The Revenue Integrity Operations Manager utilizes expert knowledge in area of expertise to provide leadership and consultation across the organization, from strategic decision making, to project planning and excecution. Applies proven communication, analytical, and problem-solving skills to help identify, communicate, and resolve issues in order to maximize the benefit of UCSF investments. Once strategy and structure is in place, the Revenue Integrity Manager will perform continuous improvement initiatives to ensure high quality Revenue Integrity solutions, processes, and provide an efficient framework towards continued success.
Directs and supervises the Service Line Specialists within the Revenue Management department. Under the direction of the Revenue Management Director, manages daily operations of the Service Line Specialists to ensure processes and activities are performed in a timely and efficient manner. Supports and monitors activities of all Service Line Specialists in the organization; monitors workload and project progress of specialists. Coordinates with the CDM Specialist Lead to ensure communication between teams, promotes efficiency and completion of shared team projects.
The final salary and offer components are subject to additional approvals based on UC policy.
Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
The salary range for this position is $151,600 - $227,400 (Annual Rate).
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Department Description
Revenue Management Department takes a multidisciplinary approach in the revenue cycle to aid in properly capturing charges and ensures accurate billing for clinical services rendered to patients across the enterprise. The department incorporates compliance and privacy practices, leverages automation and technology, and applies effective processes and internal controls that continually results in root cause correction and process improvements.
Required Qualifications
Bachelor's degree in related area or four years of equivalent experience.
Coding Certification (e.g., RHIA, CCS, etc.)
Seven or more years of experience in charge master maintenance, clinical charge capture, coding, government/third-party reimbursement, regulatory, or similar healthcare experience.
Strong knowledge of healthcare revenue cycle operations, concepts and policies and their impact throughout the organization, with an in-depth understanding of related functions and issues including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture. Experience with both facility and physician provider charging and coding.
Strong project management skills with the ability to organize, manage multiple priorities, meet deadlines, and delegate assignments efficiently.
Proven leadership and managerial skills with the ability to create and maintain a goal-oriented climate of teamwork and cooperation across departments for effective problem-solving, conflict resolution, support for organizational values and performance evaluations and disciplinary actions
Strong critical-thinking, analytical, and problem-solving skills, with the ability to troubleshoot, analyze, and interpret complex data and systems, to quickly identify problems and implement solutions
Ability to work effectively with leadership on establishing operational goals and providing for technological upgrades, tools, and systems to maximize revenues
Strong written, verbal, and interpersonal communication skills to prepare and present reports and convey complex information and instructions, concisely, and specifically. Ability to cultivate a strong commitment to quality, teamwork, collaborative problem-solving, and achievement of objectives
Strong knowledge of metrics, analytics, and data synthesis in healthcare revenue cycle management and their use to identify trends, produce reliable forecasts and projections, and create reports, dashboards, and presentations.
Strong organizational and time management skills; ability to adapt quickly to changing priorities.
Preferred Qualifications
Strong knowledge of all relevant information technology, including systems, tools, applications, processes, and methodologies. Includes MS Office Suite, Epic and related modules and third party systems, SQL, Clarity.
Basic understanding of Lean/Kaizen methodologies
Epic (various) or obtain within one year of hire
About UCSF
At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve – a promise we share with the professionals who make up our team.
Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu
Join us to find a rewarding career contributing to improving healthcare worldwide.
Equal Employment Opportunity
The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Organization
Health
Job Code and Payroll Title
006618 REVENUE CYCLE HC MGR 1
Job Category
Accounting / Finance, Professional and Managerial, Supervisory / Management
Bargaining Unit
99 - Policy-Covered (No Bargaining Unit)
Employee Class
Career
Percentage
100%
Location
Remote / Telecommute
Shift
Days
Shift Length
8 Hours
Additional Shift Details
Monday-Friday
Seniority level
Not Applicable
Employment type
Full-time
Job function
Management and Manufacturing
Industries
Higher Education
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