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MO-SSM Health Mission Hill

Worker Type:

Regular

Job Summary:

Manages the operations and staff within revenue integrity.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Ensures compliance with all governmental and payer billing guidelines by auditing patient encounters to validate accuracy of registration, authorization, documentation, charging, billing, and reimbursement.

• Provides input into revenue integrity policies and procedures.

• Participates in system-wide education and compliance program related to payor requirements.

• Reviews audit workpapers to identify and capture entitled revenue.

• Manages staff which includes recruitment, orientation, training, performance management, as well as the development of staff.

• Responsible for management functions including activities related to staffing such as recruitment, hiring, performance evaluation, and compensation determination.

• Performs other duties as assigned.

EDUCATION

• Bachelor's degree

EXPERIENCE

• Five years' experience, with two years in leadership

PHYSICAL REQUIREMENTS

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.

• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.

• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.

• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.

• Frequent keyboard use/data entry.

• Occasional bending, stooping, kneeling, squatting, twisting and gripping.

• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.

• Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

• None

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8764040033 System Revenue Integrity

Scheduled Weekly Hours:

40

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?_ga=2.205881493.704955970.1667719643-240470506.1667719643)