Manager, Transplant Charge Review | Revenue Cycle | Full Time | Remote

Other Jobs To Apply

No other job posts for this day.

This a Full Remote job, the offer is available from: Florida (USA)

Overview:

The Transplant Revenue Integrity Team Leader oversees and optimizes processes to accurately determine the applicability of services to the transplant cost report. This leader analyzes transplant cost data, closely tracks all associated revenue streams, and partners with Revenue Integrity and Compliance teams to ensure financial accuracy and prevent missed or lost revenue. The Team Leader ensures compliance with all relevant regulations—including CMS, CPT/HCPCS, and UB Revenue Codes—while also fostering education, cross-functional collaboration, and ongoing staff development to uphold the highest standards of revenue integrity for transplant services.

Responsibilities:
•Oversee and enhance process for determining applicability of services to transplant cost report.
•Analyze transplant cost data and track all related revenue streams to ensure financial accuracy.
•Collaborate with Revenue Integrity team members to identify and resolve missed revenue opportunities and prevent leakage.
•Ensure compliance with regulatory requirements (CMS, CPT/HCPCS, UB Revenue Codes) specific to transplant billing and tissue tracking.
•Support Compliance’s prospective and retrospective reviews of transplant coding, billing, and cost documentation.
•Develop and deliver staff training and education on revenue integrity practices for transplant services.
•Foster cross-functional collaboration with clinical, finance, IT, and compliance teams where needed.
•Set performance expectations, provide ongoing coaching, and manage staff development and performance.
•Ensure prompt communication and resolution of billing, coding, and revenue cycle issues with internal and external stakeholders.
•Collaborate with CDM owner to audit the transplant Charge Description Master (CDM) for accuracy and alignment with regulations.
Qualifications:

Minimum Education and Experience Requirements

Education:

  • Bachelor’s Degree in Business or Healthcare field required

  • Master’s Degree preferred

Certifications (Preferred):

  • Coding certification in at least one of the following: CPC, CPC-P, CPC-H

  • Certification in Auditing and/or Healthcare Compliance preferred

Experience:

  • Minimum five (5) years of experience in hospital reimbursement or revenue cycle/charge capture

  • Minimum three (3) years of supervisory experience required

  • In-depth knowledge of Hospital Charge Description Master (CDM), billing, and hospital inpatient and outpatient coding

  • Working knowledge of current Medicare and other regulatory billing guidelines

Knowledge, Skills, and Abilities:

  • Proficiency with personal computers, including working knowledge of Excel, Word, PowerPoint, Access, and mainframe programs

  • Strong analytical skills

  • Excellent written and verbal communication skills

  • Strong interpersonal skills with the ability to work collaboratively

  • Ability to coordinate, prioritize, and operate with minimal direct supervision

  • Ability to work effectively with a wide range of staff as part of an interdisciplinary team

  • Strong problem-solving and process improvement skills

  • Experience with extensive data mining and abstraction of financial and clinical information from various decision support tools, including support for charge master maintenance, revenue and reimbursement analysis, and ad hoc departmental reporting

Licensure/Certification/Registration:

  • None required

Motor Vehicle Operator Designation:

  • None

This offer from "UF Health" has been enriched by Jobgether.com and got a 75% flex score.
Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...