AVP Revenue Integrity

14 hours ago

Batavia IL United States Ascension Healthcare Full time

Details

Ascension Revenue Cycle has a great new opportunity as Associate Vice President, Revenue Integrity, Middle Cycle

When you join Ascension, you join a diverse team united by our mission; to provide compassionate, personalized care to all - especially to those most in need.

Benefits

  1. Paid time off (PTO)
  2. Various health insurance options & wellness plans
  3. Retirement benefits including employer match plans
  4. Long-term & short-term disability
  5. Employee assistance programs (EAP)
  6. Parental leave & adoption assistance
  7. Tuition reimbursement
  8. Ways to give back to your community

Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics.

Responsibilities

The Associate Vice President, Revenue Integrity, Middle Cycle will oversee and drive operations of the mid-revenue cycle for the organization.

Responsibilities:

  1. Supports the development and implementation of new policies, workflows, goals, and processes/projects that affect revenue. Coordinates communication with Information Technology (IT) to ensure appropriate systems, enhancements, and tools are utilized to effectively manage Middle Revenue Cycle Operations. Ensures projects and initiatives at all levels of the Middle Revenue Cycle are completed timely and thoroughly.
  2. Monitors performance goal metrics that relate to revenue capture, facility & professional Coding, & administrative Health Information Management functions, including Coding, release of information, chart completion, & deficiency management. Maintains an appropriate accountability infrastructure to hold team members accountable to KPIs and initiative targets.
  3. Meets regularly with clinical peers and other revenue producing departments to assure appropriate synchronization between clinical activity, revenue capture, and clinical documentation.
  4. Builds and supports effective relationships with internal and external stakeholders and organizations.
  5. Evaluates services provided by external vendors to ensure best pricing and effective results related to external vendors, tools, software etc.
  6. Monitors vendor performance and provides needed resolutions. Leads and coordinates with other departments the enterprise-wide strategic pricing analysis to support contract negotiations for all managed care payer contracting initiatives.
  7. Ensures compliance with federal and state laws pertaining to the revenue capture and reimbursement.
  8. Develops and supports internal controls to ensure that assets are safeguarded.
  9. Oversees revenue optimization identification and education departments with respect to the use and maintenance of the Charge Description Master (CDM) and charging philosophy.
  10. Works collaboratively with the revenue-producing department leadership and clinical care sites to ensure all charges are being documented, captured, and reconciled.

Requirements

Education:

  1. Associate's degree/Bachelor's degree with 7 years of applicable cumulative job-specific experience required, with 4 of those years being in leadership/management.
  2. A bachelor's degree in health care administration, finance, health information management, business or clinical degree (RN, pharmacist), or related field is preferred.
  3. A Master's level degree is preferred.
  4. Ten (10) years of progressive responsibility in healthcare with at least Four (4) years of increasing management-level responsibility for multispecialty departments and multiple locations managing complex revenue cycle operations is preferred. (Master's Degree could satisfy 2 years of experience requirement).
  5. Highly prefer prior coding (HIM or Pro fee/Physician coding) and Charge Capture knowledge.

Why Join Our Team

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) ( ) poster or EEO Know Your Rights (Spanish) ( ) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice ( )

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

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