Supervisor, Revenue Integrity
Facility: Scripps Health Corp
Location: San Diego, CA (Remote)
Career Area: Business Office
Employment Type: Full Time
Shift: Day
Job ID: 252003152
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Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers.
Healthcare is constantly changing and so is our workplace. Scripps Health continues to build a flexible work culture that supports a work-life balance consisting of flexible work schedules and full-time remote or hybrid remote opportunities in San Diego County. Now you can surround yourself, virtually, with people who are dedicated to making a difference in how we care for our patients, bringing your purpose to life through the work that you do.
Job Description
This is a full-time, benefit eligible leadership position located in San Diego. Must be local or willing to relocate.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
- Nearly a quarter of our employees have been with Scripps Health for over 10 years.
- Scripps is a Great Place to Work Certified company for 2025.
- Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
- Becker’s Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
- We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
- Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
The Supervisor, Revenue Integrity is responsible for oversight of the activities and functions of a department. Provides functional expertise to staff and leadership. Ensures effective use of system resources. Participates in standards of practice and process improvement activities. Participates in hiring, oversees daily productivity, and creates staffing schedule. Ensures policy and procedures are followed by staff.
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Required Education/Experience/Specialized Skills:
- Five (5) years experience in a Revenue Integrity, Coding or Auditing division.
- Experience required with reimbursement methodologies, auditing of medical records to support billed services, appealing denied services, evaluating services for medical necessity, and various electronic health information systems.
- Strong analytical and organizational skills.
- High level of interpersonal skills to effectively communicate with all levels of agency personnel, patients, physicians and external contacts.
- Knowledge of Federal/State/County/Commercial Insurance Payers requirements
Required Certification/Registration:
- Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS), from American Health Information Management Association (AHIMA), or Certified Professional Coder (CPC) from American Academy of Professional Coders, or Certified Internal Auditor from Association of Healthcare Internal Auditors (AHIA), or Certified Medical Audit Specialist by American Association of Medical Audit Specialists (AAMAS);
- OR Associates Degree (preferred in health-care related field, business, finance or accounting) or Health Care Professional License (i.e. nursing, radiology, respiratory therapy)
Preferred Education/Experience/Specialized Skills/Certification:
- 5+ years of working in a multi-hospital system including operations, redesign and project management or healthcare collections/finance/patient accounting.
- Ability to read and analyze payer contracts and legal documents.
- Epic experience.
- Leadership experience.
In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer.
Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.
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About Us
At Scripps, we seek dedicated, compassionate people to join our team and make a significant impact on the health of our community and the future of health care. Throughout our five hospital campuses, 30 outpatient centers and clinics, and hundreds of affiliated physician offices throughout the region, each member of our team plays a key role in our life-changing and life-saving mission. Our people and their commitment to the highest standards of care are what define us.
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