Dir- System Revenue Integrity
🔍 Troy, Michigan
Reporting to the Vice President Revenue Cycle, the Director, Revenue Integrity is responsible for providing system oversight of charge capture and revenue reporting. This leader partners with Clinical Operations, Revenue Cycle and Finance to ensure integrity of processes related to charge capture and reconciliation, charge description master (CDM) design and management, and revenue reporting of charges and relative value units (RVUs).
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Performs annual risk assessment identifying high impact areas for review. Develops annual revenue integrity assessment plan based on results of risk assessment. Monitors the quality of output and customer satisfaction related to Revenue Integrity Assessment process.
- Manages the priority and sequencing of revenue improvement initiatives. Sets system-wide charge capture policies and procedures, holds business owners accountable for results and reports out to senior leadership.
- Ensures that charge reconciliation processes are executed properly across the health system.
- Works closely with clinical leadership and Finance to ensure that revenue is routing to appropriate departments.
- Responsible for supervising the delivery of appropriate education and feedback to providers and ancillary staff related to revenue integrity.
- Leads monthly revenue integrity steering committee meetings to follow-up on negative/positive trends, prioritize opportunities for system implementation and track progress of improvements initiatives.
- Ensures the on-going accuracy and integrity of the CDM and corresponding technology by leading the CDM team in identification and implementation of CDM content and structure improvement opportunities, collaborating with revenue cycle and clinical operations stakeholders to promote positive outcomes.
EDUCATION/EXPERIENCE REQUIRED:
- Five years of progressive management experience required, preferably including experience leading revenue integrity efforts, and/or clinical services.
- Exceptional interpersonal skills for written, verbal, presentation, and computer communication required.
- Knowledge of best practices related to charging, CDM, financial and RVU accounting in an integrated healthcare organization, preferred.
- Experience with both Hospital and Professional billing, preferred.
- Experience with Epic environment, preferred.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, Â Â Â Â Â companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
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Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s Â
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Â Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. Â My Choice Rewards is a program as diverse as the people it serves. Â There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. Â As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services. Employee's classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.