Supervisor Revenue Integrity

Join TriHealth, a trusted, award-winning employer known for investing in its people and creating an environment where professionals can thrive. As Supervisor of Revenue Integrity, you’ll play a key role in strengthening our revenue cycle operations by leading charge auditing, charge entry, and charge review functions.

About the role

The Supervisor of Revenue Integrity oversees charge auditing, charge entry, charge review, and procedure master file maintenance within TriHealth. This role supervises frontline team members in the broader Revenue Cycle organization and serves as a working supervisor to ensure appropriate staffing and support daily operational needs. The Supervisor promotes positive customer experience, supports successful team outcomes, and monitors performance through key performance indicators.

The ideal candidate is positive, energetic, self-motivated, highly organized, and an effective communicator. This role acts as a liaison between hospital patient care departments, physician practices, and revenue integrity to reduce charging errors and enhance optimal reimbursement.

Responsibilities

• Leadership: Work closely with providers and clinical departments to improve charging accuracy. Collaborate with Revenue Integrity and Revenue Cycle team members to identify and implement revenue opportunities. Ensure supporting documentation is included in the medical record and proactively implement corrective actions for systemic issues. Oversee team accountability, including hiring, performance improvement, and growth recommendations.
• PB Revenue Integrity: Lead operational functions of the PB Revenue Integrity team to guide providers and departments for accurate and compliant billing and coding. Coordinate, enhance, and update tools and workflow processes to prevent revenue leakage and maintain regulatory compliance. Collaborate with providers and Epic Application Engineers to ensure documentation supports billed charges. Oversee maintenance and updates to the PB Charge Description Master (CDM) for accurate, consistent, and compliant billing.
• Internal Charge Auditing: Coordinate auditing team functions to ensure audited bills reflect documented services and adhere to accounting/billing principles, procedures, regulations, and policies. Provide process improvement recommendations to charge auditors, converting trended findings into quantifiable improvements. Update and maintain tools for audited account selection.
• Emergency Dept Analysts: Provide leadership to ED charge analysts to ensure ED patient visits are charged accurately and timely in Epic, reflecting services documented in the medical record. Offer feedback and education to ED charge analysts, Internal Charge Audit, PB Revenue Integrity, and ED management to capture accurate, timely, and compliant gross revenue.

Requirements

• Associate's Degree in Finance, Billing, or Internal Audit (Required).
• 3–4 years of supervisory/lead experience in Finance, Billing, or Internal Audit (Required).
• 2–3 years of professional allied health experience in hospital ED charging, ED coding, or other ED operational roles (Required).
• Overall understanding of hospital ED charging/billing and reimbursement methodologies, including CPT/HCPCS code sets.
• Nursing License (LPN, RN, BSN) or CPC - Certified Professional Coder (Required).

Skills

• Strong understanding and application of accounting/billing principles and auditing standards, procedures, requirements, regulations, and policies.
• Effective communication and collaboration with providers, clinical departments, and Revenue Cycle partners.
• Highly organized, self-motivated, and proactive in driving continuous improvement.
• Leadership in promoting a positive customer experience and team outcomes.

Working Conditions

• Physical Demands:
  • Bending, climbing, kneeling, lifting (under 10 lbs. rarely; 50+ lbs. rarely), pulling, pushing, reaching, stooping: Rarely.
  • Sitting, use of hands: Consistently.
  • Standing, walking: Occasionally.
  • Color vision, visual acuity (near): Frequently.
  • Visual acuity (far): Occasionally.
• Cognitive Demands:
  • Concentrating, continuous learning, reading, thinking/reasoning: Consistently.
  • Hearing (conversation): Frequently.
  • Hearing (other sounds), talking: Occasionally.
  • Interpersonal communication: Frequently.

Leadership Performance Standards

TriHealth leaders create a culture of engagement, safety, reliability, and high performance by modeling the following competencies, tactics, and behaviors:

• Leadership Competencies: TriHealth Way of Leading, TriHealth Way of Serving, Transformation, Change, Drive for Results, Build Organizational Talent.
• Leadership Tactics:
  • Conduct department huddles (daily for clinical departments, weekly for non-clinical).
  • Round on team members regularly (monthly for 25 or fewer, every other month for 26–50, quarterly for 51+).
  • Lead monthly team meetings using an agenda template, review stoplight reports, and cascade key leadership messages.
  • Model, coach, and validate team members' use of TriHealth Way behaviors (AIDET + Promise, Always Behaviors, and Always HEARD).
  • Recognize team members for safety wins, positive performance, and demonstrating SERVE and ALWAYS behaviors.
• TriHealth SERVE Standards and ALWAYS Behaviors:
  • Welcome (ALWAYS): Make eye contact, greet with a smile, and say "hello." Acknowledge when patients/guests are lost and escort them or find assistance. Refrain from using cell phones for personal reasons in public or patient care areas.
  • Excel (ALWAYS): Take responsibility to address and recover from service breakdowns. Offer priority to patients and guests. Work on improving quality, safety, and service.
  • Respect (ALWAYS): Respect cultural and spiritual differences, honor individual preferences, and value everyone's opinion regardless of title/role. Speak positively about team members and other departments in front of patients and guests.
  • Value (ALWAYS): Be on time, prepared, and actively participate. Pick up trash to maintain a clean and safe environment. Be a good steward of resources, using supplies efficiently and avoiding waste.
  • Engage (ALWAYS): Acknowledge wins and thank team members for contributions. Show courtesy and compassion to customers, team members, and the community.

Schedule

Full-Time (80 hours bi-weekly), Day Shift (8:00 AM – 4:30 PM). No weekend, holiday, or on-call commitment.

Benefits

TriHealth offers a comprehensive benefits package, including:

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement plans.
• Tuition reimbursement.

For more details, visit our benefits page.