Greenkey Resources LLC
Overview
Lead and manage revenue integrity operations, ensuring compliance and optimizing charge capture processes for inpatient and outpatient services.
Collaborate with clinical, coding, and financial teams to enhance billing accuracy and prevent revenue leakage.
Supervise and mentor a team of 12 professionals, fostering professional growth and development.
Maintain and update the chargemaster and physician fee schedules for multiple facilities.
Support organizational growth initiatives, including new service expansions and internal talent development.
Ensure compliance with federal, state, and payer regulations, including Medicare and Medicaid guidelines.
Analyze workflows and data to recommend solutions and improve operational efficiency.
Contribute to strategic planning and implementation of revenue integrity projects.
Key Responsibilities & Duties
Manage daily operations of the chargemaster and physician fee schedules, ensuring accuracy and compliance.
Collaborate with the Director of Charge Capture Integrity to address and prevent charge capture errors.
Supervise and train revenue integrity staff, promoting skill development and team cohesion.
Coordinate with clinical departments to optimize charge creation and entry processes.
Ensure compliance with coding standards, including CPT, HCPCS, and ICD coding.
Analyze financial workflows and recommend improvements to enhance revenue capture.
Lead cross-functional initiatives to support organizational financial objectives.
Prepare reports and presentations for leadership on revenue integrity performance metrics.
Job Requirements
Bachelor’s degree in a related field is required.
Minimum of 5 years of experience in revenue integrity or chargemaster maintenance.
At least 3 years of management experience in a hospital or physician group setting.
Certified Coding Specialist (CCS), CCS-P, or CPC certification preferred or willingness to obtain within two years.
Proficiency in CPT, HCPCS, ICD coding, and revenue code assignment.
Strong analytical skills and ability to manage complex projects effectively.
Excellent communication and leadership skills, with a focus on team empowerment.
Experience with CERNER or Soarian systems is highly desirable.
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Lead and manage revenue integrity operations, ensuring compliance and optimizing charge capture processes for inpatient and outpatient services.
Collaborate with clinical, coding, and financial teams to enhance billing accuracy and prevent revenue leakage.
Supervise and mentor a team of 12 professionals, fostering professional growth and development.
Maintain and update the chargemaster and physician fee schedules for multiple facilities.
Support organizational growth initiatives, including new service expansions and internal talent development.
Ensure compliance with federal, state, and payer regulations, including Medicare and Medicaid guidelines.
Analyze workflows and data to recommend solutions and improve operational efficiency.
Contribute to strategic planning and implementation of revenue integrity projects.
Key Responsibilities & Duties
Manage daily operations of the chargemaster and physician fee schedules, ensuring accuracy and compliance.
Collaborate with the Director of Charge Capture Integrity to address and prevent charge capture errors.
Supervise and train revenue integrity staff, promoting skill development and team cohesion.
Coordinate with clinical departments to optimize charge creation and entry processes.
Ensure compliance with coding standards, including CPT, HCPCS, and ICD coding.
Analyze financial workflows and recommend improvements to enhance revenue capture.
Lead cross-functional initiatives to support organizational financial objectives.
Prepare reports and presentations for leadership on revenue integrity performance metrics.
Job Requirements
Bachelor’s degree in a related field is required.
Minimum of 5 years of experience in revenue integrity or chargemaster maintenance.
At least 3 years of management experience in a hospital or physician group setting.
Certified Coding Specialist (CCS), CCS-P, or CPC certification preferred or willingness to obtain within two years.
Proficiency in CPT, HCPCS, ICD coding, and revenue code assignment.
Strong analytical skills and ability to manage complex projects effectively.
Excellent communication and leadership skills, with a focus on team empowerment.
Experience with CERNER or Soarian systems is highly desirable.
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