System Director, Revenue Integrity

Norton Healthcare; Louisville (KY); On-site; USD 125,000 - 135,000; Full time

Benefits offered by this job

Paid vacation, sick days and holidays

Paid parental leave

403b/401k retirement plan

Medical, Dental, and Vision Insurance

Job summary

Norton Healthcare is seeking a System Director of Revenue Integrity in Louisville, KY. This key role takes on responsibilities such as overseeing the revenue cycle, ensuring compliance with regulations, and enhancing billing accuracy. The ideal candidate will have substantial management experience in healthcare and will play a vital role in supporting financial and clinical departments.

Qualifications

• Five years management in a healthcare setting required.
• Experience with Epic preferred.
• Certified Coding Specialist or Certified Professional Coder is desirable.

Responsibilities

• Ensure revenue cycle integrity and compliance with regulations.
• Educate staff on documentation and billing practices.
• Perform financial analysis on reimbursement performance.

Skills

Regulatory compliance

Revenue cycle integrity

Financial analysis

Education

Bachelor Degree

Master Degree

Tools

Epic

Job description

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Location: Louisville, Kentucky
Job ID: 138624
Work Type: Regular Full-Time
Shift: Days
Facility Group: Norton System Services


Job Description
Responsibilities

The System Director, Revenue Integrity, is responsible for ensuring the integrity of the hospital and physician practice revenue cycle, assuring documentation reflecting registration, clinical service delivery, charging, coding, billing and remittance are accurate, complete, comprehensive and in compliance with regulatory and payor requirements.

Key Accountabilities:

• Directs ongoing programs for education of physicians and ancillary staff regarding documentation and regulatory compliance. Monitors CMS regulatory environment and integrates these requirements into facility/practice processes.
• Provides support to Patient Financial Services to ensure accurate billing and payment compliance. Assists in compliance issues and reviews billing edit issues including APC grouper edits, Emdeon and LMRP reviews. Serves as a member of the Billing and Documentation Committee for both the hospital and physicians to ensure compliance.
• Provides support and education to Norton Healthcare coders to improve accurate coding for appropriate reimbursement. This will include Hospital, Physician Services and Norton Cancer Institute. Plans the coding audits to assess compliance with applicable coding guidelines.
• Monitors the CDM to ensure proper charge capture and reimbursement. Interacts with various clinical and support departments and systems influencing charge propriety. Maintains mechanisms to ensure accurate charge capture.
• Performs financial analysis of revenue and reimbursement performance. Functions as an integral link between clinical and financial departments. Provides support to evaluate future service line development regarding reimbursement potential.

Qualifications

Required:

• Five years management in a healthcare setting
• Bachelor Degree

Desired:

• One year working with Epic
• Master Degree
• Certified Coding Specialist OR Certified Professional Coder
  
  

Screening requirements:

Background check

License & education verification

Employment reference verification

Drug Screen

Norton Healthcare offers a competitive benefit package, including:

Paid vacation, sick days and holidays

Paid parental leave

403b/401k retirement plan

View more: Benefits Guide

Medical, Dental, and Vision Insurance

Discover meaningful career opportunities at NortonHealthcareCareers.com.
Norton Healthcare Careers — Together, We Will.
Norton Healthcare is a leader in serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The not-for-profit hospital and health care system is Louisville’s third largest employer, with more than 17,000 employees.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Equal Employment Opportunity is the law.

Equal Employment Opportunity is the law Supplement

Pay Transparency Notice

Seniority level

• Seniority level

  Director

Employment type

• Employment type

  Full-time

Job function

• Job function

  Engineering and Information Technology

• Industries

  Hospitals and Health Care

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