Duke University Health System Job Description: |
| Job Title: REVENUE MANAGER | Job Code: 5131 |
| FLSA: E | Pay Target: G2 |
| Date: 10/01/2010 | Supervisory Responsibility: Yes |
The Revenue Manager will oversee the revenue cycle activities associated with services of assigned clinical area, with the goal of maximizing reimbursement in a cost-effective manner that is in compliance with federal/state and payer-specific billing requirements.
Coordinate activities of staff responsible for charge capture, coding, charge entry, insurance follow up, reimbursement analysis, or other PRMO function for assigned clinical area Monitor performance for staff responsible for appointment scheduling, registration, clinic check-in, and clinic collections. Develop and prepare/utilize reports to track financial and operational performance across the entire spectrum of the revenue cycle for assigned clinical area. Review and recommend changes/updates to the departments charge master(s) to maintain fees at levels that maximize reimbursement. Review and recommend changes to department's charge capture documents to facilitate accurate and comprehensive billing in compliance with annual CPT-4 and ICD-9 updates. Identify revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues, and implement solutions for improvement. Work with financial analyst, physicians, and administrative leadership to educate and train providers and staff about coding and other outstanding revenue cycle issues. Act as a liaison to management and staff in the designated clinical area, PDC, PRMO, DUHS Hospitals, and third-party payers on revenue cycle activities for assigned areas. Continuously research, monitor, provide education and implement payer regulations and guidelines related to revenue management activities of the assigned clinical area. Coordinate revenue management orientation and educational activities of clinical personnel including providers and staff about coding and other outstanding revenue cycle issues. Develop and utilize management models to monitor productivity and quality of staff performance. Develop and manage the budget for the staff and activities that are directly managed. Train, direct, and coordinate activities of assigned financial analyst /or other employees. Perform other related duties incidental to the work described herein.
| Education: | Bachelors degree required. Masters degree preferred. |
| Experience: | Six years of experience in the healthcare industry is required. |
| Degrees, Licensure, and/or Certification: | BA, BBA, RN, CPC, RRA, or CPA, or higher |
| Knowledge, Skills, and Abilities: | Experience in these areas is preferred: CPT/ICD/9 Coding, reimbursement systems including IDX, TES, Medicode,PAS, financial analytical skills, spreadsheet, database, APC, DRG, and third party reimbursement guidelines and procedures |
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The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
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