Director of Revenue Cycle Compliance

UnityPoint Health; West Des Moines (IA); Teletrabalho; USD 120 000 - 180 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Paid time off

Health insurance

Tuition reimbursement

Resumo da oferta

UnityPoint Health is seeking a Director or Revenue Cycle Compliance to act as the compliance SME for the organization’s revenue cycle activities. The role supports the Chief Compliance Officer and leads auditing, monitoring, policy development, education, and government response to ensure alignment with federal and state regulations.

Candidates with hospital and clinic revenue cycle experience are strongly encouraged to apply.

Qualificações

• Bachelor’s degree in business, health care, compliance, or related field required.
• 7+ years in Healthcare Revenue Cycle—hospital and clinic experience.
• 3+ years progressive leadership experience in healthcare or compliance.
• Preferred: CHAM, CHC, CPC, CRCR, CRCE or CRCS certifications.

Responsabilidades

• Support the Chief Compliance Officer in developing and monitoring the Compliance Work Plan for revenue cycle auditing and monitoring.
• Lead revenue cycle compliance efforts, including policy development and education initiatives.
• Respond to regulatory investigations and coordinate with Legal Counsel as needed.
• Collaborate with coding, billing, and charge capture leaders to strengthen education and training.
• Translate regulatory changes into actionable policies and training across operational teams.
• Develop and deliver role-based compliance training for revenue cycle and clinical stakeholders.

Conhecimentos

Leadership

Communication

Regulatory knowledge

Policy development

Training delivery

Formação académica

Bachelor's degree

Master's degree

Descrição da oferta de emprego

• Shift: Monday-Friday, standard business hours
• Job ID: 186466

• Area of Interest: Management
• FTE/Hours per pay period: 1.0
• Department: Compliance
• Shift: Monday-Friday, standard business hours
• Job ID: 186466

Overview

We are hiring a Director or Revenue Cycle Compliance at UnityPoint Health! This role serves as the compliance subject matter expert for all aspects of the organization’s revenue cycle activities. The Director substantially contributes to the tone at the top of the organization and leads revenue cycle compliance efforts. Applicants can expect to support the Chief Compliance Officer and provide daily management of the UPH Compliance Program revenue cycle auditing and monitoring functions, compliance policy development, education and training, government response, and compliance oversight. This position ensures consistent compliance program administration, communication, and alignment with federal and state regulations.

Candidates with hospital and clinic revenue cycle experience are strongly encouraged to apply!

Hours: Monday-Friday, standard business hours

Location: Remote - applicants must reside within the UnityPoint Health footprint of Iowa, Illinois, or Wisconsin. Some travel required.

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few:

• Expect paid time off, parental leave, 401K matching and an employee recognition program.
• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

Revenue Cycle Program:

• Support the Chief Compliance Officer in the development, implementation, and monitoring of the Compliance Work Plan, including auditing and monitoring activities
• Implement and execute elements of health systems compliance work plan related to revenue cycle operations
• Manage intake, tracking, review, and response to governmental or regulatory revenue cycle investigations
• Respond to identified revenue cycle deficiencies in consultation with the Chief Compliance Officer and Legal Counsel
• Provide compliance program support to operational and revenue cycle leadership
• Serve as the compliance resource for revenue cycle and operational leaders across the health system
• Share best practices to enhance compliance activities
• Compile Board and Committee reports and support special projects as assigned
• Collaborate with revenue cycle leadership, including but not limited to, coding, billing, and charge capture leaders to support education and training initiatives
• Develop and deliver role-based compliance training for coding, revenue cycle and clinical stakeholders
• Translate regulatory changes into actionable education and policy updates in collaboration with operational teams
• Collaborate with internal stakeholders to ensure policies and procedures reflect current laws, regulations, payer requirements, and industry best practices
• Monitor revenue cycle audit results and develop corrective action plans, education content, or retraining as needed

Leadership & Management:

• Plan, organize, and monitor departmental processes to achieve organizational goals
• Motivate, mentor, and coach staff to deliver high-quality, cost-effective services
• Present data, strategies, and progress toward goals in governance and management forums

Qualifications

Education:

• Required: Bachelor’s degree supporting business, revenue cycle, healthcare, compliance or closely aligned field
• Preferred: Master's degree

Experience:

• Required: 7 years of experience in Healthcare Revenue Cycle - specifically hospital and clinic experience
• Required: 3 years of progressive leadership experience - healthcare or compliance
• Preferred: Home care and/or specialty pharmacy revenue cycle experience

  Licenses/Certifications:

  • Preferred: Certification in one of the following - CHAM, CHC, CPC, CRCR, CRCE, CRCS

  Skills & Abilities:

  • Strong verbal and written communications skills
  • Leadership and management skills
  • Decision-making and problem-solving abilities
  • Planning and organizational skills
  • Interpersonal and collaboration skills