Revenue Integrity Manager- Remote
Conifer Health Solutions, Frisco, Texas, United States, 75034
Revenue Integrity Manager‒ Remote - Conifer Health Solutions
Job Summary Oversees professional staff responsible for managing, coordinating, and implementing Charge Description Master ("CDM") and charge capture initiatives and processes to ensure revenue management and revenue protection. Serves in a senior leadership capacity, interacting with internal and external executive level staff. Facilitates CDM and charge capture education, ensures adherence to regulatory directives, maintains appropriate controls to satisfy audit/review requirements, and promotes effective communication and data integrity across the revenue cycle.
Essential Duties And Responsibilities
Serve as a resource and consultative partner to customers and collaborate with internal departments.
Manage a professional team to evaluate, plan, implement, and report revenue management strategies, ensuring CDM integrity and identifying charge capture improvement opportunities.
Evaluate and maintain workflow processes to ensure efficiencies across the revenue cycle.
Research, evaluate, and interpret guidance to determine departmental impact and ensure optimal revenue management.
Provide incident management and problem resolution, overseeing implementation of recommendations and monitoring results.
Lead special projects for new clients, system conversions, acquisitions, and regulatory changes, including pricing initiatives and strategic financial analyses.
Manage implementation of CDM/charge capture corrective measures, monitor key performance indicators, and ensure compliance with regulations.
Knowledge, Skills, Abilities
Strong interpersonal communication and presentation skills, effectively presenting information to executives and staff.
Ability to convey ideas clearly in formal and informal settings.
Professional response to complex inquiries across all personnel levels.
Self‑management of quality and timeliness of work, meeting project deadlines.
Analytical thinking: define problems, collect data, draw conclusions, recommend improvements.
Adaptability to changing conditions and diverse work responsibilities.
Understanding of internal and external drivers affecting revenue management.
Knowledge of state/federal regulatory information and managed‑care contracts.
Research and staying current on regulatory changes and best practices.
Proficient in MS Office (Excel, Word, Access, Power Point).
Education / Experience
Bachelor's degree (or higher); related experience may be considered in lieu of a degree.
Prior supervisory experience required.
Minimum of five years healthcare‑related experience.
Knowledge of laws and regulations pertaining to the healthcare industry required.
Experience in healthcare finance or related hospital/integrated delivery system required.
Prior CDM or charge capture experience required.
Consulting experience a plus.
Certificates, Licenses, Registrations
Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable.
Compensation and Benefit Information
Pay: $81,952.00 - $122,907.00 annually. Compensation depends on location, qualifications, and experience.
Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
Management level positions may be eligible for sign‑on and relocation bonuses.
Benefits
Medical, dental, vision, disability, life, and business travel insurance.
Management time off (vacation & sick leave) – minimum 12 days per year, accrued at 1.84 hours per 40 hours worked.
401k with up to 6% employer match.
10 paid holidays per year.
Health savings accounts, healthcare & dependent flexible spending accounts.
Employee Assistance program, Employee discount program.
Voluntary benefits include pet insurance, legal insurance, accident & critical illness insurance, long‑term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
Seniority Level
Executive
Employment Type
Full-time
Job Function
Accounting/Auditing and Finance
Industries
Hospitals and Health Care and Medical Practices
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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Job Summary Oversees professional staff responsible for managing, coordinating, and implementing Charge Description Master ("CDM") and charge capture initiatives and processes to ensure revenue management and revenue protection. Serves in a senior leadership capacity, interacting with internal and external executive level staff. Facilitates CDM and charge capture education, ensures adherence to regulatory directives, maintains appropriate controls to satisfy audit/review requirements, and promotes effective communication and data integrity across the revenue cycle.
Essential Duties And Responsibilities
Serve as a resource and consultative partner to customers and collaborate with internal departments.
Manage a professional team to evaluate, plan, implement, and report revenue management strategies, ensuring CDM integrity and identifying charge capture improvement opportunities.
Evaluate and maintain workflow processes to ensure efficiencies across the revenue cycle.
Research, evaluate, and interpret guidance to determine departmental impact and ensure optimal revenue management.
Provide incident management and problem resolution, overseeing implementation of recommendations and monitoring results.
Lead special projects for new clients, system conversions, acquisitions, and regulatory changes, including pricing initiatives and strategic financial analyses.
Manage implementation of CDM/charge capture corrective measures, monitor key performance indicators, and ensure compliance with regulations.
Knowledge, Skills, Abilities
Strong interpersonal communication and presentation skills, effectively presenting information to executives and staff.
Ability to convey ideas clearly in formal and informal settings.
Professional response to complex inquiries across all personnel levels.
Self‑management of quality and timeliness of work, meeting project deadlines.
Analytical thinking: define problems, collect data, draw conclusions, recommend improvements.
Adaptability to changing conditions and diverse work responsibilities.
Understanding of internal and external drivers affecting revenue management.
Knowledge of state/federal regulatory information and managed‑care contracts.
Research and staying current on regulatory changes and best practices.
Proficient in MS Office (Excel, Word, Access, Power Point).
Education / Experience
Bachelor's degree (or higher); related experience may be considered in lieu of a degree.
Prior supervisory experience required.
Minimum of five years healthcare‑related experience.
Knowledge of laws and regulations pertaining to the healthcare industry required.
Experience in healthcare finance or related hospital/integrated delivery system required.
Prior CDM or charge capture experience required.
Consulting experience a plus.
Certificates, Licenses, Registrations
Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable.
Compensation and Benefit Information
Pay: $81,952.00 - $122,907.00 annually. Compensation depends on location, qualifications, and experience.
Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
Management level positions may be eligible for sign‑on and relocation bonuses.
Benefits
Medical, dental, vision, disability, life, and business travel insurance.
Management time off (vacation & sick leave) – minimum 12 days per year, accrued at 1.84 hours per 40 hours worked.
401k with up to 6% employer match.
10 paid holidays per year.
Health savings accounts, healthcare & dependent flexible spending accounts.
Employee Assistance program, Employee discount program.
Voluntary benefits include pet insurance, legal insurance, accident & critical illness insurance, long‑term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
Seniority Level
Executive
Employment Type
Full-time
Job Function
Accounting/Auditing and Finance
Industries
Hospitals and Health Care and Medical Practices
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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