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Professional Revenue Integrity Manager - PBS Compliance

Requisition # 19004695 Apply Now

The Professional Revenue Integrity Manager position is responsible for the leadership of the Revenue Integrity team for the Cedars-Sinai Medical Network, Foundation and Faculty providers. As a key leader within the Revenue Cycle Compliance team, this role works in partnership with audit and education/training managers to facilitate best practices in coding, documentation, charge capture and compliance, serving and supporting all Cedars-Sinai physicians, APP providers and operations staff. The Manager will oversee the Revenue Integrity team, which is responsible for ensuring the highest level of efficiency, integrity and compliance within our revenue cycle operations. The team is tasked with enhancing the effectiveness of patient net revenue realization and minimizing revenue leakage across the system. This involves complete capture of patient revenue in every area that generates charges, EHR management in relation to charging mechanisms and triggers, ensuring clean handoffs between clinical departments and revenue cycle, Strategic Pricing, denials management, and clinical operations relations.


Education Requirements:
High school diploma required. Bachelor's degree in Business, Finance, Healthcare, or a related field preferred.

License/Certification Requirements:
CPC or other coding certifications preferred. EPIC Revenue Guardian certification preferred.

Experience:
Five (5) years of experience with Physician Business Services (PBS) or Patient Financial Services (PFS) Accounts Receivable management. Leadership experience in a complex academic, research, healthcare or governmental setting, or an equivalent combination of education and work experience. 
Three (3) years of coding and/or audit experience and leadership. An equivalent combination of education and experience may substitute for stated requirements.

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  • Working Title: Professional Revenue Integrity Manager - PBS Compliance
  • Department: MNS PBS Compliance
  • Business Entity: Medical Network
  • City: Beverly Hills
  • Job Category: Clinical Operations
  • Job Specialty: Clinical Operations
  • Position Type: Full-time
  • Shift Length: 8 hour shift
  • Shift Type: Day
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Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.

Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.

At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment.

About Our Location

Beverly Hills, California

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