Supervisor Revenue Integrity

TriHealth Inc
  • Cincinnati, OH
    3 days ago

    Job Description

    Join TriHealth as a Supervisor Revenue Integrity!

    TriHealth is a trusted, award‑winning employer known for investing in its people and creating an environment where professionals can thrive. As Supervisor of Revenue Integrity, you'll play a key role in strengthening our revenue cycle operations by leading charge auditing, charge entry, and charge review functions. You'll collaborate closely with providers, clinical departments, and Revenue Cycle partners to improve charging accuracy, support compliant billing practices, and ensure documentation aligns with regulatory standards. This role offers the opportunity to make a meaningful impact while guiding a high‑performing team and contributing to systemwide financial excellence.

    At TriHealth, you'll join a workplace grounded in respect, communication, and professional growth. We empower leaders who are positive, organized, and motivated to drive continuous improvement. As a valued member of our organization, you'll benefit from strong leadership support, cross‑department collaboration, and a culture committed to doing what's right for our patients, providers, and teams. If you're ready to bring your expertise in billing, auditing, and ED charging to a mission‑driven employer that truly values its people, TriHealth is a place where you can grow and lead with purpose.

    Apply today and grow your career with a team that truly values you.

    Location:

    • Works at Home

    Work Schedule:

    • Full-Time (80 hours bi-weekly)

    • 8am - 4:30pm

    • Day Shift

    • No Weekend, Holiday and On - Call Commitment

    Benefits:

    TriHealth offers a comprehensive benefits package - including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Please view our benefits page https://careers.trihealth.com/what-we-offer/benefits

    Job Requirements:

    • Associate''s Degree in Finance; Billing, Internal Audit (Required)

    • 3 - 4 years' experience Supervisor/Lead Finance Billing, Internal Audit (Required)

    • 2 - 3 years' experience Professional Allied Health Hospital ED charging, ED coding or other ED operational experience. (Required)

    • An overall understanding of hospital ED charging/billing and reimbursement methodologies which includes understanding of CPT/HCPCS code sets.

    • Other Nursing License (LPN, RN, BSN) Required or

    • CPC - Certified Professional Coder Required

    Job Overview:

    The Supervisor of Revenue Integrity is responsible for overseeing charge auditing, charge entry, charge review, and procedure master file maintenance functions within TriHealth. This role supervises frontline team members within the broader Revenue Cycle organization and serves as a working supervisor when needed to ensure appropriate staffing and support daily operational needs. The Supervisor promotes positive customer experience, supports successful team outcomes, and monitors performance through key performance indicators. The ideal candidate is positive, energetic, self-motivated, highly organized, and an effective communicator. Understands and appropriately applies accounting/billing principles and auditing standards, procedures, requirements, regulations and policies. Acts as a liaison between all hospital patient care departments, physician practices and revenue integrity to reduce/eliminate charging errors to enhance optimal reimbursement.

    Job Responsibilities:

    • Leadership: Works closely with providers and clinical departments to improve charging accuracy. Collaborates with Revenue Integrity and Revenue Cycle team members to identify and implement revenue opportunities. Ensures supporting documentation is included in the medical record and works proactively to implement corrective actions to correct systemic issues. Ensures accountability for team members within areas of oversight which may include hiring, performance improvement and recommendations for growth.

    • PB Revenue Integrity: Leads all operational functions of the PB Revenue Integrity team to support and guide providers and departments for accurate and compliant billing and coding. Coordinates, enhances, and updates tools and workflow processes utilized by the Revenue Integrity department to prevent revenue leakage and maintain regulatory compliance of charges. Collaborates with providers and TriHealth Epic Application Engineers to ensure documentation in the patient's medical record supports billed charges. Oversee maintenance and updates to the PB Charge Description Master (CDM) to ensure accurate, consistent and compliant billing.

    • Internal Charge Auditing: Coordinates all necessary functions of the auditing team and ensures that all audited bills are reflective of documented services provided and adheres to all accounting/billing principles, procedures, requirements, regulations and policies. Provides process improvement and recommendations to the charge auditors to convert over and under charge trended findings into quantifiable process improvement findings. This includes updating and maintaining tools utilized for audited account selection.

    • Emergency Dept Analysts: Provides leadership to ED charge analysts to complete all necessary functions that ensure ED patient visits are charged accurately and timely in Epic and reflective of services provided as documented in the medical record. Provides feedback and education to ED charge analysts, Internal Charge Audit, PB Revenue Integrity and ED management as needed to capture accurate, timely and compliant gross revenue.

