Associate Director, Revenue Integrity

bannerhealth; United States; Remoto; USD 120.000 - 180.000; Tempo pieno

Descrizione del lavoro

Banner Health is seeking an Associate Director of Revenue Integrity to lead and develop the Revenue Integrity Analyst team, drive charge capture optimization, and implement standard reconciliation processes in compliance with CMS and other regulatory agencies.

The role offers remote work with equipment provided, full-time exempt status, and collaboration with senior leadership to improve revenue integrity across the organization.

Competenze

• Must possess a strong knowledge of business and/or healthcare as normally obtained through the completion of a bachelor's d

Mansioni

• Monitors and trends financial data related to charge capture progress toward revenue cycle goals.
• Provide operational oversight of the revenue integrity staff and serve as a liaison between Revenue Integrity and clinical/operational departments to elevate charge issues and inquiries to key stakeholders.
• Develop, educate and manage Revenue Integrity Specialists, supporting them in analyzing, communicating and educating hospital and clinics regarding deficient charging trends and corrective action plans to resolve deficiencies.
• Engage with clinical areas and revenue cycle departments across Banner to confirm billable items and services are charged appropriately and in a timely manner.
• Provide revenue integrity recommendations and updates to the Revenue Integrity Steering Committee with potential actions for remediation.

Conoscenze

Leadership

Revenue Integrity

Performance management

Formazione

Bachelor's degree in business or healthcare administration

Descrizione del lavoro

Department Name: Revenue Integrity-Corp

Work Shift: Day

Job Category: Revenue Cycle

Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care.

Associate Director of Revenue Integrity

As an Associate Director of Revenue Integrity you will be an integral part of leadership within the team. During your typical duties, you will have the opportunity to educate and develop team members, roll out process changes and projects, as well as troubleshooting questions from your team and outside stakeholders, and conducting review of findings.

Location: Remote, Banner does supply equipment

Shift: Exempt position, Full time, Mon-Fri

Ideal Candidate

Bachelors degree in business, healthcare administration or equivalent work experience;

5+ years recent experience in Revenue Integrity (clearly reflected in your attached resume);

At least 2 years of experience within leadership role, including performance management of direct reports.

This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR PA, SC, TN, TX, UT, VA, WA, WI, WV, WY

Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position, under the direction of the Revenue Integrity Director, will provide operational oversight of the Revenue Integrity Analyst team. Responsibilities include revenue optimization through implementing standard charge capture reconciliation, charge capture review initiatives, charge capture education and process to ensure charge capture integrity and revenue optimization in compliance with CMS and other regulatory agencies.

CORE FUNCTIONS

1. Monitors and trends financial data related to charge capture progress toward revenue cycle goals, identifies variances and implements process improvement as necessary to enhance compliant revenue optimization.
2. Provide operational oversight of the revenue integrity staff and serve as a liaison between Revenue Integrity and clinical/operational departments to elevate charge issues and inquiries to key stakeholders. Supports finance, operations, and revenue cycle teams through special projects.
3. Develop, educate and manage Revenue Integrity Specialists, supporting them in analyzing, communicating and educating hospital and clinics regarding deficient charging trends and corrective action plans to resolve deficiencies.
4. Engage with clinical areas and revenue cycle departments across Banner to confirm billable items and services are charged appropriately and in a timely manner.
5. Provide revenue integrity recommendations and updates to the Revenue Integrity Steering Committee with potential actions for remediation. Upon resolution and approval of recommendations confirm appropriate actions are carried out accurately and completely.
6. Maintains current knowledge of regulatory changes impacting charge practices. Develops charge capture and reconciliation policy and procedures. Monitor/report monthly KPI Revenue integrity metrics dashboard.
7. Implement charge capture review program for hospital revenue generating departments. Coordinates processes between operations and revenue cycle departments ensuring that the accounts reviewed reflect proper documentation, charge capture, coding and billing to support proper payment.
8. Manages charge reviews to ensure annual coding changes/new service lines incorporated into charge master flow correctly to the patient bill. Purpose of these special projects are department specific and the goal is to identify potential compliance issues and revenue leakage issues.
9. Works independently under limited supervision. Makes independent judgments based on specialized knowledge. Holds system-wide responsibility for managing the company's charge capture, charge reconciliation and chart reviews related to charging issues. Internal customers: company leadership, company's compliance committees, revenue cycle team, physicians and clinical staff.

MINIMUM QUALIFICATIONS

Must possess a strong knowledge of business and/or healthcare as normally obtained through the completion of a bachelor's d