Manager, DMG Revenue Integrity
Company: Acuity Search Solutions, Inc.
Posted on: November 20, 2022
(Only QUALIFIED Healthcare Professionals accepted)
Hospital/Clinic Revenue Cycling - Manager or DMG Revenue Integrity
This hospital is located in Central IL near St. Louis, MO.
For more information, Contact David Lutz at 513-206-9881 and-or
email resume to: DLutz@AcuityMRI.com
Decatur Medical Group (DMG) consists of physician and non-physician
practitioners providing professional services to Decatur Memorial
Hospital patients. The Manager of DMG Revenue Integrity is
responsible for coordinating the day-to-day support functional and
financial activities taking place at DMGs multi-specialty group
practices. The Manager will be the primary point of contact for
revenue cycle outreach initiatives. The Manager provides the
necessary functions to assist revenue cycle to help improve
process, documentation and the financial success of the DMG. These
activities will be performed under the direction of the Director of
Essential Functions and Job Duties
Act as a resource to DMG, clinical staff and physicians in relation
revenue cycle as a whole.
Understand the clinical aspect of the practice as well as the
financial side to improve the revenue stream from beginning to
Able to collaborate extensively with physicians, nurses, other
caregivers, and revenue cycle staff to improve quality and
completeness of documentation of care provided.
Develop tool (job aides, templates, etc.) that will aid providers,
practice management and office staff the ability to capture all
identified revenue in a compliant manner.
Ongoing responsibility to identify opportunities to help address
preventable revenue loss.
Assist in the collection and analysis of risk adjustment data
in-order to identify documentation, coding trends and revenue
Independently review and analyze denial information from third
party payers to understand reasons for denials. Coordinate with
practice management and revenue cycle as needed to address
operational issues contributing to denials.
Assist the Director of Revenue Integrity to evaluate CPT - HCPCS
and ICD-10-CM code additions, deletions and revisions and how they
may affect the Ambulatory charge master.
Conduct educational training classes for DMG staff with topics
related to revenue cycle.
Understand the life of a claim and the steps involved including
registration, prior authorization, outpatient clinical
documentation improvement, HIM, revenue integrity and business
office and their roles in an attempt to decrease denials for the
Assess and assist with implementation of system workflows,
implementation of system-wide processes and assessments of revenue
To perform this job successfully, the individual must be able to
perform each essential duty satisfactorily. The Manager must have a
thorough understanding revenue cycle and have a high attention of
detail with a focus on clean claim process. The individual will be
required and responsible to perform duties of moderate to high
complexity, judgement and scope.
Education and-or Other Requirements
Registered Nurse (RN), CCDS, CDIP, RHIA, RHIT, CPC, CRC, or CCS; or
combination thereof preferred
3 or more years experience either in the clinical field (RN), CDI
field, (CCDS, CDIP) or coding (RHIA, RHIT, CPC, CRC, CCS)
Keywords: Acuity Search Solutions, Inc., Decatur , Manager, DMG Revenue Integrity, Executive , Decatur, Illinois
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