Director, Revenue Integrity, And Coding

Harvard Medical Faculty Physicians

Not specified, Not specified, US
Base: $150,000 - $179,000; bonus/equity: performan...
Revenue integrity program development
Charge capture and reconciliation
Billing and coding compliance
Develop and implement HMFP’s Revenue Integrity program for charge capture and charge reconciliation to ensure billing and coding compliance

Job Summary

  • Develop and implement HMFP’s Revenue Integrity program for charge capture and charge reconciliation to ensure billing and coding compliance.
  • Serve as regulatory resource for Medicare/ Medicaid reimbursement and third-party billing rules and coverage.
  • Responsible for the development of the annual plan, coordinating with BIDMC and HMFP compliance leadership, with an emphasis on maximizing revenue opportunity.

Matching Summary

Develop and implement HMFP’s Revenue Integrity program for charge capture and charge reconciliation to ensure billing and coding compliance.

Salary

Base: $150,000 - $179,000; Bonus/Equity: Performance-based incentives may include bonuses; Benefits: Comprehensive and generous employee benefits program

Skills & Requirements

Must-have

  • Revenue Integrity program development
  • Charge capture and reconciliation
  • Billing and coding compliance
  • Medicare/Medicaid reimbursement rules
  • Professional CDM management
  • Physician education on billing

Nice-to-have

  • Stakeholder management
  • Cross-functional partnerships
  • Data analysis for improvement

Key Requirements

  • 10+ years related work experience
  • Bachelor's or Master's Degree, preferred
  • Certified Professional Coder (CPC) required
  • Working knowledge of CPT, HCPCS, ICD-10
  • Advanced Microsoft Office skills

Work Rights

Not specified

Tailored Resume

Cover Letter