Senior Director, Revenue Cycle

1 month ago

San Diego CA, United States Scripps Health Full time

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.
· 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)
•

  • Senior Director, Revenue Cycle

    1 week ago

    San Diego, United States Scripps Health Full time

    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. You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential. Join Scripps as Senior...

  • Revenue Cycle Analyst

    3 weeks ago

    San Diego, United States Cedars-Sinai Full time

    Job Description The Revenue Cycle Analyst is responsible for the development, assessment and quantification of trends. This will require direct working relationships with management and key staff members, in addition to key members of Finance and Medical Network and Medical Center Departments. The primary duties of this role include: Analyzing trends to...

  • Revenue Cycle Specialist II

    2 weeks ago

    San Diego, United States Cedars-Sinai Full time

    Job 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 claims to third party payors, performing account follow-up activities, updating...

  • Revenue Cycle Specialist II

    3 weeks ago

    SAN DIEGO, California, 92101, San Diego County, CA, United States CEDARS-SINAI Full time

    Job DescriptionAlign yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.WHAT WILL...

  • Director of Revenue Operations

    4 weeks ago

    San Diego, United States Flock Freight, Inc. Full time

    As the Director of Revenue Operations you will be at the forefront of our strategic initiatives, shaping a data-driven RevOps strategy that aligns seamlessly with our ambitious goals and lays the groundwork for sustainable success at Flock Freight. Your role will be instrumental in establishing and fine-tuning efficient processes across marketing, sales, and...

  • Revenue Cycle Specialist

    3 weeks ago

    San Antonio, United States TSAOG Orthopaedics & Spine Full time

    Job DetailsLevel Experienced Job Location Annex - San Antonio, TX Salary Range $17.00 Travel Percentage None Job Shift Day Description TSAOG Orthpaedics & Spine is a well-established and community-focused multi-specialty physician group. Our mission is to be trusted for patient care, based on our experience and traditions, as we have since 1947. What...

  • Director of Revenue Management

    2 days ago

    San Diego, United States The Crescent Hotels Group Full time

    Description Crescent Hotels & Resorts is seeking a Director of Revenue Management for the Hotel Republic, located in the heart of downtown San Diego. This vibrant and sophisticated boutique hotel offers a unique blend of modern luxury and local charm. As part of the Autograph Collection, each aspect of Hotel Republic is thoughtfully crafted to reflect the...

  • Director of Revenue Management

    1 month ago

    San Diego, United States Hotel Republic San Diego Full time

    DescriptionCrescent Hotels & Resorts is seeking a Director of Revenue Management for the Hotel Republic, located in the heart of downtown San Diego. This vibrant and sophisticated boutique hotel offers a unique blend of modern luxury and local charm. As part of the Autograph Collection, each aspect of Hotel Republic is thoughtfully crafted to reflect the...

  • Director of Revenue Management

    1 month ago

    San Diego, California, United States Hotel Republic San Diego Full time

    Crescent Hotels & Resorts is seeking a Director of Revenue Management for the Hotel Republic, located in the heart of downtown San Diego. This vibrant and sophisticated boutique hotel offers a unique blend of modern luxury and local charm. As part of the Autograph Collection, each aspect of Hotel Republic is thoughtfully crafted to reflect the distinctive...

  • Medical Assistant

    1 month ago

    San Juan, United States Nexus HR Services Full time

    Job DescriptionJob DescriptionMedical Assistant (with Revenue Cycle experience)San Juan, Puerto RicoCompensation $16 to $18 / hour depending on experienceOverview: DrCatalyst is a remote healthcare staffing company that is doubling annual revenues each and every year since 2016. We supply college educated remote nurses, physical therapists, pharmacists,...

  • Senior Financial Analyst, Revenue

    2 weeks ago

    San Jose, United States Vectra Networks Full time

    Vectra is seeking a Senior Financial Analyst to support our corporate finance team and corporate functions focusing on Revenue and Gross Margin. Reporting to the Director, Corporate Finance, this role will partner closely with the rest of the FP&A team as well as Revenue contributing organizations. We are looking for a hands-on contributor that is highly...

