Finding opportunities for growth
2024 Revenue Integrity Week is all about growth. NAHRI’s goal as an association is to provide resources and information that will help revenue integrity professionals find opportunities to advance their careers and the field of revenue integrity as a whole.
NAHRI asked members of the 2024 Networking and Events Committee to shed some light on opportunities for growth in revenue integrity. Here’s what they told us.
Q: What do you think are some opportunities for growth for revenue integrity?
Sandy Giangreco Brown, MHA, BS, CHRI, RHIT, CCS, CCS-P, CHC, CPC, COC, CPC-I, COBGC, PCS, director of coding and revenue integrity, CliftonLarsonAllen, LLP, Broomfield, Colorado: There are endless opportunities for growth in revenue integrity! If you are eager, hard-working, dedicated, detail-oriented, and willing to learn, you can grow in many different areas. You could be a chargemaster professional and be responsible for setting up the charges in the charge description master or be an analyst who would slice and dice the data to see where denials may be stemming from, or a supervisor or manager leading teams of folks who continually investigate the claim scrubber edits or potential denials from payers.
Jennifer Gardiner, senior director of revenue integrity, University of Maryland Medical Center, Baltimore, Maryland: Growth is very high in revenue integrity due to the amount of projects the team is involved in and in the number of departments that they interact with. It offers growth opportunities not only in revenue integrity, but also in other hospital departments that could expand career growth.
Lisa Kanivetsky, CPC, CHRI, revenue integrity advisor, University Hospital, Newark, New Jersey: The sky is the limit—finding a well-rounded revenue integrity professional is like finding a purple unicorn. If an individual is interested in revenue integrity, there are a lot of opportunities for learning.
Daphne Pell, RHIA, CHRI, vice president, Claro Healthcare, Chicago, Illinois: An area for revenue integrity growth is to become more involved in healthcare data science. For example, using data to highlight financial efficiencies and more importantly identify patterns within the data that could ultimately lead to higher quality patient care.
Tina Rosier, MS, PT, director of revenue integrity at Community Health Network. Indianapolis, Indiana: To work on succession planning, always assuring that great and educated revenue integrity talent is ready to take over for those that leave or retire from our organization.
Stacie Smith, senior manager, Windham Brannon, Atlanta, Georgia: The first things that come to mind is always auditing and monitoring and education as these are key pieces to what I do in my job. We must have these in place to prevent fraud and abuse, and then train our providers on potential issues and how to prevent them in the future. Another thing that comes to mind is cross functional/departmental collaboration. We have to know what other departments are doing and ensure that these departments are trained properly and have an understanding of what revenue integrity is from the ground up. They need to know how to not only enter charges, but what are the consequences of not entering them properly and the downstream effects.
Diane Weiss, CPC, CPB, CHRI, vice president of revenue integrity and education, RestorixHealth: Revenue integrity opportunities cross over and through multiple departments, including compliance, HIM, coding, billing, and even into other ancillary departments. There are many, growing opportunities for those engaged in the revenue integrity space.