As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

JOB SUMMARY

Responsible for the workflow of the Revenue Integrity team, overseeing their daily duties. Supervises and provides oversight of Nurse Auditor program. Assures compliance of documentation for charging purposes. Positively interacts with co-workers, managers, directors, and ancillary department staff. May have contact with senior hospital executives, attorneys, circuit courts, and auditors.

ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.

• Supervision of Charge Audit and CDM team members and oversee daily workflow.
• Perform Internal Audits of all revenue producing departments, compile statistical findings, and report results to department management.
• Review, statistical analysis, and continuing education of Charge Capture and Reconciliation procedures.
• Attend, facilitate, and actively participate in the monthly meetings and daily lineups of the Revenue Integrity Dept.
• Audit patient accounts to verify accuracy of charges and make any necessary corrections as requested by third party payers, the Revenue Realization Center or HIM.
• Perform Quarterly audits of team members and follow up with education.

SUPERVISORY RESPONSIBILITIES

If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

• Direct Reports (titles): Revenue Integrity Specialist I-III

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• have the ability to grasp new concepts quickly;
• have a working knowledge of hospital revenue cycle systems;
• be able to project a positive attitude;
• work with minimum supervision using independent judgment and problem-solving skills;
• be well organized with the ability to prioritize numerous projects;
• possess strong technical skills;
• be results oriented
• possess good communication skills
• be detail oriented
• possess good math skills
• possess leadership qualities

Include minimum education, technical training, and/or experience preferred to perform the job.

• Current active Nursing License. RN, or BSN, preferred or Three years clinical and financial experience required.
• Candidate must have revenue cycle experience.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to work in sitting position, use computer and answer telephone
• Ability to travel
• Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Office Work Environment
• Hospital Work Environment

Employment practices will not be influenced or affected by an applicant�s or employee�s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.