  • Hotel Director of Revenue Strategy

    2 days ago

    San Diego, United States Hospitality Spotlight Full time

    Job DescriptionJob DescriptionHospitality Spotlight is looking for a Hotel Director of Revenue Strategy for a client in northern California. The Work:Provide leadership in the areas of Revenue Management (including distribution, revenue optimization, digital marketing, reservations, analysis, evaluation +)Identify new revenue opportunities and develop and...

  • Claims Revenue Analyst, Senior Consultant

    2 days ago

    Los Angeles, CA, United States Mazars Full time

    Job Description:Claims Revenue Analyst, Senior ConsultantMazars USA is hiring - If you are looking for a career where you can truly have a say, make an impact, and bevalued, Mazars is the right place for you!Our Consulting practice seeks an experienced consultative professional to join our Healthcare Consulting team as a Senior Consultant focused on...

  • Senior Revenue Manager

    1 week ago

    San Mateo, CA, United States Guidewire Software, Inc. Full time

    United States - San Mateo, CAFinance /Full-time /HybridRevenue TeamOur revenue team plays an integral role with regard to Guidewire’s current operations, our growth objectives, and the broader finance organization. Revenue assurance has an important seat at the table with the CFO, CAO, Dealsdesk, Sales Operation and the Sales leadership team as it relates...

  • Revenue Cycle AR Specialist

    2 days ago

    San Antonio, United States Spindletop Pain Management Full time

    Job DescriptionJob DescriptionTricity Pain Associates is a leading chronic pain management company that serves our state of Texas. We help relieve people of chronic pain and help them move towards a better quality of life. Our pain management doctors and staff are a dynamic team of professionals, who excel in keeping our patients healthy and pain free.We are...

  • Senior Manager, Revenue Systems

    2 weeks ago

    San Francisco, CA, United States OpenAI Full time

    About the TeamOpenAI Finance is responsible for ensuring the organization is set up for success in pursuit of its mission. OpenAI's Revenue team works cross-functionally to grow and evolve the Company’s commercial offerings. This team oversees billing operations, deal desk, revenue systems and revenue close, in ensuring the organization’s revenue...

  • Revenue Cycle Payment Poster

    2 days ago

    San Antonio, United States Spindletop Pain Management Full time

    Job DescriptionJob DescriptionTricity Pain Associates is a leading chronic pain management company that serves our state of Texas. We help relieve people of chronic pain and help them move towards a better quality of life. Our pain management doctors and staff are a dynamic team of professionals, who excel in keeping our patients healthy and pain free. We...

  • Director - Revenue Operations (Partnerships)

    2 weeks ago

    San Mateo, CA, United States Freshworks Full time

    Company DescriptionFreshworks makes it fast and easy for businesses to delight their customers and employees. We do this by taking a fresh approach to building and delivering software that is affordable, quick to implement, and designed for the end user. Headquartered in San Mateo, California, Freshworks has a global team operating from 13 global locations...

  • Market Services PB Coding Director

    3 weeks ago

    Oakland, CA, United States Kaiser Permanente Full time

    DescriptionJob Summary:The Director, Market Services Coding is a member of the Kaiser Permanente Program Offices Middle Revenue Cycle team and reports to the companys Senior Director, Enterprise Professional Services Coding Operations. This position will provide Middle Revenue Cycle leadership/program office support and services to regions/markets in...

  • Sales Director

    1 month ago

    San Diego, California, United States Redeployment Full time

    We are looking for a results-driven and ambitious sales leader to make a significant impact on our journey to new heights.As the Sales Director, you will play a pivotal role in driving revenue growth, fostering strategic partnerships, and shaping the future of our client's organization.Utilize your extensive SaaS sales experience to enhance the national...