Revenue Integrity Manager

At MUSC Health, we strive to provide the highest quality of care to our patients while also ensuring financial stability and compliance. As a Revenue Integrity Manager, you will play a crucial role in this mission by overseeing the accuracy and completeness of our revenue cycle processes. This is a challenging and rewarding opportunity for an experienced healthcare professional who is dedicated to optimizing revenue and maintaining compliance. If you have a strong understanding of revenue cycle operations and a passion for continuous improvement, we invite you to apply for this role and join our dynamic team at MUSC Health.

1. Develop and implement strategies to ensure accurate and timely revenue cycle processes.
2. Oversee revenue integrity team and ensure they are properly trained and equipped to perform their duties.
3. Monitor and analyze revenue cycle data to identify potential areas for improvement.
4. Collaborate with cross-functional teams to identify and resolve revenue cycle issues.
5. Develop and maintain policies and procedures related to revenue integrity.
6. Conduct regular audits to ensure compliance with regulatory requirements and internal policies.
7. Stay up-to-date with industry changes and regulations related to revenue cycle management.
8. Analyze and interpret payer contracts to ensure accurate reimbursement.
9. Provide guidance and support to revenue cycle staff on coding and billing guidelines.
10. Collaborate with finance and billing departments to ensure accurate and timely claims submission.
11. Identify and implement process improvement initiatives to increase efficiency and revenue.
12. Prepare and present reports on revenue cycle performance to senior management.
13. Serve as a subject matter expert on revenue cycle processes and provide training to staff as needed.
14. Communicate with payers and other external stakeholders to resolve reimbursement issues.
15. Monitor and track denials and work with revenue cycle team to develop action plans to reduce denials.
16. Ensure compliance with all applicable laws, regulations, and coding guidelines.
17. Proactively identify and address potential compliance risks.
18. Act as a liaison between revenue cycle team and other departments to coordinate revenue cycle processes.
19. Develop and maintain strong working relationships with internal and external stakeholders.
20. Continuously evaluate and improve revenue cycle processes to enhance efficiency and accuracy.

According to JobzMall, the average salary range for a Revenue Integrity Manager in Charleston, SC, USA is between $75,000 and $110,000 per year. However, this can vary depending on factors such as the size and type of company, level of experience, and specific job responsibilities. Some companies may also offer additional benefits and bonuses.