Supervisor Revenue Integrity

Hello humankindness

Located conveniently in the heart of Phoenix, Arizona,St. Joseph's Hospital and Medical Center is a 571-bed, not-for-profit hospital that provides a wide range of health, social and support services.  Founded in 1895 by the Sisters of Mercy, St. Joseph's was the first hospital in the Phoenix area. More than 125 years later, St. Joseph's remains dedicated to its mission of caring for the poor and underserved.

We are extremely proud to be a nationally recognized center for quality quaternary care, medical education and research. St. Joseph's includes the internationally renowned Barrow Neurological Institute, Norton Thoracic Institute, Cancer Center at St. Joseph's, Ivy Brain Tumor Center, and St. Joseph's Level I Trauma Center (which is verified by the American College of Surgeons). The hospital is also a respected center for high-risk obstetrics, neuro-rehabilitation, orthopedics, and other medical services. St. Joseph’s is considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day, approximately 20 percent of the hospital’s patients have traveled from outside of Arizona and the United States to seek treatment at St. Joseph’s.

U.S News & World Report routinely ranks St. Joseph's among the top hospitals in the United States for neurology and neurosurgery.  In addition, St. Joseph's boasts the Creighton University School of Medicine at St. Joseph's, and a strategic alliance with Phoenix Children's Hospital.

St. Joseph's is consistently named an outstanding place to work and one of Arizona's healthiest employers. Come grow your career with one of Arizona's Most Admired Companies.

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For the health of our community ... we are proud to be a tobacco-free campus.

Supervises all gross revenue activities; report preparation; department charge process and reconciliation audits; implementation of charge and reconciliation process and QA monitoring tools; assistance with revenue-based statistics; issues associated with patient charge audits. Supervises a Clinical Auditor - RN, Revenue Integrity Analyst, and possibly other analysts. Also responsible for updating and training clinical staff on new Medicare guidelines.

Responsibilties to Include:

• Supervises and directs Nurse Auditors, Revenue Integrity Analysts and TCE Analysts.
• Oversees maintenance of the Charge Master, including additions, changes, and deletions as applicable. Provides assistance to all revenue generating departments to assure uniform application of the Charge Master in all areas, regulatory agency compliance and compliance to policies and procedures.
• Coordinates Charge Master reviews - total or departmental, as needed. Coordinates and recommends price increase changes to the Charge Master as needed. Provides education and assistance to all directors regarding the function of the Charge Master.
• Ensures appropriate compliance with Charge Master and revenue capture processes for new clinical services being considered by the facility.
• Performs department charge process and charge reconciliation audits to ensure compliance with hospital and department policy and procedures.
• Creates and modifies policies and procedures relating to gross revenue and reconciliation processes. Educates applicable hospital staff on the policies and procedures.

Minimum of 3 years experience in related field required.

Five years of hospital accounting/financial experience preferred. Supervisory experience strongly preferred.

Education
High school Diploma or equivalent required.

Bachelor's degree strongly preferred.

Special Skills
Knowledge of hospital accounting procedures, managed care, and reimbursement required. Ability to lead others, set priorities, and manage work within timeframes essential. Strong skills in mainframe hospital accounting systems; personal computers; and spreadsheets required. Effective communication skills required.

Training
Frequent interaction with hospital management team to explain procedures and financial performance. Ability to develop effective relationships with Finance staff in Corporate office and throughout the system.
Works closely with auditors; government agencies; and other regulatory entities.