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Associate Director, Revenue Integrity
Banner Health. Provide operational oversight of the Revenue Integrity Analyst team .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Revenue Integrity management, including charge capture reconciliation, coding principles, and compliance. Proven ability to lead teams, optimize revenue processes, and communicate effectively with stakeholders.
Highest-signal resume keywords
Revenue Integrity ManagementCharge Capture ReconciliationHealthcare Coding and BillingLeadership and Performance ManagementRegulatory Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD CodingCPT CodingCharge Capture ProcessesFinancial Data AnalysisKPI MonitoringProcess ImprovementMedical TerminologyAnatomy and PhysiologyCoding ConventionsReimbursement Guidelines
Soft Skills
Critical ThinkingAnalytical SkillsOrganizational SkillsWritten CommunicationOral Communication
Certifications & Qualifications
RHIARHITCCSCPCCCS-P
Industry Keywords
Revenue CycleHealthcare AdministrationCharge CaptureCompliancePerformance Management
About the role
Key responsibilities & impact- Provide operational oversight of the Revenue Integrity Analyst team
- Optimize revenue through charge capture reconciliation, charge capture reviews, education, and compliant processes
- Educate and develop team members and manage Revenue Integrity Specialists
- Roll out process changes and projects
- Troubleshoot questions from team members and outside stakeholders
- Monitor and trend financial data related to charge capture and implement process improvements
- Liaise between Revenue Integrity and clinical/operational departments
- Support finance, operations, and revenue cycle teams through special projects
- Analyze and communicate deficient charging trends and corrective action plans
- Confirm billable items and services are charged appropriately and timely
- Provide recommendations and updates to the Revenue Integrity Steering Committee
- Maintain regulatory knowledge and develop charge capture and reconciliation policies and procedures
- Monitor and report monthly revenue integrity KPI dashboard metrics
- Implement charge capture review programs and coordinate documentation, coding, billing, and payment processes
- Manage charge reviews for coding changes and new service lines
- Identify compliance and revenue leakage issues
- Manage company-wide charge capture, charge reconciliation, and chart reviews related to charging issues
Requirements
What you’ll need- Bachelor’s degree in business, health care administration, or equivalent work experience
- 5+ years of recent experience in Revenue Integrity
- At least 2 years of experience in a leadership role, including performance management of direct reports
- Must reside in one of the listed eligible states
- Strong knowledge of business and/or healthcare
- RHIA, RHIT, CCS, CPC, or CCS-P certification may be required depending on setting, or relevant work experience
- Five or more years of health care coding and billing experience
- Thorough knowledge of ICD/DRG coding and/or CPT coding principles
- Knowledge of AHIMA coding competencies
- In-depth knowledge of medical terminology, anatomy and physiology
- Understanding of clinical records, coding conventions, reimbursement guidelines, LCDs/NCDs, and MACs/FIs
- Critical and analytical thinking skills
- Ability to organize workload, meet deadlines, maintain confidentiality, research, interpret information, and develop recommendations
- Excellent written and oral communication skills
- Human relations and leadership skills
Benefits
Comp & perks- Banner supplies equipment
- Health, financial, and security benefits
- Great Place To Work® Certified™ workplace
- Drug-free work environment