    Working Conditions:

    Bending - Rarely

    Climbing - Rarely

    Concentrating - Consistently

    Continuous Learning - Frequently

    Hearing: Conversation - Frequently

    Hearing: Other Sounds - Occasionally

    Interpersonal Communication - Frequently

    Kneeling - Rarely

    Lifting <10 Lbs. - Rarely
    Lifting 50+ Lbs. - Rarely

    Lifting <50 Lbs. - Rarely
    Pulling - Rarely

    Pushing - Rarely

    Reaching - Rarely

    Reading - Consistently

    Sitting - Consistently

    Standing - Rarely

    Stooping - Rarely

    Talking - Frequently

    Thinking/Reasoning - Consistently

    Use of Hands - Consistently

    Color Vision - Frequently

    Visual Acuity: Far - Occasionally

    Visual Acuity: Near - Consistently

    Walking - Occasionally

    Leadership Performance Standards

    TriHealth leaders create a culture of engagement, safety & reliability and high performance by consistently modeling and utilizing the following TriHealth Way leadership competencies, tactics and

    ALWAYS Behaviors to drive strategic pillar results:

    Achievement of Annual Pillar Goals:

    1) Safety/Quality, 2) Service, 3) Growth, 4) Culture/People, 5) Finance

    Leadership Competencies:

    TriHealth Way of Leading

    TriHealth Way of Serving

    Transformation Change

    Drive for Results

    Build Organizational Talent

    Leadership Tactics:

    Conduct department huddles. Generally, clinical departments hold daily huddles, non-clinical hold weekly huddles.

    Regularly Round on Team Members, using questions from the rounding log.

    • 25 or fewer team members = monthly
    • 26-50 team members = every other month
    • 51+ (and optional team members) = quarterly

    Lead monthly team meetings using meeting agenda template; review stoplight report; cascade key leadership messages.

    Model, coach and validate team members use of TriHealth Way behaviors (AIDET + Promise, Always Behaviors and Always HEARD).

    Recognize team members for safety wins, positive performance and demonstrating SERVE and ALWAYS behaviors, TriHealth Way of Leading, Serving and Delivering Care.

    TriHealth SERVE Standards and ALWAYS Behaviors

    At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

    Serve: ALWAYS...

    • Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
    • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
    • Refrain from using cell phones for personal reasons in public spaces or patient care areas

    Excel: ALWAYS...

    • Recognize and take personal responsibility to address and recover from service breakdowns when a customer''s expectations have not been met
    • Offer patients and guests priority when waiting (lines, elevators)
    • Work on improving quality, safety, and service

    Respect: ALWAYS...

    • Respect cultural and spiritual differences and honor individual preferences.
    • Respect everyone''s opinion and contribution, regardless of title/role.
    • Speak positively about my team members and other departments in front of patients and guests.

    Value: ALWAYS...

    • Value the time of others by striving to be on time, prepared and actively participating.
    • Pick up trash, ensuring the physical environment is clean and safe.
    • Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

    Engage: ALWAYS...

    • Acknowledge wins and frequently thank team members and others for contributions.
    • Show courtesy and compassion with customers, team members and the community

    Numbers & Facts

    LocationCincinnati, OH

    Skills

    • Accountingunmatched
    • Auditingunmatched
    • Billingunmatched
    • Billing Recordsunmatched
    • Cellular Telephoneunmatched
    • Coachingunmatched
    • Communication Skillsunmatched
    • Continuous Improvementunmatched
    • Corrective Actionunmatched
    • Current Procedural Terminology (CPT)unmatched
    • Customer Experienceunmatched
    • Documentationunmatched
    • Emergency Careunmatched
    • Epic Systemsunmatched
    • File Maintenanceunmatched
    • Financeunmatched
    • Healthcare Common Procedure Coding System (HCPCS)unmatched
    • High Reliabilityunmatched
    • Hospitalunmatched
    • Hyperion Pillarunmatched
    • Internal Auditunmatched
    • Interpersonal Skillsunmatched
    • Leadershipunmatched
    • Maintain Complianceunmatched
    • Medical Billingunmatched
    • Medical Recordsunmatched
    • On Callunmatched
    • Operational Supportunmatched
    • Organizational Skillsunmatched
    • Patient Careunmatched
    • Performance Analysisunmatched
    • Performance Managementunmatched
    • Performance Metricsunmatched
    • Performance Modelingunmatched
    • Process Improvementunmatched
    • Quality Managementunmatched
    • Regulationsunmatched
    • Regulatory Requirementsunmatched
    • Reimbursementunmatched
    • Revenue Managementunmatched
    • Safety/Work Safetyunmatched
    • Software Administrationunmatched
    • Software Engineeringunmatched
    • Team Lead/Managerunmatched
    • Time Managementunmatched
    • Waste/Garbage/Recycle Collectionunmatched
    • Work From Homeunmatched

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