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LISTING: CDM Hospital Revenue Integrity Manager

Experienced F/T CDM Hospital Revenue Integrity Manager Chicago Loop

Our client, a busy and growing hospital located in the Chicago Loop is looking to hire an experienced full-time Charge Description Master (CDM) Hospital Revenue Integrity Manager. 

Job Responsibilities

  • Managing, overseeing and developing the Revenue Integrity Team with a goal of achieving a 100% reimbursement capture, while also increasing operational efficiency and ensuring compliance.
  • Program development, implementing process improvements and managing the charge capture and CDM maintenance for the UI Health revenue cycle process.
  • Conducting special projects and studies to facilitate revenue management as required.
  • Performing internal audits for UI Health and reviewing all revenue activities to improve the revenue cycle process, claims production and charge capture integrity.
  • Provide leadership, feedback, coaching and guidance on management of claim edits, missing charges, CDM, fee schedules, charge capture, pricing, denials and special projects as necessary to support Revenue Integrity functions
  • Administering performance reviews and preparing action plans to encourage improvement and increase production and efficiency.
  • Developing, implementing and maintaining internal controls, policies and procedures to ensure accurate and efficient medical billing and coding practices.
  • Collaborating, establishing and maintaining strong business relationships with internal and external customers including executives, department leaders, and prospective patients of the health system.
  • Assisting the Patient Accounting, Clinical Operations, HIM Coding, Professional Charge Capture/Coding, Reimbursement and Finance Departments with projects as requested.

 

Job Qualifications

  • Bachelor’s degree in business, finance, accounting, healthcare is strongly preferred.
  • 5+ years of related hospital and/or professional reimbursement, charge capture, fee schedules and charge master management experience are essential. 
  • RHIA, RHIT, CCS, CPC/COC, CPC-H, HCPCS or other coding credentials strongly preferred.
  • Extensive understanding of correct coding principles of CPT/HCSPCS and modifier selection as well as CCI edits and medical billing guidelines.
  • Charge Description Master (CDM) knowledge and experience is required.
  • Certification as a Revenue Cycle Integrity Professional (CRIP) required within 1 year of date of hire.
  • Epic certification/proficiency for resolute hospital and professional billing charge capture required within 1 year of date of hire
  • Intermediate of advanced Microsoft Office Word, Excel & SQL queries skills are required.
  • Recent Epic experience is strongly preferred.
  • Knowledge of the current CPT & HCPCS coding guidelines is required.
  • Strong leadership, communication and business relationship building skills are essential.
  • Vendor management experience is strongly preferred.

 

Since this is a hospital based position the following vaccinations are required for employment a Flu Vaccine, MMR, TB, TDAP and Varicella.

 

If you or anyone you know is interested and qualified please send an updated resume to us for immediate review and consideration. 

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(This job listing is assigned to be sent to: Elizabeth.)

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