Clinical Revenue Integrity Manager - Remote

Overview

The Clinical Revenue Integrity Manager will oversee the charge capture team and ensure compliance with clinical documentation and charge entry processes at Keck Medical Center of USC.

In Short

• Manage the charge capture team and ensure compliance with charge capture policies.
• Communicate and resolve issues related to clinical documentation and charge entry.
• Conduct meetings to evaluate and improve charge processes.
• Coordinate with various departments on technology projects impacting charge capture.
• Provide training and support to the revenue auditor team.
• Ensure adherence to state and federal regulations regarding charge capture.
• Perform maintenance on the Charge Description Master (CDM).
• Lead initiatives to enhance revenue integrity and charge capture.
• Supervise and mentor team members in charge entry processes.
• Generate reports and analyze data related to charge capture and compliance.

Requirements

• Bachelor's degree in a healthcare-related field.
• 5 years of experience in medical coding or Chargemaster in a healthcare environment.
• 1-2 years of supervisory experience.
• Knowledge of inpatient and outpatient billing requirements.
• Experience with coding principles (CPT, HCPCS, ICD9).
• Licenses: RN or coding certification (AHIMA or AAPC).
• Fire Life Safety Training (LA City) required.
• Strong leadership and communication skills.
• Ability to analyze data and generate reports.
• Experience with CDM Maintenance software preferred.

Benefits

• Competitive salary based on experience.
• Comprehensive benefits package.
• Opportunities for professional development.
• Supportive work environment.
• Contributions to retirement plans.
• Health and wellness programs.
• Flexible work arrangements.
• Access to advanced medical facilities.
• Employee assistance programs.
• Community involvement opportunities.