Director - Revenue Cycle

Director of Revenue Cycle

St. Croix Health is looking for a Director of Revenue Cycle to join our team!

The Director of Revenue Cycle provides leadership to the Revenue Cycle continuum – registration, coding, billing and medical record management. Also responsible for insurance contracting, compliance and privacy.

1. Strategic Planning

• Monitors and identifies the evolving factors that affect current/future needs of functional service lines, and recommends strategies/initiatives/programs/projects to prepare for future growth of service lines and program areas in alignment with overall organizational strategy (provision of new services, standardization of policies/practices across the organization, increasing market share, maximizing revenues, cross-selling services, improving efficacy/cost-effectiveness of clinical services provided, enhancing patient outcomes/satisfaction and others of similar complexity and consequence).
• Develops formal strategic/tactical plans, to include both short- and long-term business planning, with full accountability for achievement of plan objectives.

2. Operational Accountability

• Plans, directs, and evaluates the programs, systems, operations, and resources of the department, to assure the safe and appropriate delivery of best-practice procedures and patient care, achievement of strategic objectives within scope of responsibility, and compliance with regulatory requirements.
• Develops and implements policies and procedures in accordance with industry standards; assesses and assures staff compliance and competence.
• Collaborates with other leadership to standardize and integrate practices; participates and contributes to organization-wide evaluation of effectiveness of implemented programs and procedures.
• Evaluates effectiveness of patient care and promotes continuous quality improvement.
• Manages registration, billing and collections, coding, revenue integrity, patient account services and medical records, to ensure accurate billing and timely collection of revenue for hospital and clinic services.

3. Staff Management and Development

• Plans, directs, and evaluates work of direct reports and facilitates planning, direction, and evaluation of direct report subordinate staff.
• Ensures adequate staffing levels and coverage based on acuity and need with budgetary and operational objectives.
• Ensures staff are appropriate trained and competent in performance of assigned duties; assesses competencies of staff on regular basis.
• Coaches, mentors, and develops staff to promote skill development and leadership capacity.
• Serves as the primary interface on all revenue cycle related issues including department oversight, technical and governmental issues, billing and collection remediation.

4. Performance and Quality Improvement

• Continuously monitors and assesses systems and programs to ensure compliance and achieve quality and performance objectives.
• Establishes appropriate performance measures for programs and staff; analyzes appropriate data to assess progress, and recommends/implements adjustments as appropriate to maintain progress towards established strategic objectives.
• Evaluates existing systems/program/priorities, analyzes future potential to make recommendations for growth, expansion, new services and solvency of existing services based on market demographics and volume projection; develops and presents comprehensive recommendations regarding the viability of specific systems/projects.
• In coordination with Quality program stakeholders, plans and directs quality process improvement initiatives/projects to ensure achievement of business objectives.

5. Budget and Fiscal Administration

• Determines financial resources necessary to achieve establish strategic performance objectives; develops recommendations in accordance with internal policies and procedures.
• Identifies, aligns, and optimizes resources to maintain financial stability of programs and service lines.
• Exercise effective cost control measures, adjusts resources as needed to maintain budget.
• Identifies negative variances and develops and implements action plans/recommendations to address issues in a…