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Director, Revenue Integrity
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$129,635 - $200,376
Full-time
- Under minimal supervision, the Director of Revenue Integrity role has responsibility and accountability for developing strategies and ensuring efficient and compliant revenue processes which ensure that the organization collects all revenue to which it is entitled while maintaining compliance.
- Areas of responsibility include charge capture, charge reconciliation, charge maintenance CDM pricing strategy, charge edits, clinical denials, RAC audits, revenue cycle regulatory monitoring, and multidisciplinary clinical, operational, and financial revenue practice teams.
- RPTs are Revenue Integrity-led multidisciplinary groups that assemble a cross-functional team by designated service lines created to identify quick wins and long-term strategies by reviewing clinical documentation and revenue cycle workflows to support a clean claim.
- Oversees the monitoring and change management practices for the CDM, revenue routing, fee schedules, and client agreements while maintaining consistency with third-party, regulatory oversight agencies and legislative requirements.
- Directs program responsible for clinical appeals related to final denials prepared by RNs. Provides executive-level Revenue Integrity-related presentations, overviews, and recommendations.
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