Revenue Integrity and Contract Manager

Revenue Integrity and Contract Manager

Washington DC Hybrid $70K - 80K annually Washington Post Top Workplace

Are you ready to take on a new challenge and join a high-performing Billing Team thats passionate about making a difference Do you thrive in a fast-paced environment where your work directly supports a mission-driven organization serving thousands of individuals and families across our community Community of Hope is seeking a detail-oriented and motivated Revenue Integrity and Contract Manager. The Revenue Integrity and Contract Manager coordinates and leads performance of analysis maintain fee schedule create reports used to inform financial strategies and operations develops and validates operational information for clinical and billing accuracy. The Revenue Integrity and Contract Manager contributes to the development and implementation of data integrity and initiatives that focused on quality improvement and operational efficiency; optimize reimbursement for services rendered. If you have a 5-8 years supervisory experience in healthcare strong analytical and problem-solving skills with a drive to support meaningful changeyou may be the perfect fit! This position is located at Conway Health and Resource Center in Southwest DC.

Our Approach and Values:

• We celebrate peoples strengths and acknowledge the impact of trauma on peoples lives.
• We embrace diversity welcome all voices and treat everyone with respect and compassion.
• We lead and advocate for changes to make systems more equitable.
• We strive for excellence and value integrity in all that we do

What Youll Do:

• Collaborates with Health Operation nurse to identify and update charges and medications for any obsolete or inactive items on fee schedule twice a year.
• Monitors and maintains the Charge Description Master (CDM) for all service lines and provides the appropriate information for correct codes.
• Maintains a required comprehensive understanding of Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) guidelines and Medicaid /Medicare regulatory guidelines as well as the understanding of eClinicalWorks system build and its related charge capture processes.
• Creates workflows and processes to ensure accurate and timely cost / charge capture and billing compliance; Prepares and submits audit findings and makes recommendations to Director of Billing.
• Audits the productivity for assigned team members weekly to ensure accuracy. To include quarterly risk compliance report and all areas of credentialing and patient statements.
• Identify issues and/or enhancements for the operating tools utilized by team members on assigned team.
• Meets with supervisees regularly and provides real-time feedback training support and coaching as needed. Creates meeting agendas sends meeting agendas in advance when possible and documents concerns promptly as needed.
• Takes initiative and makes decisions within the scope of work. Assesses situations independently thinks critically and takes action to address issues or make useful recommendations while maintaining a solution oriented lens.

Must-Haves

• High School Diploma required but strongly prefer bachelors or Associates degree.
• Five years of supervisor experience required in healthcare but 8 strongly preferred in healthcare.
• Required advanced analytical capabilities in Microsoft Excel (pivot tables VLOOKUPs macros visual basic) and intermediate capabilities in Microsoft Access PowerPoint and Visio.
• Financial modeling and ability to navigate complex formulas.
• Exceptional follow-up skills high-level of accuracy and initiative.
• Strong analytical and problem-solving skills.
• Working knowledge of payer contracts contract language and negotiation strategies.

Nice-to-Haves

• Certified Professional Coder through AAPC a plus.

Why Youll Love Working Here!

At COH we prioritize the following well-being and work-life balance-centered benefits: (Full-Time)

• 8 x Washington Post 150 Top Workplaces winner
• 8-hour workdays with paid lunch
• 3 weeks vacation (additional week after two years) 2 weeks sick leave 11.5 paid holidays and one personal floating holiday on an annual basis.
• Annual performance-based raises up to 5% of your annual pay.
• Tuition reimbursement & loan repayment (NHSC & DCHPLRP) Licensing reimbursement & CEU funding.
• Medical dental vision life & disability insurance 403(b) retirement.
• Leadership development internal promotions and career growth opportunities.
• A culture grounded in equity compassion and well-being.

About Us:

Community of Hope is a mission-driven innovative rapidly growing nonprofit and Federally Qualified Health Center. For over 45 years we have provided health and housing services perinatal care coordination and community support services to make Washington DC more equitable. Community of Hope also strongly emphasizes maternal and child health with midwifery practice and the only free-standing birth center in DC. We are honored to be one of DCs largest providers of housing and homelessness prevention services for families and individuals throughout DC. Through our Family Success Center our WIC nutrition centers and our various partnerships we have reached hundreds and believe that everyone in DC deserves to be healthy housed and hopeful.

With the help of our amazing staff we have successfully provided:

• 50000 medical visits
• 6300 dental visits
• 17000 emotional wellness visits
• 1384 families and 220 individuals with housing/homelessness prevention services

Ready to bring hope and health to our DC community Apply today!

To request a reasonable accommodation to complete an employment application or for general questions about employment with Community of Hope contact a Recruiting Coordinator. Email: Phone: . Community of Hope is an equal opportunity employer.