AtCooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
The Manager ofRevenue Integrityresponsibilities are to ensure that all services are accurately charged by maintaining the chargemaster.
To also ensure that the hospital is compliant with government regulations for pricing and that the organization receives accurate reimbursement. In addition, they are to work closely with department leaders to validate charges, reduce denials and develop missing charge capture strategies.
Reporting to this position will be a Chargemaster Analyst who will help to maintain the chargemaster, research coding and billing guidelines, research insurance contracts and assist in updating the chargemaster.
They will also perform audits to monitor compliance with corporate, federal and state guidelines. All results will be reviewed by this manager position. In addition, the Nurse Auditor and a Specialist will report up to this manager position.
Experience Required
Must have 5+ years' experience overseeing the functionality of the CDM.
•Responsible for coordinating a robust charge reconciliation process with department or
service line leaders.
•Keeping abreast of coding and reimbursement changes to ensure we maximizes
reimbursement, reduce denials for coding errors by maintaining an accurate chargemaster.
•Manage the Chargemaster Analyst or equivalent directly for chargemaster maintainer.
•Manage the Charge Auditor function to close gaps in missing charges.
•Responsible for initiating process improvement objectives to reduce missing charges and
unsure completeness of Revenue Integrity.
•Collaborate with Informatics and IT resources to ensure upstream processes to ensure
complete charging.
•Collaborate with Supply Chain to ensure that new supplies, drugs and implants are being
charges for correctly. Collaborate with decision support to ensure that charging is in line
with organizational goals.
•Contribute to monthly Revenue Cycle meetings to report on revenue Integrity functions.
•Collaborate with other Revenue Cycle leaders to develop denial reduction and missing
charge capture strategies.
•Make recommendations for products and services that can improve our performance.
Welcome to Cooper University Health Care
With a more than 135-year history of healing, Cooper is the place South Jersey turns to when they need care. As the leading academic medical system in the area, with South Jersey’s only Level 1 Trauma Center, more than 100 outpatient offices, and more than two million patient visits a year, it’s the perfect place to build a career of care in a truly diverse and inclusive environment. Whether you’re a medical professional or possess other skills, you’ll want to be with Cooper.