Revenue Integrity Manager - State Program Administrator, Manager Senior

Working Title: Revenue Integrity ManagerJob Class: State Program Administrator, Manager SeniorAgency: Human Services Dept

Job ID : 80413

Location : St. Paul

Telework Eligible : Yes - After 3-6 months, this position may allow for Telework (https://mn.gov/mmb-stat/policies/1422-telework.pdf) or a mixture of working in our office and Telework (https://mn.gov/mmb-stat/policies/1422-telework.pdf)

Full/Part Time : Full-Time

Regular/Temporary : Unlimited

Who May Apply : Open to all qualified job seekers

Date Posted : 09/21/2024

Closing Date : 10/11/2024

Hiring Agency/Seniority Unit : Department of Human Services / DHS Manager

Division/Unit : Direct Care and Treatment / DCT Finance Supv

Work Shift/Work Hours : Day / 8:00 a.m. - 4:30 p.m.

Days of Work : Monday - Friday

Travel Required : No

Salary Range: $43.38 - $62.41 / hourly; $90,577 - $130,312 / annually

Classified Status : Classified

Bargaining Unit/Union : 220 - Manager/Unrep

FLSA Status : Exempt - Executive

Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes

The work you'll do is more than just a job.At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.The Department of Human Services is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment.Direct Care and Treatment (DCT) is seeking an individual to join our DCT Finance Team for an exciting and rewarding opportunity as a Revenue Integrity Manager! This position is part of a growing Revenue Cycle Management Team and will be responsible for ensuring compliance with the Centers for Medicare and Medicaid Services (CMS), State Medicaid (MA), Private Insurance, and other Third-Party Payer rules and regulations related to billing, coding, and documentation standards as well as managing the quality assurance processes to ensure accurate and timely billings.Primary responsibilities include:

Managing the daily operations of the DCT revenue integrity team.

Monitoring the requirements of CMS and other payers for policy, procedures, and protocol changes to assure revenue collections are consistent with all rules and regulations.

Reviewing coding and billing strategies while implementing quality assurance processes.

Understand charge master set up and manage updates and on-going charge master maintenance.

Preparing and participate in internal and external audits.

Leading revenue integrity continuous improvement initiatives.

Providing education and training on revenue integrity best practices, compliance requirements, and changes in billing and coding regulations.

Minimum QualificationsDemonstrated leadership experience: Leadership experience can include:

Experience as a supervisor, lead worker, team lead, project lead;

Completion of a State of Minnesota leadership program (e.g., ELI, L4);

A paid/unpaid position leading a program or chairing a committee (e.g., Employee Resource Group) - experience must include:

1+ year of experience identifying issues, goals and strategic actions.

100+ hours per year time commitment

ANDFive (5) years of billing, coding, or revenue collection and integrity experience. Experience must include the following:

Experience with medical billing, cash posting, and charge entry.

Experience reading, interpreting, and understanding statutes, rules, and regulations.

Experience researching, solving problems, and initiating corrective actions.

Experience communicating complex accounting, collection, and compliance concepts.

Preferred Qualifications

Bachelor’s degree in business administration, healthcare administration, finance, or related field.

Knowledge of ICD-10-CM, CPT/HCPCs procedure coding.

Knowledge of hospital revenue cycle operations.

Demonstrated oral and written communication skills sufficient to establish and maintain effective working relationships with internal and external stakeholders.

Training as a Certified Revenue Cycle Professional (CPCR), Certified Healthcare Financial Professional (CHFP), or Certified Payment and Reimbursement (CSPR).

Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a variety of experiences working effectively with others from different backgrounds and cultures.

Additional RequirementsTo facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.REFERENCE/BACKGROUND CHECKS - The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.AN EQUAL OPPORTUNITY EMPLOYERMinnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us . Please indicate what assistance is needed.