Job Description

Are you looking for a career opportunity working for a healthcare organization that is based on excellence and love?ChristianaCare is one of the country's most dynamic healthcare organizations, centered on improving health outcomes, making high-quality care more accessible, and lowering healthcare costs. ChristianaCare includes an extensive network of outpatient services, home health care, urgent care centers, three hospitals (1,299 beds), a free-standing emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care, and women's health. It also includes the pioneering Gene Editing Institute and was rated by IDG Computerworld as one of the nation's Best Places to Work in IT. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. It is continually ranked by U.S. News & World Report as the Best Hospital. With the unique CareVio data-powered care coordination service and a focus on population health and value-based care, ChristianaCare is shaping the future of health care.About This PositionThe Revenue Integrity Team Lead is responsible for managing, coordinating, and implementing complete, correct, timely and compliant charge capture, and billing and/or Revenue Integrity processes.PRINCIPAL DUTIES AND RESPONSIBILITIES: Conducts root-cause analyses with Revenue Integrity Analysts to identify opportunities for error reduction.Conducts audits and reviews activities to improve the revenue cycle claims production and coding integrity. Reviews data and systems to target areas of improvement.Develop, deliver, and revise education and training programs in coordination with the revenue integrity managerMaintains knowledge of and organizational compliance with state, federal, and other third-party payer billing and reimbursement guidelines.Responsibilities include all aspects of Revenue Cycle support including performance improvement, development, documentation, testing, training and upgrades. Assist management in examining processes to improve workflow.Provides guidance and education to billing and clinical department staff related to appropriate documentation requirements, denials resolution, and regulatory requirements relevant to charging, coding, and billing.Compiles and analyzes data from various sources to develop recommendations leading to potential revenue cycle opportunities.Present information effectively in a variety of settings: one-on-one, small and large groups, with peers, direct reports, and superiors.Develop, deliver, and revise education and training programs in coordination with the revenue integrity managerMonitor, investigate, and resolve revenue integrity concerns reported in their area and provide any necessary follow-upMonitor national, state, and local information to keep current with applicable regulatory and legislative changes and implement necessary updatesLead weekly revenue integrity staff meetings to track progress toward work plan activities and reactive tasksDocument all procedures and activities timely, accurately, and legibly.Demonstrates the highest level of confidentiality and conducts self-accordingly to a Code of Ethics.Performs other related duties as required.EDUCATION AND EXPERIENCE REQUIREMENTS:Bachelor's degree from an accredited college in a relevant field of study.Equivalent and relevant combination of education and experience may be considered in lieu of degree.Five years of revenue cycle management and/or revenue integrity experience in a healthcare environment.EPIC experience preferred

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