Manager, Revenue Integrity (Full-Time, 40, Day)

RESPONSIBILITIES

I. JOB SUMMARY/RESPONSIBILITIES:
• Oversees, manages and evaluates clinical and financial processes to improve revenue results, ensures integrity, and safeguards The Queen’s Health Systems (QHS) medical facilities against exposure and penalties.
• Provides leadership and oversight in the accomplishment of organizational goals and objectives related to revenue integrity, managed care contracts, government reimbursement activities, and QHS Charge Description Masters (CDM).
• Prepares and presents financial reports for executive management review.
• Manages and directs the development and implementation of new and existing managed care contracts.
• Provides oversight over existing managed care contracts to ensure compliance and optimal financial and operational performance.
• Develops, manages and sustains relationships with third party payers and other external contacts.

II. TYPICAL PHYSICAL DEMANDS:
• Essential: finger dexte...