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Manager Revenue Integrity *Remote*
Providence • Remote • Posted 15 days ago
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Remote • Full-time • Mid Level Manager
Job Highlights
Using AI ⚡ to summarize the original job post
Providence is seeking a Manager Revenue Integrity to develop, implement, and evaluate business processes associated with charge capture and revenue monitoring. This role involves ensuring comprehensive and accurate account and claim information, providing timely, compliant billing, and managing CDM updates and charge capture initiatives. The Manager will also oversee the management of Revenue Integrity staff, focusing on charge accuracy audits, education on proper charging, and resolving inefficiencies in revenue cycle processes.
Responsibilities
- Develop, implement and evaluate business processes associated with charge capture and revenue monitoring
- Ensure account and claim information contains comprehensive and accurate data
- Provide timely, compliant billing and optimal reimbursement for services
- Manage, coordinate and implement CDM updates and charge capture initiatives and processes to ensure revenue management and protection
- Maintain working relationships with Department Leaders, Finance and all Revenue Cycle departments
- Oversee the management of the assigned Revenue Integrity staff
- Performance of duties related to charge accuracy audits and revenue cycle support services
- Education to departments regarding proper charging and government billing edits
- Complete metrics analysis to identify root causes
- Report findings to leadership, and work with other department leaders to address associated issues
Qualifications
Required
- Bachelor's Degree in Nursing, Accounting, Business, Health Information Management, Health Administration, or another related field of study -OR- a combination of equivalent education and experience
- 5+ Years of experience in Revenue Cycle (Experience may include: Revenue Integrity, Business Office, Patient Access, HIM/Coding, etc.)
- Experience working with revenue cycle team members to accomplish specific objectives
- Experience in a high production, deadline-oriented professional work environment requiring multi-tasking, flexibility, and self-directed work
- Proven track record in identifying and resolving inefficiencies in charge capture and revenue cycle processes
- Track record in organizing and planning with demonstrated ability to effectively manage time and achieve results in a fast paced environment
Preferred
- 3+ years of Supervisory experience
About Providence
Providence is a leading not-for-profit health system in the United States, offering a wide range of health and social services across several states. It provides primary care, specialty care, hospital services, mental health, addiction services, and programs for seniors and people with disabilities. Providence is dedicated to delivering compassionate and high-quality care, with a strong emphasis on patient-centered services and innovation in healthcare delivery.
Full Job Description
**Description**
**_Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._**
**Providence is calling a Manager Revenue Integrity who will:**
+ Develop, implement and evaluate business processes associated with charge capture and revenue monitoring
+ Ensure account and claim information contains comprehensive and accurate data
+ Provide timely, compliant billing and optimal reimbursement for services
+ Be responsible for managing, coordinating and implementing CDM updates and charge capture initiatives and processes to ensure revenue management and protection
+ Maintain working relationships with Department Leaders, Finance and all Revenue Cycle departments
+ Oversee the management of the assigned Revenue Integrity staff in the following areas:
+ Performance of duties related to charge accuracy audits and revenue cycle support services
+ Education to departments regarding proper charging and government billing edits (NCCI, MUE's, Coding Pairs, LCD, NCD), etc.
+ Complete metrics analysis to identify root causes
+ Report findings to leadership, and work with other department leaders to address associated issues
**Providence welcomes applicants to apply who reside in the following States:**
+ Alaska
+ Washington
+ Oregon
+ Montana
+ California
+ Texas
**Required qualifications for this position include:**
+ Bachelor's Degree in Nursing, Accounting, Business, Health Information Management, Health Administration, or another related field of study -OR- a combination of equivalent education and experience
+ 5+ Years of experience in Revenue Cycle (Experience may include: Revenue Integrity, Business Office, Patient Access, HIM/Coding, etc.)
