Revenue Integrity and Contract Manager at Community of Hope

Washington, District of Columbia, United States -

Full Time

Start Date

Immediate

Expiry Date

15 May, 26

Salary

80000.0

Posted On

14 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Integrity, Contract Management, Fee Schedule Maintenance, Data Integrity, Quality Improvement, Operational Efficiency, CPT Guidelines, HCPCS Guidelines, Medicaid Regulatory Guidelines, Medicare Regulatory Guidelines, Billing Compliance, Analytical Skills, Problem-Solving Skills, Microsoft Excel, Financial Modeling, Payer Contracts

Industry

Non-profit Organization Management

Description

Description 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 that’s 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 change—you may be the perfect fit! This position is located at Conway Health and Resource Center in Southwest, DC. Our Approach and Values: We celebrate people’s strengths and acknowledge the impact of trauma on people’s 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 You’ll 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.??? Requirements Must-Haves High School Diploma required, but strongly prefer bachelor’s 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, VLOOKUP's, 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 You’ll 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 DC’s 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: 50,000+ medical visits 6,300+ dental visits 17,000+ emotional wellness visits 1,384 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: hr@cohdc.org Phone: 202-407-7747. Community of Hope is an equal opportunity employer.

Responsibilities

This role coordinates performance analysis, maintains the fee schedule, and creates reports to guide financial strategies and operations, while developing operational information for clinical and billing accuracy. The manager also contributes to data integrity initiatives focused on quality improvement and optimizing reimbursement for services rendered.