Hospital Billing - Revenue Integrity Manager - FT - Days - MHS
Core
Oversee daily operations, performance, and development of revenue integrity applications to optimize charge capture, enhance net revenue, and ensure regulatory compliance for a hospital system.
Role type
Manager of Revenue Integrity
Builds
Charge capture tools, controls, and reporting systems for hospital departments
Domain
Healthcare / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Epic Charge Router, Epic Resolute Billing, charge master management, CPT/HCPCS coding updates, fee schedule management, regulatory compliance analysis, team supervision, project management, debugging and system enhancements
Preferred skills
AHIMA or AAPC coding credential, Bachelor's degree, 5+ years Epic charge master experience, 3+ years team management
Technologies
Epic Charge Router, Epic Resolute Billing, Epic Charge Handler, Epic Revenue Guardian
Responsibilities
Manage planning of application development and deployment; design and implement controls to optimize revenue capture; monitor and provide training for charge capture staff; manage staffing activities including hiring and performance evaluation; develop and implement annual CDM CPT/HCPCS and Fee Schedule updates; analyze billing and coding requirements for payer coverage; test samples of departmental charges to evaluate staff performance and control effectiveness.
Seniority
Manager, hands-on IC with team leadership