Director Revenue Cycle - Hospital Inpatient and Outpatient Coding

Job Overview

The Director of Revenue Cycle Management coding operations provides leadership and accountability for operational excellence of one or more of the major functions within Revenue Cycle. The Director of Revenue Cycle will implement effective strategies that ensures the department and organization maximizes performance, achieves goals and delivers excellent internal and external customer service. Responsibility includes assuring the overall financial health of the revenue cycle and its major front, mid and back end functions.

This position provides overall operational leadership for the entire department, oversight of assigned Revenue Cycle functions and execution on daily functions. Strategic programs and priorities to achieve leading practice performance are a key priority in this role acting as a primary contributor to strong financial health of the organization. The role will possess a strong understanding of financial application and other technical solutions to leverage digital workflow in ensuring maximum efficiency and outcomes.

Additionally, the role will maintain understanding of current regulatory and payer requirements and ensuring team maintains current in their application of such requirements in work completed. Director serves as a subject matter expert / technical competence and accountable leader for enterprise standardization and optimization of domain leading in world class performance in collaboration with team and partnerships. The role will lead in collaboration forums as well as act in designated liaison roles with partners and stakeholders to ensure comprehensive awareness, alignment, decision making, policy, metric transparency and performance that results in compliant and trusted outcomes for patients, providers, workforce and system.

Overall responsibilities include development and oversight of operational metrics, people, plans, and programs including financial, systems/processes and internal controls for assigned Revenue Cycle functions. In addition, this position ensures that the assigned Revenue Cycle functions actively engage in continuous process improvement to enhance performance and create efficiencies. Continuous process improvement that supports exceptional patient/ family experience related to quality access, communication in the patient’s financial journey.

Focus on quality, consistency, simplified, convenient and personalized service that compliments the patient’s care and assures organizational policies and standards are followed by team and partners supporting the organization. Understands, advocates (consumerism) and promotes transparency and informed decision making in compliance with industry standards and on behalf of the patient /patient’s financial rights. This role acts as a champion for workforce through active engagement leveraging organizational commitments and will lead by example.

Continued investment and focus on development, growth and retention will be a vital investment creating bench while creating opportunities for department staff. Ultimately responsible for compliance and quality standards for assigned Revenue Cycle functions.

• Provides Strategic Direction. Performs continuous assessment to help identify strengths, weaknesses, opportunities, and threats to IP and OP Coding Functions. Identifies, evaluates, develops, and implements strategies and tactics to achieve organizational objectives.
• Oversees functions, priorities, and staff effectiveness to ensure maximum quality, efficiency, throughput, and outcomes are achieved and work is executed in a compliant, accurate and timely manner.
• Establishes performance metrics and KPI’s that align with benchmark standards and result in daily maximum output supporting strong cash flow for the organization. Ensures leaders and team alike monitor and measure performance and associated performance that result in leading practice outcomes for the organization.
• Responsible for managing effective and efficient coding operations including people, processes and technology that results in leading practice clean claim creation and submission daily. This supports strong and stable…