+ Experience working with revenue cycle team members to accomplish specific objectives
+ Experience in a high production, deadline-oriented professional work environment requiring multi-tasking, flexibility, and self-directed work
+ Proven track record in identifying and resolving inefficiencies in charge capture and revenue cycle processes
+ Track record in organizing and planning with demonstrated ability to effectively manage time and achieve results in a fast paced environment
**Preferred qualifications for this position include:**
+ 3+ years of Supervisory experience
**Salary Range by Location:**
+ AK: Anchorage: Min: $51.16, Max: $82.36
+ AK: Kodiak, Seward, Valdez: Min: $53.33, Max: $85.85
+ California: Humboldt: Min: $53.33, Max: $85.85
+ California: All Northern California - Except Humboldt: Min: $59.84, Max: $96.32
+ California: All Southern California - Except Bakersfield: Min: $53.33, Max: $85.85
+ California: Bakersfield: Min: $51.16, Max: $82.36
+ Montana: Except Great Falls: Min: $41.19, Max: $66.31
+ Montana: Great Falls: Min: $39.02 Max: $62.82
+ Oregon: Non-Portland Service Area: Min: $47.70 Max: $76.78
+ Oregon: Portland Service Area: Min: $51.16, Max: $82.36
+ Texas: Min: $39.02 Max: $62.82
+ Washington: Western - Except Tukwila: Min: $53.33, Max: $85.85
+ Washington: Southwest - Olympia, Centralia & Below: Min: $51.16, Max: $82.36
+ Washington: Tukwila: Min: $53.33, Max: $85.85
+ Washington: Eastern: Min: $45.53, Max: $73.29
+ Washington: Southeastern: Min: $47.70 Max: $76.78
**Why Join Providence?**
**Our** **best-in-class benefits** **are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our** **Mission** **of caring for everyone, especially the most vulnerable in our communities.**
**About Providence**
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
**About the Team**
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
**Requsition ID:** 310747
**Company:** Providence Jobs
**Job Category:** Finance Operations
**Job Function:** Finance
**Job Schedule:** Full time
**Job Shift:** Day
**Career Track:** Leadership
**Department:** 4004 SS REG FIN OPS
**Address:** TX Lubbock 3615 19th St
**Work Location:** Covenant Medical Center
**Pay Range:** $See Posting - $See Posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
**_Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._**
**Providence is calling a Manager Revenue Integrity who will:**
+ Develop, implement and evaluate business processes associated with charge capture and revenue monitoring
+ Ensure account and claim information contains comprehensive and accurate data
+ Provide timely, compliant billing and optimal reimbursement for services
+ Be responsible for managing, coordinating and implementing CDM updates and charge capture initiatives and processes to ensure revenue management and protection
+ Maintain working relationships with Department Leaders, Finance and all Revenue Cycle departments
+ Oversee the management of the assigned Revenue Integrity staff in the following areas:
+ Performance of duties related to charge accuracy audits and revenue cycle support services
+ Education to departments regarding proper charging and government billing edits (NCCI, MUE's, Coding Pairs, LCD, NCD), etc.
+ Complete metrics analysis to identify root causes
+ Report findings to leadership, and work with other department leaders to address associated issues
**Providence welcomes applicants to apply who reside in the following States:**
+ Alaska
+ Washington
+ Oregon
+ Montana
+ California
+ Texas
**Required qualifications for this position include:**
+ Bachelor's Degree in Nursing, Accounting, Business, Health Information Management, Health Administration, or another related field of study -OR- a combination of equivalent education and experience
+ 5+ Years of experience in Revenue Cycle (Experience may include: Revenue Integrity, Business Office, Patient Access, HIM/Coding, etc.)
+ Experience working with revenue cycle team members to accomplish specific objectives
+ Experience in a high production, deadline-oriented professional work environment requiring multi-tasking, flexibility, and self-directed work
+ Proven track record in identifying and resolving inefficiencies in charge capture and revenue cycle processes
+ Track record in organizing and planning with demonstrated ability to effectively manage time and achieve results in a fast paced environment
**Preferred qualifications for this position include:**
+ 3+ years of Supervisory experience
**Salary Range by Location:**
+ AK: Anchorage: Min: $51.16, Max: $82.36
+ AK: Kodiak, Seward, Valdez: Min: $53.33, Max: $85.85
+ California: Humboldt: Min: $53.33, Max: $85.85
+ California: All Northern California - Except Humboldt: Min: $59.84, Max: $96.32
+ California: All Southern California - Except Bakersfield: Min: $53.33, Max: $85.85
+ California: Bakersfield: Min: $51.16, Max: $82.36
+ Montana: Except Great Falls: Min: $41.19, Max: $66.31
+ Montana: Great Falls: Min: $39.02 Max: $62.82
+ Oregon: Non-Portland Service Area: Min: $47.70 Max: $76.78
+ Oregon: Portland Service Area: Min: $51.16, Max: $82.36
+ Texas: Min: $39.02 Max: $62.82
+ Washington: Western - Except Tukwila: Min: $53.33, Max: $85.85
+ Washington: Southwest - Olympia, Centralia & Below: Min: $51.16, Max: $82.36
+ Washington: Tukwila: Min: $53.33, Max: $85.85
+ Washington: Eastern: Min: $45.53, Max: $73.29
+ Washington: Southeastern: Min: $47.70 Max: $76.78
**Why Join Providence?**
**Our** **best-in-class benefits** **are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our** **Mission** **of caring for everyone, especially the most vulnerable in our communities.**
**About Providence**
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
**About the Team**
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
**Requsition ID:** 310747
**Company:** Providence Jobs
**Job Category:** Finance Operations
**Job Function:** Finance
**Job Schedule:** Full time
**Job Shift:** Day
**Career Track:** Leadership
**Department:** 4004 SS REG FIN OPS
**Address:** TX Lubbock 3615 19th St
**Work Location:** Covenant Medical Center
**Pay Range:** $See Posting - $See Posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
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