Revenue Integrity Program Manager

November 6

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Stanford Health Care

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Neuroscience • Oncology • Cardiovascular • Orthopaedics • Transplant

10,000+

Description

• Optimize hospital and professional revenue, identify potential revenue leakage, ensure compliance in charging and billing practices. • Serve as the primary liaison for Revenue Cycle, interfacing directly with clinical department leaders, Chairs, and Directors of Finance & Administration. • Support accurate capture of charges, identify improvement opportunities, and work closely with physician leadership and Compliance. • Lead the monthly Revenue Integrity and School of Medicine DFA meetings for professional revenue cycle.

Requirements

• Bachelor's degree in a work-related discipline/field from an accredited college or university (or equivalent combination of education/experience) • Five (5) years of progressively responsible directly related work experience • Proficient in hospital and professional revenue cycle operations. • Expert in analyzing revenue data to identify trends and opportunities with the capacity to communicate findings effectively to varied audiences. • Strong interpersonal skills facilitating seamless communication with clinical staff and faculty. • Solid understanding of coding conventions and current third-party payer rules and regulations. • Knowledge of computer systems, specifically, Epic Care and related interfaces. • Strong written and verbal communication skills to articulate analyses and findings to Chairs, DFAs and Clinical Operations leadership. • Proven ability to provide leadership skills in problem identification and issue resolution.