Director - Revenue Integrity bei HonorHealth

Overview:Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 17,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com.Responsibilities:Job SummaryUnder the direction of the Sr. Director Revenue Integrity Revenue Cycle Services, the Network Director-Revenue oversees the programs and staff responsible for management of the charge description master (CDM), designated charge capture initiatives and regulatory initiatives. Utilizing working knowledge of the front, middle and back-end revenue-cycle areas, the position interacts with clinical and administrative stakeholders across the organization to promote the best practices supporting revenue integrity and adherence to government and non-government regulatory directives.This role is responsible for maintaining adequate staffing levels, monitoring employee productivity, and quality of work. The role will support the department through daily interaction with departmental management with respect to operational questions and requests.Essential Functions

• Completes (or contributes to the completion of) various revenue-cycle projects, including charge capture audits, workflow documentation and redesign, and best practice implementations
• Utilizes working knowledge of entire revenue-cycle – participates and contributes to new and existing EPIC build and system decisions to ensure timely and accurate revenue reporting and collection.
• Identifies and implements analytical tools to identify opportunities for improvement and assists management to employ sound revenue-cycle management practices to optimize revenue.
• Oversees the activities of the Revenue Integrity Department and the maintenance of the charge master and establishing cash pay package pricing through analysis. Responsible for preparation and ongoing updates of the CMS transparency files.
• Supervises personnel in Revenue Integrity, Charge posting, and EPIC contractual system. Plans, establishes and revises work assignments and standards performed under Revenue Services Director’s direct control. Interviews, selects, and recommends hiring of personnel. Initiates recommendations for changes in classification, salary action, promotion, demotion, transfer, and termination. May settle staff member problems and administer appropriate disciplinary action.
• Conducts revenue-cycle training and provides support to all levels of management and staff members to ensure patient charges are appropriately captured as well as accuracy of the Epic contractual system. Establishes a reimbursement focus throughout the System (i.e. charge capture and maintenance.)
• Performs various analyses, including ad-hoc analyses for System’s leadership team, for operational, budgeting, auditing, forecasting, basic accounting, market analysis, staffing, or financial reporting purposes
• Leads and motivates cross departmental teams’ performance towards excellence and develops team concepts and consensus-building management styles. Incorporates System’s values into all business staff development practices and all departmentally directed activities.
• Responsible for developing procedures that ensure internal control. Reviews and approves detailed procedures for all Revenue-Cycle areas under leadership. Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
• Proposes new policies/programs and/or policy/program changes affecting the revenue-cycle, charge master maintenance, and Epic contractual processes of the organization. Works closely with other departments to formulate appropriate policies within the System. Reports any found departmental discrepancies from policies/programs to the Sr Director Revenue Services.
• Plans, prepares, and spearheads key revenue-cycle initiatives in the System and communicates regularly and effectively with subordinates and superiors regarding the status and condition of initiatives.
• Performs other duties as assigned or requested.

Education

• Master's Degree - Preferred
• Bachelor's Degree or 8 years’ experience - Required

Experience

• 10 years Hospital revenue cycle process improvement. - Preferred
• 5 years Revenue cycle, Finance, or Accounting. - Required

Licenses and CertificationsFacility:HonorHealth Support ServicesDepartment:Revenue ComplianceWork Hours:n/a for this deptShift:DayPosition Type:Full-Time Jetzt bewerben