Jobs · Accounting

Manager Revenue Integrity

Vail Health · Vail, CO · 1 mo ago
RemoteRemoteAccounting$77k/yrPart-time
We need to output HTML fragment with sections: About the role? The posting includes "About The Opportunity" then "What You Will Do", "Experience", "Benefits". Also maybe "Pay" (salary range). Also maybe "Schedule"? Not present. So we include sections: About the Opportunity (or About the role?), Responsibilities (What You Will Do), Requirements/Qualifications (Experience), Benefits, Pay. Use

for each heading. Use
  • for lists. Use

    for prose. We must not repeat job title. No Job ID. Remove boilerplate: first paragraph about Vail Health description maybe considered boilerplate? It's about the organization, not the role. It's not required? It says preserve ALL substantive information; do NOT invent or summarize away detail. The first paragraph about Vail Health is about the organization; it's not directly about the role but maybe considered background. It's not boilerplate like EEO. It's substantive about the employer. Should we keep? The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." The first paragraph is not those. It's about Vail Health. It could be considered part of the posting. I'd keep it as a brief intro maybe as a

    before sections. But we need to follow rule: include a section ONLY when posting has real, specific content for it. The intro is not a section heading; we can just put a

    before first heading. We need to preserve all substantive info: location remote states list, etc. That is part of "About The Opportunity"? Actually location info appears early: "Some roles may be based outside of our Colorado office (remote-only positions). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, FL, GA, ID, IL, KS, MA, MD, MI, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift." That's location info; we should preserve. Could be placed in a

    after intro or within About the Opportunity section. Probably include as a

    under About the Opportunity heading. Now "About The Opportunity" heading: we should use

    About The Opportunity

    . Then include paragraphs: description of role, plus location info. Then "What You Will Do" heading:

    What You Will Do

    . Then list responsibilities as
    • each bullet. Then "Experience" heading: maybe

      Experience

      (or Requirements/Qualifications). The posting has "Experience" then bullet list of requirements. We'll treat as Requirements/Qualifications. Use

      Experience

      . Then list items. Then "Benefits" heading:

      Benefits

      . Then list benefits as
      • . Then "Pay" heading:

        Pay

        . Then include salary range paragraph. We should not include Schedule as not present. Make sure to not include filler like "commensurate with experience". Not present. Now craft HTML. We need to ensure we don't duplicate lines. Let's extract content. Intro paragraph: "Vail Health has become the world’s most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here." We could keep that as a

        . Then location paragraph: "Some roles may be based outside of our Colorado office (remote-only positions). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, FL, GA, ID, IL, KS, MA, MD, MI, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift." We'll put that as a

        after intro or under About The Opportunity. Now About The Opportunity content: "The Manager of Revenue Integrity oversees Vail Health’s database of service offerings, codes, rates, pricing and ongoing Chargemaster maintenance and also manages the adherence to coding and workflows around coding as relates to finance and the chargemaster. The CDM Manager ensures the management of Revenue Cycle initiatives associated with Charge Capture, Charge coding and Charge Reconciliation. This position will direct all aspects of Charge Description Master (CDM), including but not limited to development of new charge codes, compliance with third party coding regulations, revision of existing codes, CPT/HCPCS updates, revenue code changes, pricing, and maintaining compliance with current local regulations as well as payer requirements." We'll put that as

