• Apex Systems
  • $89,610.00 -163,430.00/year*
  • Methuen , MA
  • Accounting
  • Full-Time

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Job Description

Interim Director of Revenue Integrity
Working with Soarian System/ EPIC experience a Plus,
Duration: 6 month engagement
Location: Massachusetts, M-Thursday orM-Fr onsite
Travel: 100%
Start: ASAP

Revenue Integrity Director
The Revenue Integrity Director will provide oversight of Customers revenue integrity staff in order to verify Customers charges, claims and billing supportive functions are performing efficiently.
Key responsibilities and areas of focus include:
  • Direct and coordinate activities of Revenue Integrity team members
  • Prepare and plan for a formalized process for additions and changes to the Charge Description Master (CDM)
  • Prepare and plan for a clinical education program for quarterly/annual education and training for the purposes of charge capture, charge integrity, and lost opportunity
  • Prepare and plan for a standardized process to review sub-systems and compare to the main CDM on a quarterly basis for consistency
  • Review any current manual labor intensive processes to consider an electronic/integrated streamlined workflow
  • Oversee and refine existing CDM audit process
  • Oversee and refine as needed charge capture audit processes to verify charges flow from point of service to bill drop
  • Prepare and plan for the development of updated departmental policies and procedures, job descriptions, workflows, training, staffing, productivity metrics and education
  • Collaborate across departments to verify standard processes and communication, including if necessary begin plans for a Revenue Integrity Committee
  • Monitor and recommend improvements to departmental key reports, metrics, dashboard and Key Performance Indicators (KPI)
  • Evaluate and/or document educational needs and the department education program

  • EEO Employer
    Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at 844-###-####-6178.

    * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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