Kelsey-Seybold Clinic
Responsibilities
The Revenue Integrity Manager coordinates directly with the Directors of Revenue Cycle Management (Pre-Bill & Post-Bill) to achieve the goals of the organization. This position initiates, monitors and oversees efforts within assigned functional areas of revenue cycle including the Reimbursement Coding, Revenue Integrity, Charge Corrections and Quality Assurance teams. Uses and manipulates data to analyze all aspects of the revenue cycle including fee schedule review and maintenance, charge capture, denials, and performance to target. Oversees the development and maintenance of system billing advisories, charge rules and claim edits. Directs Specialty Department audits in collaboration with the Coding Improvement department which provides physician education. Collaborates with other revenue cycle leaders and stakeholders to identify and reduce net revenue leakage. Establishes and maintains a positive and effective team environment and gives direction and feedback to assigned staff. Develops and implements standards, policies and procedures. Maintains open, effective communications within the management team, staff, providers and patients. Responsible for providing insightful reports and analysis. Exhibits exceptional interpersonal, communication and presentation skills. Demonstrates maturity to withstand pressure that may arise and displays flexibility and adapts to changing conditions.
Job Title: Manager, Revenue Cycle Integrity
Clinic Location: Pearland Administration Office Building
Department: Business Office Administration
Job Type: Full Time
Salary Range: $83,408 – $103,043 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
Qualifications
Education
Required: Bachelor’s degree or equivalent experience.
Preferred: N/A
Experience
Required: 7+ years of experience in professional revenue cycle with 5+ years of supervisory experience in designated field. Familiar with revenue cycle components (CPT, ICD 10, HCPCS, medical terminology, claims, EOB, etc.) Working knowledge of commercial insurance and CMS, including rules, regulations, and guidelines.
Preferred: 10+ years of experience in designated supervision field with 8+ years or more supervision responsibilities. EPIC experience.
License(s)
Required Certified Professional Coder (CPC) or Certified Coding Specialist –Physician Based (CCS-P) Certified Coding Associate (CCA)
Preferred: N/A
Special Skills
Required: Must be proficient in Excel, Word, Outlook, PowerPoint and other applications. Analytical skills. Excellent written and verbal communication skills. Presentation skills. Able to manage multiple tasks to meet deadlines. Must be able to apply critical thinking and independent judgement to make recommendations for process improvements and achieve department goals.
Preferred: N/A
Other
Required: Must be able to retain composure, meet deadlines, and appropriately analyze, research, and resolve problems in a stressful environment with work-related interruptions. Must demonstrate dependability and an ability to work independently. Direct management of a minimum of ten (10) staff/management
Preferred: N/A
Working Environment: Office
About Us
Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
Why Kelsey-Seybold Clinic?
- Medical, Vision, and Dental
- Tuition Reimbursement
- Company Matching 401K
- Employee Reward and Recognition Program
- Paid time off for vacation, sick, and holidays
- Employee Assistance Program
- Continuing Medical Education allowance
Manager Revenue Cycle Integrity- Business Office Administration