The Manager of Revenue Integrity is responsible for overseeing the daily operations of the Revenue Integrity department. The Manager collaborates with the Revenue Integrity Director to operationalize Phoenix Children’s Revenue Integrity strategy and plan for improving revenue results across all revenue operations in all departments, financial processes, functions and interdependencies from the provision of patient care to final payments. It is the responsibility of the Revenue Integrity Manager to lead, coordinate, monitor, maintain, update, and analyze compliance of all Phoenix Children’s charge description master (CDM) files and charge capture practices, to optimize revenue generation and ensure compliance with all Federal, State, and third party payor applicable laws, regulations, requirements.
Education
Bachelor's degree in business, healthcare administration, health information management, or Nursing required. (Required)
MBA, MSN, or Master's degree (Preferred)
Experience
Five (5) years of healthcare experience demonstrating progression in leadership, ability to collaborate with multidisciplinary teams and a solid foundational knowledge of Federal and State regulatory environment, CDM concepts, and compliant charge capture. (Required)
Experience reading and interpreting financial statements and key performance indicators in a revenue operations environment. (Required)
Career appropriate experience based on job description essential functions. (Required)
Certifications
RHIA, RN, CHC, CHFP, or CHRI preferred with coding certification (e.g., CCS, CCS-P, CPC, COC, CIRCC, CIC) (Required)
LEAN or Six Sigma training and certification (Preferred)
Special Skills
Ability to conduct and interpret qualitative and quantitative analysis, financial analysis, healthcare economics and business processes, information systems, organizational development, healthcare delivery systems, project management, and/or new business development. (Required)
Proven ability to determine key business issues and develop effective action plans from multi-disciplinary perspectives. (Required)
Knowledge of applicable federal and state laws and regulations related to the healthcare industry. (Required)
Excellent communication, leadership, consulting, presentation, and interpersonal skills. (Required)
Able to manage through influence and collaboration. (Required)
Demonstrated effectiveness in staff development, team building, conflict resolution, and group interaction. (Required)
Demonstrated ability to use process redesign and change management methodology and tools (LEAN or Six Sigma). (Required)
Proficient with Microsoft Office applications including: Outlook, Word, Excel, PowerPoint, Visio, and Access. (Required)
Proficient in patient accounting and electronic health systems. (Required)
Self-starter, well organized, and detail oriented. (Required)
Excellent writing, oral, and interpersonal communication skills. (Required)
Excellent organizational and project management skills. (Required)
Ability to communicate effectively in English, both verbally and in writing. (Required)
