[Hiring] Revenue Integrity Supervisor @UNC HEALTH

Role Description

The Supervisor of Revenue Integrity will be responsible for staff oversight and the daily operational processes of the UNC Health Care System Revenue Integrity Program. Additionally, the Supervisor is responsible for ensuring processes are conducted efficiently and in a high-quality manner to meet service level agreement (SLA) expectations and regulatory standards for Revenue Integrity.

• Operational supervision and responsibility of the daily processes that cover:
  • Charge capture/review
  • DNB edits
  • CCI/OCE and other pre/post bill edit processing
  • OBSV review/carve-outs
  • Infusion & Injection
  • ED Charge Review
• Drives operational workflow with accountability for meeting established quality and productivity goals while seeking ways to improve the efficiency and accuracy of associated work functions (both direct and indirect) across the health care system.
• Responsible for providing team members with the tools and training needed to effectively meet these goals.
• Advises and collaborates with the Compliance Office, Internal Audit, legal counsel, and outside consultants to analyze, review, and assess identified billing, coding, charging, and compliance issues.
• Actively engage Revenue Cycle leaders, Clinical Liaisons, and other team members to proactively identify opportunities to avoid missed charges and/or incorrectly charged services and to provide education as it pertains to changes in charge practices and medical necessity, in accordance with local/national guidelines.

Qualifications

• Bachelor's degree in a related field (or equivalent combination of education, training, and experience).

Requirements

• No licensure or certification required.
• If a Bachelor's Degree: Two (2) years of relevant experience and one (1) year of supervisory or team lead experience.
• If an Associate's Degree: Six (6) years of relevant experience and one (1) year of supervisory or team lead experience.
• If a High School Diploma or GED: Ten (10) years of relevant experience and one (1) year of supervisory or team lead experience.

Knowledge/Skills/and Abilities Requirements

• Ability to research complex coding and regulatory requirements in order to understand and analyze payer regulations as well as coding guidelines.
• Extensive knowledge of Correct Coding Initiative (CCI) edits, CPT, HCPCS, ICD, Revenue Codes, modifiers, billing, regulations, and guidelines (Medicare, Medicaid, third-party billing rules, coverage, payment, and compliance).
• Results oriented with the ability to meet deadlines in a fast-paced, dynamic, project-oriented environment.
• Proficient in time management with superior prioritization skills.
• Must be self-motivated and detail-oriented with strong analytical and critical-thinking skills.
• Effective verbal and written communication skills with the ability to professionally present information to all levels of management.
• Understanding of overall hospital revenue cycle functions.

Job Details

• Legal Employer: NCHEALTH
• Entity: Shared Services
• Organization Unit: HIM Revenue Integrity
• Work Type: Full Time
• Standard Hours Per Week: 40.00
• Salary Range: $28.87 - $41.50 per hour (Hiring Range)
• Work Assignment Type: Remote
• Work Schedule: Day Job
• Location of Job: US:NC:Chapel Hill
• Exempt From Overtime: Exempt: Yes