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Middle Revenue Cycle Director

3 months ago

Minneapolis, United States Hennepin County Medical Center Full time

Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County.

Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.

SUMMARY:
We are currently seeking a Middle Revenue Cycle Director to join our Revenue Management. This full-time role will primarily work hybrid (you will need to have an onsite presence).

Purpose of this position: Develops Health Information Management, Documentation Integrity, Clinical Documentation Improvement, Revenue Integrity and Coding strategies. Directs hospital billing coding, professional billing coding, health information management operations, revenue integrity (charge master, fee schedules, charge reconciliation and training, pricing) clinical documentation improvement program, and documentation integrity. In addition, working with the patient access services, CDM, patient financial services and the entire organization to improve clinical documentation and charge capture across the organization.

Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Nevada, North Carolina, North Dakota, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.

RESPONSIBILITIES:

  • Directs Health Information Management Operations, Hospital Billing Coding, Professional Billing Coding, Clinical Documentation Improvement Program, and Documentation Integrity.
  • Leads and is accountable for organization projects affecting areas of responsibility
  • Provides direction for Release of Information, Transcription, and other external service agreements
  • Provides direction for Revenue Integrity (charge master, fee schedules, charge reconciliation and training, pricing)
  • Develops and implements, policies and procedures that guide or support service, assesses and improves department performance, and ensures orientation and continuing education of department staff
  • Develops specific objectives, budgets, and performance standards for each area of responsibility. Actively seeks ways to control costs without compromising patient safety, quality of care of services delivered. This person may recommend resources needed by the department and may participate in the selection of outside services
  • Actively participate in advising HCMC leadership on methods to optimize HCMC's use of Epic
  • Responsible for compliance with all applicable regulations including Hospital Attorney General Agreement, State of Minnesota Department of Revenue-Revenue Recapture, and HCMC Admissions and Treatment Policy
  • Improve Revenue Cycle performance, efficiencies, transparency, and employee engagement through Lean Management methods including Visual Management Systems and incorporate metrics driven outcomes through revenue cycle
  • Work with Public Relations, Patient Experience, and other HCMC departments to maintain and enhance community and patient communication related to HCMC charity care, billing and collection procedures, and methods for patients to access revenue cycle resources
  • Collaborate with the Assistant Medical Director of Documentation Quality and Associate Medical Director of Clinical Documentation Improvement to improve and optimize the organization's documentation quality standards and practices

QUALIFICATIONS:

Minimum Qualifications:

  • Bachelors degree in Health Information Administration/Medical Record Administration. Education program must be accredited by the American Health Information Management Association (AHIMA)
  • 7-10 years of progressive management experience in a healthcare operations environment is required
  • 5-7 years' experience managing Health Information Management and Coding

-OR-

  • An approved equivalent combination of education and experience

Preferred Qualifications:

  • Epic Revenue Cycle Management Systems experience
  • Master's degree in Health Information or Health Care Management is desirable

Knowledge/ Skills/ Abilities:

  • Demonstrates a working knowledge of word processing and spreadsheets, HIPAA regulations, The Joint Commission standards, and clinical information systems
  • Must have extensive and demonstrated expertise in CPT-4, HCPCS, and ICD-(-CM coding
  • Must have a thorough knowledge of medical terminology, anatomy and physiology and ability to interpret physician's medical documentation
  • Must have in-depth understanding of third party reimbursement and coverage policies
  • Proven, successful, progressively responsible leadership, management and execution experience
  • Exhibits a strong presence of command
  • Ability to develop and implement process improvements, preferably using Lean or Six Sigma methodologies

License/Certifications:

  • Certification as a Registered Health Information Administrator (RHIA)

You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer.

Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.

Primary Location: MN-Minneapolis-Downtown Campus Standard Hours/FTE Status: FTE = 1.00 (80 hours per pay period)Shift Detail: DayJob Level: DirectorEmployee Status: Regular Eligible for Benefits: YesUnion/Non Union: Non-Union Job Posting: Mar-29-2024
EEO/Disability/Veteran employer.