UC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time. We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients. We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.

Under the general direction and guidance of the Assistant Director, Revenue Integrity, the HB Revenue Integrity Manager is responsible for direct oversight of all daily operations of the Hospital Billing Revenue Integrity team ensuring integrity and stability of revenue operations, while leading initiatives to achieve revenue optimization, standardized and reliable charge capture that is compliant to all charging and billing guidelines. The incumbent will serve as a subject matter expert on hospital charging and billing best practices, fostering team integration and excellence in achieving strategic goals.

Essential Duties and Responsibilities:

• Develops policies and procedures to maximize effectiveness of charge capture within revenue cycle
• Develops and implements the redesign and/ or automation of processes and controls, ensuring accurate and compliant charging within EPIC. Stays abreast of emerging issues and risks and plans accordingly
• Establishes and implements performance standards for revenue integrity staff. Monitors and tracks staff activities against established performance standards and provides immediate feedback to achieve performance improvement
• Provides direction and interprets revenue integrity and revenue cycle key performance metrics. Implements and supports strategic audits to identify opportunities to streamline charge capture processes and increase net revenue
• Reviews, monitors, and analyzes revenue performance and status on a regular basis to identify trends and strategize for continuous improvement and course correction
• Develops revenue cycle related content, leads/presents, and can support detail(s) when asked. Advanced skills in report development, and various software tools specific to healthcare revenue cycle management. Skills in common database, spreadsheet, and presentation software
• Collaborates with revenue cycle stakeholders/sub-groups, operations, IS, compliance, finance leadership and team
• Provides training and support to staff members on revenue integrity best practices and compliance requirements. Promotes team-oriented work environment by encouraging, building and maintenance of cohesive work relationships

Other Responsibilities:

• May perform additional responsibilities or special projects as required.
• May provide cross - functional support as business needs demand

• Nine (9) years of related coding experience, education and/or training; OR a Bachelor's Degree in related area plus five (5) years of related experience. Related experience: coding experience and Hospital Billing (HB) EPIC.

• Solid supervisory and organizational skills. Ability to effectively manage multiple priorities in a fast-paced environment

• Thorough knowledge of revenue cycle management practices and concepts, charge master, billing, coding and collection regulations.

• Skilled in written and verbal communications, with the ability to effectively motivate others, to convey complex information in a clear and concise manner, and to prepare and present a variety of reports and analyses.

• Strong project management skills with the ability to organize, manage multiple priorities, meet deadlines, and delegate assignments efficiently.

• In-depth knowledge of all relevant information technology, including systems, tools, applications, processes, and methodologies.

• Certification - Active certification as a RHIA, RHIT and/or Certified Coding Specialist (CCS) from AHIMA, or Certified Outpatient Coder (COC), and/or CPMA from AAPC.

• Hospital CDM and chargemaster experience.

• Must be able to work various hours and locations based on business needs.

• Employment is subject to a criminal background check and pre-employment physical.