Job Description
Insight Global is seeking a Revenue Integrity Supervisor to support the Revenue Integrity department and will be responsible for managing, coordinating, and implementing claim edits, denials, charge capture. and subject matter expert on all aspects of hospital charge capture and entry, charge integrity and charge reconciliation processes They will be supervising 5 Revenue Integrity Specialists. This position ensures billing compliance and accurate charge capture through education, auditing, monitoring of regulatory and coding changes, and analysis of charge-related metrics, with a focus on minimizing revenue leakage and supporting compliant reimbursement.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
• 5+ years of Revenue Integrity experience
• Epic experience required
• Coding certification required: CPC or CCS
• Strong understanding of hospital coding and charge capture workflows- ability to code from a record
• Understanding Medicare pay schedules and bundling rules
• Must be a CCI Edit expert- interview Q’s below:
• What is a CCI edit?
• Give me an example of a CCI edit?
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.