Honolulu, HI, 96823, USA
30 days ago
Operations Manager, Revenue Integrity (Full-Time, 40 Hours, Day Shift)
RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: • Supervises clinical and financial processes to improve revenue results, ensure integrity, and safeguard The Queen’s Health Systems (QHS) medical facilities against exposure and penalties. • Provides oversight of the charge capture processes across QHS to ensure that all valid charges are captured in the billing process in a timely and compliant manner. • Identifies charge compliance issues and root causes of noncompliance. Ensures correction of issues and develops changes to workflow processes to ensure that issues are prevented in the future. • Ensures operations and functions are in compliance with regulatory requirements and policies and procedures of QHS. • Prepares and presents financial reports for executive management review. II. TYPICAL PHYSICAL DEMANDS: • Seeing, hearing, speaking, finger dexterity. • Frequent: sitting. • Infrequent: walking, stooping/bending, reaching at and below shoulder level. III. TYPICAL WORKING CONDITIONS: • Not substantially subjected to adverse environmental conditions. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: • Bachelor’s degree in Business Administration, Finance, Health Care Administration or related field; or four (4) years of progressive experience in revenue cycle or finance may be substituted for the educational requirement. • Master’s degree in a related field preferred. B. EXPERIENCE: • In addition to the educational requirement, four (4) years of experience in two (2) or more of the following revenue cycle areas: revenue integrity, charge capture, facility or professional coding, billing, compliance, or pricing and reimbursement, preferably in a comparable organization. • One (1) year, supervisory/leadership experience. • Experience to demonstrate the following: o Working knowledge of charge master principles and the relationship to coding, billing and compliance in a hospital setting. o Knowledge of contracts, financial analysis methods, accounting principles and health care delivery systems. o Knowledge of requirements specific to government-funded health care program and third-party payer reimbursement. o Proficiency with computer-based hospital billing/records applications and Microsoft Office applications, i.e. Word and Excel. • Prior experience with Epic systems preferred. Equal Opportunity Employer/Disability/Vet
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