading initiatives to achieve revenue optimization and automated charge capture that is reliable and adheres to all billing and compliance guidelines.   The incumbent will develop policies and procedures to maximize the effectiveness of charge capture within the revenue cycle.  This includes validating system and manual charging where required and addressing complex billing decision making to ensure appropriate billing and reimbursement requirements are met.  Develops and implements controls, ensuring charging is accurate and appropriate and stays abreast of emerging issues and risks and plans accordingly.  Manages comprehensive financial audits of all systems and ensures charging related to interfaces is correct.  Ensures the highest level of accuracy, integration and functionality in all charge generating applications across the institution, in accordance with governmental and third-party regulations.  Provides direction and interprets revenue cycle key performance indicators with significant institutional impact and identifies strategies that lead to improved financial performance and follow through on their implementation.

Total Compensation

In addition to the salary range listed below, we offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our:

Compensation practices (https://www.hr.uci.edu/partnership/totalrewards/compensation.php) and

Benefits (https://careersucirvine.ttcportals.com/pages/benefits). 

Salary Range:

Annual Rate  Minimum  $111,200.00                       Midpoint   $163,100.00                       Maximum     $215,000.00

Required Qualifications:
 

Bachelor’s Degree in Business, Finance, Accounting, and / or equivalent experience / training

Minimum 7 years in a leadership/managerial position in a revenue integrity role within an academic medical center

Proven leadership and managerial skills with the ability to create and maintain a goal-oriented climate of teamwork and cooperation across departments for effective problem solving, conflict resolution, support for organizational values and performance evaluations and disciplinary actions.

Strong knowledge of healthcare revenue cycle operations, concepts and policies and their impact throughout the organization, with an in-depth understanding of related functions and issues including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture; experience with both facility and physician provider charging and coding

CPC, CPC-H, CPMA and/or Revenue Cycle Coding Certification
Ability to maintain a work pace appropriate to the workload.

Must demonstrate customer service skills appropriate to the job.

Excellent written and verbal communication skills in English

Ability to implement and evaluate automated processes and flows as they relate to hospital charges.

Ability to effectively work with all levels of health system personnel including directors and physicians.

Ability to read, correctly interpret, and implement process and procedures in accordance with governmental and commercial payor regulations.

Experience in technical report writing, complex analyses and data conversion into different formats.

Extensive knowledge of automated patient accounting functions, payer reimbursement as it relates to charges, third party billing requirements, and split claim billing.

Extensive knowledge of correct coding principles of CPT/HCPC, modifiers, revenue codes, DRG and APCS

Knowledge of HIPAA

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties.

Preferred Qualifications:

  Epic Certified in Hospital Resolute

  Basic understanding of Lean/Kaizen methodologies

  Strong knowledge of all relevant information technology, including Epic Slicer Dicer, SQL and Clarity

  Working knowledge of academic healthcare center policies and procedures related to revenue cycles.

  Experience/Working knowledge of revenue cycle processes in an integrated multi-system environment

Conditions of Employment: The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

·       Background Check and Live Scan

·       Legal Right to Work in the United States

·       Vaccination Policies

·       Smoking and Tobacco Policy

·       Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

·       California Child Abuse and Neglect Reporting Act

·       E-Verify

·       Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI’s Employee Experience Center (EEC) at [email protected] or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m.