Manager, Revenue Cycle - Revenue Integrity

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

The Corporate Revenue Cycle Department is seeking a dynamic and talented Manager, Revenue Cycle - Revenue Integrity.

The Revenue Cycle Manager of Revenue Integrity is responsible for overseeing and maintaining the system wide charge description master (CDM), ensuring the accuracy of all CDM elements such as charges, CPT, HCPCS, and revenue codes, supporting the integration of charges between clinical and financial systems, and working with facility charging departments to ensure accurate and timely charge posting activities occur.

The Revenue Cycle Manager of Revenue Integrity provides guidance to hospital leaders to validate the timely and accurate recording of revenue at each location, continuously provides updates and education regarding regulatory changes impacting charging/billing/coding practices, and ensures CDM reviews are completed by a third party in accordance with schedule and all annual updates are processed prior to year-end. The Manager oversees a team of staff performing charge builds, chargemaster maintenance, pricing support, and/or data analytics.

Key Responsibilities include:

• Provides direct oversight and maintenance of system-wide CDM.
• Supports and monitors the integration of charges between clinical and financial systems.
• Validates and educates charge service areas on appropriate charging protocols in accordance with regulatory requirements.
• Coordinates with regional finance and the CFOs to ensure accurate recording of revenue at each facility.
• Based on extensive knowledge, validates the use of CPT/HCPCS/UB04 revenue coding, modifiers, CMS billing regulations, and APCs as appropriate.
• Reads, understands, interprets and analyzes statistical and financial reporting.
• Implements related organizational initiatives in a manner that is inclusive and participatory.

Position Requirements:

• Bachelor's degree in Business, Finance, Healthcare Administration, Health Information Management, or a related field required. Significant Revenue Cycle experience (i.e., 5+ years in addition to the minimum) might be accepted in lieu of certain college education requirements.
• 8-10 years of related experience required.
• Extensive knowledge of both healthcare revenue systems and operations, including specific and extensive experience with revenue cycle operations.
• Strong understanding of the functionality of charge services and the relationship between the CDM and the general ledger, cost accounting, budget, and productivity; be knowledgeable in all billing related activities such as modifier use, APC edits, and UB04 requirements; and have expertise in mechanisms of charge triggers, controls and reconciliation and coding for purposes of compliant billing and charging procedures.
• Proficiency in chart review and clinical record information and coding methodologies and must be able to understand and interpret medical records and hospital billing and have experience and be knowledgeable of complex outpatient procedure terminology and be able to understand workflows in ancillary departments.
• Strong professional written and verbal communication skills, proficiencies in Microsoft Office tools (e.g., Word, Excel, etc.), and the ability to meet deadlines and multitask.

Travel Requirements: Travel Requirement is approximately 25%.

This opportunity provides the following:

• Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match
• Generous Paid Time Off

*UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.