        under heading. Now What You Will Do bullets: list each sentence separated by periods? The text is a long paragraph with many responsibilities separated by periods. We need to split into list items. Let's extract each responsibility: - Supervises, trains, and develops Revenue Integrity team members to ensure effective performance and adherence to best practices in revenue cycle operations. - Oversees the management and maintenance of the Charge Description Master (CDM) to ensure accuracy, compliant effective and efficient operations. - Work to implement strategies to improve charge capture and prevent revenue leakage. - Develops CDM-related departmental, division and/or organizational policies and procedures for recommendation and approval including but not limited to pricing, CDM audits, charge reconciliation, and charge capture. - Create and execute work plans to successfully implement changes to systems and/or process as necessary. - Leads efforts of multidisciplinary groups where necessary to monitor the completeness and accuracy of revenue and billing information. - Leads organization RAC Denials team and works closely with the Patient Financial Services ("PFS") to track and monitor coding-related denials. - Coordinates and/or participates in system testing as a result of upgrades, changes, enhancements, new application implementations, etc. that may impact the CDM, charge capture and/or charge data flow between systems or modules. - Analyzes financial and clinical data to identify trends, revenue improvement opportunities, and potential risks. Monitor key performance indicators (KPIs) and provide regular reports on revenue integrity performance. - Partners with finance, billing, compliance, and revenue cycle to develop strategies and ensure alignment across departments. - Actively promotes and participates in initiatives to improve organization effectiveness and efficiency. - Works with departmental managers to ensure that clinical charges and billing codes are fully and correctly established in Electronic Medical Record patient care applications and are captured by Electronic Medical Record patient billing applications. Provides education as needed to departments related to their charges and charging practices - Regularly attends and actively participates in staff meetings, in-services and continuing education programs as offered in order to remain current with organizational and industry changes. Communicate and disseminate information to other departments as applicable. - Successfully maintains staff engagement and satisfaction scores for responsible departments based on periodic internal surveys at or above the stated organizational goal. - Role models the principles of a Just Culture and Organizational Values. - Must be HIPAA compliant Note: The last bullet "Must be HIPAA compliant" is a requirement but appears in responsibilities; we can keep as bullet. Now Experience requirements: list: - Five years healthcare-revenue cycle experience required, including two years in Revenue Integrity. - Prior supervisory experience preferred. - Demonstrated knowledge of laws and regulations pertaining to healthcare industry required. - Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system preferred. - Prior CDM or charge capture experience required. - Proficiency in medical terminology, hospital charge masters, charge review, clinical record information systems, and coding methodologies required - Prior experience leading and managing complex projects - License(s) And Certification(s): Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC/CPC-H), Certified Coding Specialist (CCS/CCS-P), Certification in Healthcare Revenue Integrity (CHRI), Certified Revenue Cycle Representative (CRCR), Certified Revenue Cycle Professional (CRCP) or other HIM related certification preferred. - Must have working knowledge of the English language, including reading, writing, and speaking English. - Education: Bachelor’s degree required or higher preferred; related experience may be considered in lieu of degree. We'll list each as

      • . Now Benefits: list as per text: - Competitive Wages & Family Benefits: - Competitive wages - Parental leave (4 weeks paid) - Housing programs - Childcare reimbursement - Comprehensive Health Benefits: - Medical - Dental - Vision - Educational Programs: - Tuition Assistance - Existing Student Loan Repayment - Specialty Certification Reimbursement - Annual Supplemental Educational Funds - Paid Time Off: - Up to five weeks in your first year of employment and continues to grow each year. - Retirement & Supplemental Insurance: - 403(b) Retirement plan with immediate matching - Life insurance - Short and long-term disability - Recreation Benefits, Wellness & More: - Up to $1,000 annual wellbeing reimbursement - Recreation discounts - Pet insurance We need to preserve all. Could flatten into a single list but better to keep categories? The instruction: use
        • for any list of duties/requirements/benefits. So we can have a flat list; but we could also have nested lists? Probably flat list is fine. We'll just list each benefit item as a
        • . Might lose grouping but still preserve info. Let's extract each benefit item: - Competitive wages - Parental leave (4 weeks paid) - Housing programs - Childcare reimbursement - Medical - Dental - Vision - Tuition Assistance - Existing Student Loan Repayment - Specialty Certification Reimbursement - Annual Supplemental Educational Funds - Up to five weeks in your first year of employment and continues to grow each year. - 403(b) Retirement plan with immediate matching - Life insurance - Short and long-term disability - Up to $1,000 annual wellbeing reimbursement - Recreation discounts - Pet insurance Now Pay: salary range: "Yearly pay: : $76,939.20 USD - $109,907.20 USD". There's a double colon; we can just output as "$76,939.20 USD - $109,907.20 USD per year". We'll keep as given. Now produce HTML. Structure:

          Vail Health has become the world’s most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here.

          Some roles may be based outside of our Colorado office (remote-only positions). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, FL, GA, ID, IL, KS, MA, MD, MI, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift.

          About The Opportunity

          The Manager of Revenue Integrity oversees Vail Health’s database of service offerings, codes, rates, pricing and ongoing Chargemaster maintenance and also manages the adherence to coding and workflows around coding as relates to finance and the chargemaster. The CDM

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