New Revenue Integrity Dept.

We are developing a new Revenue Integrity Dept. and are looking for recommendations, suggestions, success stories, processes, department models etc., from those of you who have been down this road.  We are a large physician group.    

Comments

  • Wanted to touch base to see if you've received any feedback. Would be happy to connect with you!

  • Our hospital is developing a new Revenue Integrity Department as well and I am looking for any resources to help with our processes and audit tools. 
  • Hi - No, I have not received any feedback or responses.  
  • Okay, thank you.
  • Within our health system, we have several different RI Depts/Teams.  Here are a few of the positions that seem consistent throughout.
    Manager
    Chart Auditor
    Nurse Auditor
    Charge Capture Associates
    CDM Coordinator
    RI Analyst/Specialist

    It would be helpful too if you had someone on your team that knows how to run reports within your system. 

  • We have a small RI team, that is pretty new.  We consist of a CDM Coordinator, RI Manager, Denial Analyst who focus on appeals and RI Lead.  We are going to add 4 charge capture analyst and 4 RI Analysts to start.
  • Hello all, My facility just created my position of Director of Revenue Integrity. So currently I and a dept of 1.  With that said, for those of you that have been doing this for a while, what did you see as your priorities? Where did you focus first? At what point did you start hiring additional resources.  I would love to talk to anyone.  My email is staciesmith@jsmc.org
  • I would love to discuss your thoughts for this newly hired position

    I myself see a need for this position in our rapidly expanding hospital

    And I would like to assume that role, Ideas? What prompted the need for this position in your facility?

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