Manager, DMG Revenue Integrity

Company: Acuity Search Solutions, Inc.
Location: Decatur
Posted on: November 20, 2022

Job Description:

(Only QUALIFIED Healthcare Professionals accepted) Hospital/Clinic Revenue Cycling - Manager or DMG Revenue Integrity Needed

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

Summary

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 Revenue Integrity.

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 end.

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 opportunities

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 practices.

Assess and assist with implementation of system workflows, implementation of system-wide processes and assessments of revenue cycle performance.

Qualifications

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