Mgr Revenue Integrity

We’re searching for a Manager of Revenue Integrity, someone who’s ready to be part of the best ranked children’s hospital in Texas, and among the best in the nation. In this position, you will improve processes and support optimal revenue cycle performance for the system. Responsibilities of this role include development, implementation, and maintenance of organization-wide hospital and professional billing revenue integrity functions, along with oversight of the revenue integrity team. This includes oversight and maintenance of charge capture processes, charge reconciliation, clinical documentation audits, appeals, the charge description master, and other areas as assigned.

Think you’ve got what it takes?

• Job Duties & Responsibilities
• •    Manage employee performance, timekeeping, staffing needs, and educational activities.
• •    Facilitates orientation of staff to revenue cycle, provides feedback and evaluation of progress.
• •    Maintains adequate levels of qualified and competent staff in the department by collaborating with the leadership team in the recruitment and hiring of employees.
• •    Manages and prioritizes workload daily.
• •    Monitors and audits performance reports and performance expectations as outlined by leadership.
• •    Facilitates employee performance, and provides coaching and counseling according to departmental guidelines, policies, and procedures.
• •    Completes performance reviews for all direct reports as assigned.
• •    Monitors and manages employee timecards and attendance.
• •    Participates in interviewing and evaluating applicants and makes hiring recommendations as requested by leader.
• •    Analyze relevant data and create data models related to outcomes & quality metrics.
• •    Manage account escalations & projects.
• •    Maintain and ensure adherence to regulatory requirements.

Skills & Requirements
•    Required bachelor's degree Healthcare or related field
•    Licenses/Certifications: (one of the following)
     o    RN - Lic-Registered Nurses Texas Board of Nursing or Nursing Licensure Compact
     o    RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) 
     o    RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association 
     o    CCS - Cert-Cert Coding Specialist by the American Health Information Management Association
     o    CPC - Cert-Cert Professional Coder by the America Association of Professional Coders
     o    CCDS DOC - Cert-Cert Clinical Doc. SPCLST by the Association of Clinical Documentation Improvement Specialists
     o    EPIC RES - Epic Certified Resolute Hosp by the American Health Information Management Association
•    Required 5 years Clinical and/or managed care experience. Preferred Hospital or Professional coding experience, Clinical documentation experience, Pediatrics experience, Appeals/denials experience, and Epic Resolute experience.
 

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years. 

Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston; and Texas Children’s Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children’s Health Plan, the nation’s first HMO focused on children; Texas Children’s Pediatrics, the largest pediatric primary care network in the country; Texas Children’s Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation. 

 To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

 Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.