Director Revenue Cycle

Description

Director Revenue Cycle FEATURED

Holyoke VNA & Hospice Accounting
Holyoke, MA
FinancialFull Time, 40, day shift, M-F 8:00am – 4:30pm
Req # 7516

The Director of Revenue Cycle in collaboration with Patient Accounting and Clinical staff ensures adherence to and compliance of payer, government and internal system regulatory policies as they relate to charge capture processes. Through the management and monitoring of audits and other analysis, any necessary education, process improvement or corrective actions will be provided to revenue producing areas. This role is also responsible for overseeing the quality and performance of Revenue Cycle operations. The Director of Revenue Cycle will report directly to the Executive Director and will drive the integrated care approach of standardizing best practices through continuous process & revenue improvement to effectively utilize people, processes, technology to reduce errors, reduce rework, improve through-put, accelerate cash flow, and increase net revenue.

The Director of Revenue Cycle will be responsible for overseeing and executing continuous process improvement initiatives by utilizing appropriate resources, organizing project plans and work-packages, and managing by metrics to achieve overall desired objectives to address root cause issues. In addition, the Director of Revenue Cycle will be responsible for identifying new revenue opportunities by utilizing internal resources and other resources to increase and improve overall cash flow.

Requirements:

Bachelor’s Degree in Health Services Administration, Business Administration, Accounting, or related experience may be considered in lieu of degree.
Three to five years in a supervisory/management position.
Previous hospital (clinical, ancillary, and/or billing) revenue cycle management experience.
Ability to work independently with a strong communication & influencing skill set.
Strong analytical & technical skills and process driven

Key Responsibilities:

Monitors and manages quality and performance of Revenue Cycle operations.
Develops policies and procedures to improve accuracy and completeness of clinical charge capture.
Develops and maintains collaborative working relationship with revenue producing departments, information systems personnel, and finance, compliance and revenue cycle teams.
Monitors and manages the charge capture coding requirements and performance of charge capture per third party payer contracts across the entire revenue cycle.
Works with organizational leadership in assessing, redesigning, and maintaining charge capture and clinical documentation processes as change in reimbursement from third party payers occurs.
Monitors and evaluates the organizational charge capture performance to maintain its cash flow and data integrity.
Designs and oversees the implementation of effective internal controls and infrastructure to ensure accurate and complete clinical documentation and charge capture.
Consults with compliance on regulatory risk.
Maintains current working knowledge of federal and state regulations regarding charge capture and coding.
Maintains knowledge of contract provisions in other third party managed care contracts and applies this knowledge to the strategic pricing approach in collaboration with the Director of Operations/Finance.
Oversees the application of annual CPT/HCPCS updates.
Collaborates with clinical leadership in identifying educational needs of the clinical staff related to the charge capture and charge reconciliation process.
Oversees work of subordinate employees, establishes work priorities, and sets performance objectives and measures. Develops policies and procedures related to revenue management. Establishes priorities and monitors status of special projects.