Revenue Cycle Optimization Director

Columbia University in the City of New York; New York (NY); Presencial; USD 160.000 - 180.000; Jornada completa

Descripción de la vacante

Columbia University in the City of New York seeks a Director of Business Optimization to lead revenue cycle initiatives and Epic system optimization across departments. The role partners with the CFO, Department Administrator, and coding teams to maximize revenue, minimize errors, and enhance the patient experience.

The position oversees charge review edits, denials management, and contract interpretation while driving training and compliance in a dynamic academic medical environment.

Formación

• Deep knowledge of healthcare revenue cycle processes.
• Experience with payer contracting strategies and trends.
• Proficient with databases and spreadsheets.
• Ability to communicate effectively in writing and speech.

Responsabilidades

• Oversee staff responsible for charge review edits and ad hoc faculty practice reporting.
• Coordinate new programs with FRO staff and Department Liaison to ensure staff can collect revenue and address denials.
• Attend scheduled payer meetings on behalf of the department.
• Monitor centralized revenue cycle functions, including CRO performance and denial management.
• Maintain and update CRO revenue cycle documentation and provide training.
• Monitor work queues to prevent delays in coding or claim submission.
• Collaborate with CRO/Liaison to achieve revenue targets and implement Epic updates.
• Interpret payer contracts with contracting, compliance, and finance; operationalize terms.
• Oversee Epic SER provider records for accuracy and compliance.
• Lead annual updates to CPT/ASA codes and ensure proper mapping in Epic dictionary.
• Serve as SME for all revenue cycle processes.
• Identify workflow issues in Epic PB Transaction Inquiry affecting revenue collection.
• Conform to HIPAA and billing compliance regulations.
• Perform general administrative functions as assigned.

Conocimientos

Revenue cycle expertise

BI tools

Communication skills

Independent & collaborative work

Educación

Bachelor’s degree or equivalent in education and experience

Master’s degree

Herramientas

Epic software

Descripción del empleo

Columbia University in the City of New York seeks a Director of Business Optimization to lead revenue cycle initiatives and Epic system optimization across departments. The role partners with the CFO, Department Administrator, and coding teams to maximize revenue, minimize errors, and enhance the patient experience.

The position oversees charge review edits, denials management, and contract interpretation while driving training and compliance in a dynamic academic medical environment.