- Enhances centralized business office to reduce errors and facility costs.
- Serves as key participant in the design, implementation, and support of IS Core systems.
- Optimizes hospital patient revenue.
- Responsible for oversight and leadership of system hospital and professional fee coding and clinical documentation integrity (CDI).
- Participates in the formulation of objectives and strategies for integrating coded clinical information to support goals for patient care, teaching, research and optimizing management of resources.
- Serves as a coding subject matter expert for the system, serving on an array of business operations and clinical committees.
- Accountable for active daily management of Discharged Not Billed (DNB) work queues to assure targets are consistently met.
- Develops and manages key coding and CDI performance indicators and metrics.
- Develops and oversees a comprehensive quality assurance and productivity program for coding and CDI staff.
- Develops and manages quality standards for the area. Oversees quality validation on first listed diagnoses, secondary diagnoses, E&M levels, and Hierarchical Condition Categories (HCCs) for accuracy and compliance as relates to Outpatient CDI. Monitors Risk Adjustment Factor (RAF) Scores.
- Directs instructions and education activities for all Outpatient providers and ancillary staff across the system, in collaboration with, clinic managers, CDI Educators, Physician Advisors, and coding departments, on coding and documentation related issues. Promotes compliance with CMS, third party payers, NCDs and LCDs, coding, and billing regulations. Oversees the development and coordination of ongoing CDI education for new staff, including physicians, coders, nurses, and allied health professionals
- Manages and provides oversight of the Clinical Documentation Integrity Program to ensure optimal documentation and program effectiveness.
- Directs and oversees the coding/abstracting activities in accordance with policies and procedures, external agency requirements, AHA's Coding Clinic and other relevant industry standard guidelines.
- Provides input to coding and medical record documentation guidelines to assure compatibility and compliance with all regulatory, third party and organization policies.
- Provides input to the direction for the establishment and maintenance of documentation standards and policies and procedures related to coding and CDI activities.
- Oversees and manages coding denial management activities.
- Must remain in original hired FTE Status and Shift (if specified in offer letter)
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Director of Revenue Cycle
6 days ago
Imperial Beach Community Clinic San Diego, United StatesJob Title Director of Revenue Cycle · Reports To Chief Financial Officer · $120, $160,000.00 per year · **Benefits**: · 3 weeks of vacation/year, 10 holidays, employee's birthday and 2 weeks of sick leave. · Employee assistance program · Health insurance · Vision insurance · Dent ...
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Manager, Revenue Cycle
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Ventra Health, Inc. San Diego, United StatesAbout Us: · Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory s ...
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Revenue Cycle Manager
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Ventra Health San Diego, United StatesJob Summary · The Manager, Revenue Cycle is responsible for the management of the accounts receivable ("AR") of Ventra Health's clients. This person works closely with the Director, Revenue Cycle Management ("Director, RCM") in overseeing operational processes, personnel, and adm ...
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Revenue Cycle Specialist
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Metis Practice Solutions San Diego, United States· Position at Metis Practice Solutions · Join our dedicated team at Metis Practice Solutions and be the driving force behind revenue generation As a Revenue Cycle Specialist , you'll leverage your problem-solving skills to proactively manage accounts receivable, resolve appeals ...
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Revenue Cycle Specialist II
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CEDARS-SINAI San Diego, United StatesJob Description · What will I be doing in this role? · Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting cl ...
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Director, Revenue Cycle Strategy
5 days ago
University of California San Diego, United StatesSpecial Selection Applicants : Apply by 05/03/2024. Eligible Special Selection clients should contact their Disability Counselor for assistance. · DESCRIPTION · The Director, Revenue Cycle Strategy serves as key strategist with the Chief Revenue Cycle Officer in initiating and d ...
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Director, Revenue Cycle Strategy
1 week ago
University of California San Diego, United StatesSpecial Selection Applicants: Apply by 05/03/2024. Eligible Special Selection clients should contact their Disability Counselor for assistance. · DESCRIPTION The Director, Revenue Cycle Strategy serves as key strategist with the Chief Revenue Cycle Officer in initiating and deve ...
