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Hawaii Pacific Health Manager - Revenue Integrity in Honolulu, Hawaii

Job Description

Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women’s health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.

The Revenue Integrity department ensures that Revenue Cycle staff and activity are in compliance with applicable State and Federal laws, regulations and organizational policies. It achieves this by collaborating with Revenue Cycle Task Force committees and processes for Hospital, Physician, Pharmacy, Pacific Islanders, Worker compensation, and direct oversight and management of the Billing, Charge Description Management, Coding, Admissions and Financial Service functions.

As the Manager of Revenue Integrity, you will manage the enhancement and overall effectiveness of patient net revenue realization and minimize revenue leakage for the physician and hospital revenue cycles. You will direct and assist in the development and implementation of process enhancements for enterprise and departmental initiatives to enhance charge capture accuracy and reimbursement. In addition, you will oversee staff within the Revenue Integrity Department and will be responsible for oversight, understanding of departmental charging processes, including electronic health record charge capture interfaces, claims denial analysis and payer contract reimbursement compliance to support revenue cycle goals in decreasing controllable administrative adjustments while working with the Compliance Department in assessing, identifying, and resolving potential revenue cycle billing compliance risks. We are looking for someone careful and detail-oriented and a commitment to creating a healthier Hawai‘i.

Location: Hawaii Pacific Health, Honolulu, HI

Work Schedule: Day - 8 Hours

Work Type: Full Time Regular

FTE: 1.000000

Bargaining Unit: Non-Bargaining

Exempt: Yes

Minimum Qualifications: Bachelor's Degree in Business, Accounting, Finance, or health care related field, or equivalent combination of education, training, and/or experience. Five (5) years of experience with hospital revenue cycle management including registration/admissions, patient accounting, charge systems or revenue cycle systems support.

Preferred Qualifications: Master’s Degree. Certification in one or more Epic applications (ADT, Prelude, Resolute Hospital Billing, Resolute Professional Billing). Three (3) years of management or system implementation experience in registration/admissions, patient accounting, charge systems or revenue cycle systems support.



Position Manager - Revenue Integrity

Category Management

Employment Type Employee

Location Hawaii Pacific Health, Honolulu, HI

Req ID 17108