Revenue Integrity Director
Intermountain Health
**Job Description:**
Reporting to the Senior Director of Revenue Integrity, the Revenue Integrity Director is responsible for directing and executing the priorities of Revenue Integrity related to Revenue Practice Teams (RPT), Charge Capture, Revenue Reconciliation, Revenue Guardian, and Claim Edits. The Revenue Integrity Director defines and carries out the strategy for maximizing gross and net revenue capture across the enterprise. The Director serves as the chief liaison between Revenue Cycle and clinical departments.
Benefits are one of the ways we encourage health for you and your family. Our generous package includes medical, dental, and vision coverage. But health is more than a well-working body: it encompasses body, mind, and spiritual well-being. To that end, we’ve launched a Healthy Living program to address your holistic health. Healthy Living includes financial incentives, digital tools, tobacco cessation, classes, counseling, and paid time off. We also offer financial wellness tools and retirement planning.
**This is an exempt remote / work from home position with potential periodic travel to Colorado and / or Utah.** **To show our commitment to you and assist with your transition into our organization, we may offer a sign-on and/or relocation bonus when applicable.**
As the Revenue Integrity Director, you will:
+ Direct the operations of assigned Clinical Revenue Practice Teams and their corresponding programs within the Revenue Service Center (RSC) to ensure timely and active communication between clinical operations and the functions of the RSC in order to standardize and optimize revenue capture.
+ Oversee Revenue Integrity caregivers and their associated functions including, but not limited to, charge entry, work queue management, charge capture, payer plan coordination and audit as they relate to the designated area of practice(s).
+ Develops best practices for clinical areas of oversight to drive greater financial performance for these areas, ensure standardization across the system and promote efficiency.
+ Collaborate with Finance, Revenue Integrity, CDM, Compliance, Decision Support, Care Sites, and other departments to standardize and optimize charging workflows, revenue, business processes, billing, denial management, and collection with the shared goal to reduce revenue leakage.
+ Develop specific objectives, and performance standards for all team members
+ Ensure compliance with applicable regulatory guidelines and established departmental policies and procedures, objectives and quality assurance program(s).
Qualified candidates will have healthcare knowledge – preferably in a matrixed healthcare system, along with technical expertise in the following areas:
+ Significant experience in revenue integrity processes and practices (including CDM, charge capture, coding, billing and denials), and compliance.
+ Strong experience with EPIC Systems, preferably HB Resolute Hospital Billing certification or extensive hands-on experience.
+ Highly prefer a coding certification (CCS, CPC, COC) or advanced certification in Health Information (RHIT or RHIA) and / or a Certified Revenue Cycle Representative (HFMA), Certification in Healthcare Revenue Integrity (CHRI)
+ Management experience overseeing teams or departments involved in revenue cycle functions is needed.
+ Ability to analyze data, identify discrepancies, and optimize processes for revenue integrity accuracy and efficiency.
+ Experience problem-solving / navigating complex issues in billing, coding, and payer negotiations, and process improvement.
Minimum Qualifications:
+ Success as a formal leader with direct oversight of a team, required.
+ Revenue Cycle Experience, preferably patient access, billing/coding, claims, revenue integrity audit, CDM, CPT and ICD-10.
+ Demonstrated experience in Leading Change
+ Demonstrated ability to assess work activities and allocates resources appropriately.
+ Demonstrated ability to work independently while effectively managing different priorities and projects.
+ Demonstrated in depth knowledge of Medicare and Medicaid regulatory requirements.
+ Experience in a role requiring attention to detail with excellent organizational and analytical skills. Flexible and adaptable to change.
+ Proficient in team building, conflict resolution, group interaction, and project management.
+ Strong quantitative, analytical, and communication skills required.
+ Bachelor’s degree in Business Administration, Health Care Administration, Clinical Administration, Finance, and/or related field, required. Education is verified.
**Preferred Qualifications**
+ Advanced certifications preferred (e.g., CCS, CCA, COC, RHIT, RHIA)
+ Certified Revenue Cycle Representative (HFMA), Certification in Healthcare Revenue Integrity (CHRI)
\#LI-EXECRC
**Physical Requirements:**
**Location:**
Lake Park Building
**Work City:**
West Valley City
**Work State:**
Utah
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$57.75 - $89.14
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado and Montana based caregivers (http://www.sclhealthbenefits.org) .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
All positions subject to close without notice.
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