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Revenue Cycle Product Owner
9 hours ago
CliniComp San Diego, United StatesAs a Revenue Cycle Product Owner, you will have an exciting and vital role in translating and crafting software features and requirements that cater to the unique needs of healthcare workflow in revenue cycle. Working closely with operational consultants, you will ensure that our ...
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Senior Director, Revenue Cycle
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Scripps Health San Diego, United StatesScripps Health Administrative Services supports our five hospitals and 19 outpatient facilities, which treat half a million patients annually through 2,600 affiliated physicians. · At Scripps Health, you will experience the pride, support, respect that has been repeatedly recogni ...
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Revenue Cycle Product Owner
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CliniComp San Diego, United StatesJob Description · Job DescriptionAs a Revenue Cycle Product Owner, you will have an exciting and vital role in translating and crafting software features and requirements that cater to the unique needs of healthcare workflow in revenue cycle. Working closely with operational cons ...
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Senior Director, Revenue Cycle
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The E.W. Scripps Company San Diego, United StatesAt Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're o ...
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Revenue Cycle Payer Solutions Manager
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UnitedHealth Group San Diego, United StatesDay to day activities, management and oversight of Payer Solutions department - this includes ensuring communication to team on overall communication on projects, activities, goals and metrics related to department and within the larger AR Inventory Manager, Solutions, Revenue, C ...
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Manager, Revenue Cycle A/R Management
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Sharp HealthCare San Diego, United States Full timeHours · Shift Start Time: · 8 AM · Shift End Time: · 5 PM · Additional Shift Information: · Weekend Requirements: · As Needed · On-Call Required: · No · Hourly Pay Range (Minimum - Midpoint - Maximum): · $ $ $82.731 · The stated pay scale reflects the range that Sharp reaso ...
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Manager, Revenue Cycle A/R Management
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Sharp HealthCare San Diego, United States Full timeHours · Shift Start Time: · 8 AM · Shift End Time: · 5 PM · Additional Shift Information: · Weekend Requirements: · As Needed · On-Call Required: · No · Hourly Pay Range (Minimum - Midpoint - Maximum): · $ $ $82.731 · The stated pay scale reflects the range that Sharp ...
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Revenue Cycle Payer Solutions Manager
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UnitedHealth Group San Diego, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
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Collector/ Revenue Cycle Consumer Center
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Sharp Healthplan San Diego, United States Full timeHours · Shift Start Time: · 8 AM · Shift End Time: · 4:30 PM · Additional Shift Information: · Weekend Requirements: · No Weekends · On-Call Required: · No · Hourly Pay Range (Minimum - Midpoint - Maximum): · $ $ $33.527 · The stated pay scale reflects the range that Sharp reason ...
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Director, Revenue Cycle
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Neighborhood Healthcare Escondido, United StatesCommunity health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We're with you every step of the way, with the care you ...
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Director- Revenue Cycle
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Nhcare Escondido, United StatesCommunity health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We're with you every step of the way, with the care you ...
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Director- Revenue Cycle
5 days ago
Neighborhood Healthcare Escondido, United StatesCommunity health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We're with you every step of the way, with the care you ...
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Revenue Integrity Specialist
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Planned Parenthood of the Pacific Southwest San Diego, United StatesCare. No Matter What. · As a **Revenue Cycle** **Financial Analyst** you will have the opportunity to partner and assist the Financial Planning & Analysis Supervisor, work alongside key finance and revenue cycle management and other internal/external stakeholders to develop detai ...
Senior Director, Revenue Cycle - San Diego, CA, United States - Scripps Health
Description
At Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation's Top 100 Places to Work.
Join Scripps as Senior Director, Revenue Cycle where you will have primary accountability for the oversight of Coding, Clinical Documentation Integrity (CDI) and Health Information Management HIM.
The Senior Director manages the staff responsible for hospital and professional fee coding and CDI, ensuring quality documentation and clinical consistency.
This individual position is responsible for a diverse department, requiring skills in data-driven decision-making, process improvement/lean management, and customer relationship management.
The Senior Director will use these skills and experience to partner with stakeholders to develop an organization-level roadmap of process and technology improvements to reduce provider burden and maximize patient experience while increasing efficiency.
Develops policies and procedures across the system for greater efficiency, reduced variation and increased patient satisfaction.