Vice President, Revenue Cycle & Coding

OrthoCarolina•Charlotte, NC

About The Position

At OrthoCarolina, our team is our greatest asset and the foundation of our success. We are a diverse group of individuals, accountable to each other to uphold the standards of excellence and promote an environment of teamwork throughout the organization. OrthoCarolina has 43 unique care locations with over 1300 professionals who share a common goal to make lives better. Our employees are eligible for a full spectrum of benefits including paid company holidays, wellness programs, and tuition reimbursement. To learn more about Team OC please visit https://www.orthocarolina.com/about-us OrthoCarolina is currently searching for a Vice President of Revenue Cycle and Coding to join our Leadership team at OrthoCarolina in Charlotte. This individual will provide leadership, management and direction of the Revenue Cycle function and Coding to include recommendations, development and updating strategic short-term and long-range plans to support the organization's vision and goals for OrthoCarolina and their managed ASC’s. In collaboration with other administrative managers/directors in the organization, they will develop and implement specific programs, products and services.

Requirements

Knowledge of ICD, CPT and HCPCS coding principles; and Medicare and Medicaid coding/billing regulations.
Comprehension and skill in coding compliance and reimbursement software programs and systems.
Bachelor of Science in Health or Business Administration required.
At least ten (10) years’ experience in healthcare RCM and five (5) years in healthcare administration leadership.

Nice To Haves

Master’s degree preferred.
Clinical degree preferred.
Knowledge of the principles and practices of health planning, health care regulation and management sufficient to manage, direct and coordinate the operations of reporting departments.
Knowledge of clinical operations and procedures.
Skill in exercising high initiative, judgment, discretion and decision-making to achieve organizational objectives.
Skill in exercising judgment and discretion in developing, applying, interpreting and coordinating policies and procedures.
Ability to monitor and/or maintain quality control standards.
Ability to prepare comprehensive reports.
Ability to gather and analyze statistical data and generate reports.
Ability to develop high level, results-oriented staff members.
Ability to share expertise and knowledge with staff and coworkers to maintain and improve workflow and provide increased expertise in department.
Ability to anticipate and react calmly to emergency situations, identify and resolve problems.
Skill in identifying problems, researching and recommending resolutions.

Responsibilities

Oversees all RCM and Coding functions to ensure timely billing and reimbursement for all current OC service lines including but not limited to governmental and private payors, third-party liability, workers comp and ASC’s, denial management, and patient collections.
Oversees the Director of Utilization Services, Director of Revenue Cycle, Director of Coding, Manager of Provider Services (Credentialling), and Manager of Contract Validation.
Responsibilities include interviewing, hiring, key department leaders; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems in accordance with governmental and other regulatory standards.
Carry out supervisory responsibilities in accordance with the organization's policies and applicable laws.
Facilitates development of departmental mission, goals, policies, procedures, budget, and work standards for the RCM and Coding departments.
Serves as liaison with medical staff and other departments and provides leadership and direction through strategic planning.
Reviews departments’ performance and ensures compliance, accreditation, legal and other regulatory requirements.
Analyzes and assesses staff productivity in maintaining high standards of quality and performance.
Collects/analyzes data, prepares and presents information/statistics for administrative and regulatory purposes.
Gathers information and data as necessary to assess on-going revenue cycle key indicators.
Responsible for leadership of RCM and Coding and will aid in problem solving, staffing and budget issues regarding their operational needs.
Assists in problem solving by providing tools for managers/personnel to seek quick resolution of difficult issues or patients concerns.
Works closely with Accounting, Practice Ops, IT, to determine best practices to yield desired RCM performance outcomes.
Coordinates with senior management and managers/supervisors to ensure revenue cycle and coding problems are resolved.
Analyzes and recommends changes in organizational systems, policies and procedures and ensures their successful implementation.