System Director, Revenue Integrity - Highland, United States - Edward-Elmhurst Health

Description

System Director, Revenue Integrity page is loaded System Director, Revenue Integrity Apply locations NSO 4901 Searle Parkway Corporate Office Skokie SRO Corporate Center Warrenville 4201 Winfield Road time type Full time posted on Posted Yesterday job requisition id R8334 System Director, Revenue IntegrityPo sit i on H i gh li ghts:Position: System Director, Revenue IntegrityLocation: SkokieFull TimeHours: 40 hoursWhat you will do :Responsible for operational management and administration of fiscal matters pertaining to revenue integrityLeads and develops the Regional Revenue Integrity teams, including hiring, training, goal setting, and performance reviews of direct reports.

Ensures adherence to applicable governmental and payer regulations through clinical documentation auditsDirects charge capture, charge reconciliation and other reimbursement matters for hospital service lines across 3 instances of EpicParticipates in planning revenue integrity alignment efforts in preparation for the move to a single Epic instanceDirects the education, auditing, monitoring and support of revenue functionsProvides support and direction for charge integrity audits, claims processing denials, and compliance monitoringProactively identifies opportunities for charge integrity and stability in revenue with service line leaders across the health systemPerforms reporting and analysis of revenue related data and supports revenue related process improvementPartners with health system clinical, operational and information technology leaders to develop, implement and maintain strategies and tools to prevent revenue leakage and ensure consistent business operationsPartners with compliance to support audit related recommendations and denials mitigationProvides expertise as it relates to billing compliance for new and existing services, while maintaining compliance with organizational, federal, state and third party requirementsOptimizes revenue by performing appropriate reviews, investigating trends and patterns, and providing education regarding charge capture, charge reconciliation and billing guidelinesMonitors adherence to best practice operations and process flows, recommends changes as necessary, and sees them through implementationWhat you will need :

Education:

Bachelors degree in nursing, business administration, finance, or related field; masters degree in business, health administration or related fieldExperience: Approximately ten (10) years of progressive experience in revenue cycle management5 years of leadership experience in patient finance, hospital or professional coding and/or revenue cycle consulting in a managerial position required, with prior experience in hospital revenue integrity preferredCertification: RN, BSN, CIC, CCS, CPC designations are highly desirable; certification in auditing and/or health care compliance preferredBenefits:Career Pathways to Promote Professional Growth and DevelopmentVarious Medical, Dental, Pet and Vision options, including Domestic Partner CoverageTuition ReimbursementFree ParkingWellness Program Savings PlanHealth Savings Account OptionsRetirement Options with Company MatchPaid Time Off and Holiday PayCommunity Involvement OpportunitiesVisa Sponsorship Available (Nursing and Lab roles)NorthShore Edward-Elmhurst Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties.

Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) all recognized as Magnet hospitals for nursing excellence.

Located in Naperville, Linden Oaks Behavioral Health, provides for the mental health needs of area residents.

For more information, visit , , and .When you work for NorthShore Edward-Elmhurst Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website ( ) to better understand how NorthShore Edward-Elmhurst Health delivers on its mission to help everyone in our communities be their best.

NorthShore Edward-Elmhurst Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy.

We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE:
Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

Similar Jobs (2) Ambulatory Risk Adjustment and Clinical Documentation Integrity Educator locations NSO 4901 Searle Parkway Corporate Office Skokie time type Full time posted on Posted 30+ Days Ago Ambulatory Clinical Documentation Integrity Specialist locations 4 Locations time type Full time posted on Posted 30+ Days AgoIf you are a returning applicant and have not been active in our system since Oct.

1, 2023, please create a new account as our site has been upgraded. Current employees should apply directly through the Jobs Hub within Workday.

About usNorthShore University HealthSystem, Edward-Elmhurst Health, Swedish Hospital and Northwest Community Healthcare are now united under one name:
Endeavor Health. Together, were setting a new standard for healthcare.#J-18808-Ljbffr