Revenue Integrity Director- Remote

Tenet Healthcare Corporation•Frisco, TX

51d•$104,624 - $156,957•Remote

About The Position

The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master ("CDM") and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel. Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance. Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives. Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc. Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements. Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates. Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting

Requirements

Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions
Demonstrated critical-thinking skills with proven ability to make sound decisions
Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals
Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely
Ability to manage multiple projects/initiatives simultaneously, including resourcing
Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner
Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement
Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels
Ability to effectively and professionally motivate team members and peers to meet goals
Advanced knowledge of external and internal drivers affecting the entire revenue cycle
Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point)
Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree
Minimum of five years healthcare-related experience required
Extensive experience as Revenue Integrity manager
Extensive knowledge of laws and regulations pertaining to healthcare industry required
Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required

Nice To Haves

Consulting experience a plus
Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable

Responsibilities

Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity.
Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations
Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc.
Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner
Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates.
Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics

Benefits

Medical, dental, vision, disability, life, and business travel insurance
Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.

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