Orlando Health

Position Summary

Orlando Health

Revenue Integrity Operations Assistant Manager

Department: Revenue Integrity

Status: Full Time

Shift: Hybrid

Location: Orlando, FL

Title: Revenue Integrity Operations Assistant Manager

Summary:

The Revenue Integrity Operations Assistant Manager (RIOAM) will assist with overseeing the accuracy and compliance of a healthcare facility (service line) revenue cycle. This role involves monitoring and adhering to Medicare regulatory guidance, methodologies, and compliance. The Assistant Manager will identify hospital revenue opportunities and formulate plans to ensure compliant charge capture, increased revenue, and decreased denials. They will monitor productivity and quality assurance according to department policy, provide education as needed, and enforce policies if quotas are not met. Additionally, they will monitor key performance indicators (KPIs) and discharged unbilled (DNB) cases, reporting trends and issues to Revenue Integrity leadership. The Assistant Manager will also assist Revenue Integrity managers and senior leadership with various projects as needed.

Forbes has named Orlando Health as one of America's Best-In-State Employers. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions.

“Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.”

Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to, care for and authentically serve our patients and families who make up the collective populations in our community. So, no matter who you are, what you believe or how you express yourself, you are welcome here.

ORLANDO HEALTH - BENEFITS & PERKS:

Competitive Pay

• Evening, nights, and weekend shift differentials offered for qualifying positions.

All Inclusive Benefits (start day one)

• Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.

Forbes Recognizes Orlando Health as a Best-In-State Employer

• Forbes has named Orlando Health as one of America's Best-In-State Employers for 2021. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR). "This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued.

Employee-centric

• Orlando Health has been selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare.

Responsibilities

Essential Functions:

• Monitors charging and documentation to ensure support of services provided.
• Assists with staff assignments and monitors staff workload to ensure goals are met on time and within budget and regulatory guidelines through approved methods and standards.
• Measure quality outcomes, monitor performance and productivity, and implement process improvement for the charge management team.
• Mentors and effectively coaches individual team members to improve quality assurance scores by addressing errors, performance issues and trends identified through the quality assurance process.
• Reports issues and trends identified through audits or other means and communicates to clinical departments and leadership.
• Assists with expediting account charge issue resolutions.
• Prioritizes resource allocation based upon staffing and volume and assigns, and delegates work as needed.
• Participate in committees and councils to provide subject matter expertise and charging guidance to ensure maximum revenue capture.
• Manages various human resources functions, including hiring, work assignments, coaching plans, and performance counseling per Orlando Health policies.
• Ensure goals are met on time, within budget and by regulatory guidelines through approved methods and standards.
• Collaborates with IT, Clinical operations, and Revenue Management departments to implement process improvements and efficient workflows.
• Encourages direct reports to build relationships with their peers within and outside the Revenue Integrity department.
• Holds their direct reports to the highest standard of performance ensuring they are the leaders and the premier role models for charge management and charge management education.
• Develops, coordinates, and evaluates all education, training, and charge management needs within Revenue Integrity and includes regulatory guidelines.
• Creates a climate of empowerment and trust for direct reports. Establishes rapport and maintains collaborative relationships with peers. Expert with regulatory guidelines set by CMS.
• Represents the Revenue Integrity Department professionally and positively in all settings by always maintaining a high level of professional demeanor and dress.
• Communicates and interacts professionally with all team members within and outside of the Revenue Integrity Department
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.

Other Related Functions:

• Assists and/or participates in the facilitation of programs, task forces, and committees as assigned.
• Participates and assists with all educational and productivity standards and programs.
• Demonstrates thorough knowledge of skills required for hospital charge accuracy.
• Performs other duties and projects as assigned by leadership.
• Effective written and verbal communication skills.
• Understanding of the hospital revenue cycle and is a subject matter expert for hospital charge capture, charge capture methodologies, and reconciliation.

Qualifications

Education/Training:

• Bachelor’s degree in business administration, finance, computer science or healthcare related field.
• Associate’s degree and two (2) years of directly related work experience may substitute for bachelor’s degree in addition to required experience.

Experience:

• 4 years of experience working within a revenue cycle department in a hospital/healthcare.
• 2 years of managerial experience including team building strategies or process development.
• Knowledge of Medicare, Medicaid, Medicare OPPS reimbursement and other third-party billing rules and coverage.
• Have excellent regulatory resource capabilities.