Senior Director, Revenue Cycle

2 days ago

San Diego CA United States Scripps Health Full time

At Scripps Health, you will experience the pride, support, and 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 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 ideal candidate will possess a deep knowledge of industry best practices in technology and workflow. 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. This position is responsible for the strategic direction of HIM across the health system centered on improved accuracy and efficiency.

Primary job duties include:
  1. Develops policies and procedures across the system for greater efficiency, reduced variation, and increased patient satisfaction.
  2. Promotes point-of-service (POS) tools, techniques, and measurements.
  3. Enhances centralized business office to reduce errors and facility costs.
  4. Serves as key participant in the design, implementation, and support of IS Core systems.
  5. Optimizes hospital patient revenue.
  6. Responsible for oversight and leadership of system hospital and professional fee coding and clinical documentation integrity (CDI).
  7. 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.
  8. Serves as a coding subject matter expert for the system, serving on an array of business operations and clinical committees.
  9. Accountable for active daily management of Discharged Not Billed (DNB) work queues to assure targets are consistently met.
  10. Assures appropriate staffing levels and adherence to fiscal targets.
  11. Develops and manages key coding and CDI performance indicators and metrics.
  12. Develops and oversees a comprehensive quality assurance and productivity program for coding and CDI staff.
  13. Collaborates with physician and operational leadership to optimize workflows and technology.
  14. Demonstrates in-depth working knowledge of ICD, CPT, MS-DRGs, and APR-DRGs code classifications/groupers with the ability to analyze and trend key metrics including CMI.
  15. 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.
  16. 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.
  17. Manages and provides oversight of the Clinical Documentation Integrity Program to ensure optimal documentation and program effectiveness.
  18. 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.
  19. Provides input to coding and medical record documentation guidelines to assure compatibility and compliance with all regulatory, third party, and organization policies.
  20. Provides input to the direction for the establishment and maintenance of documentation standards and policies and procedures related to coding and CDI activities.
  21. Oversees and manages coding denial management activities.
  22. Communicates clearly, proactively, and concisely with all key stakeholders.

This Director position is eligible to participate in the Director Incentive Plan.

Position is located in La Jolla and does require residence in San Diego.

#J-18808-Ljbffr

  • Senior Director, Revenue Cycle

    20 hours 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. 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...

  • Director Coding and Revenue Cycle

    17 hours ago

    Dixon, IL, United States Bileddo Associates Full time

    Senior Director of Coding and Revenue Cycle Centrally located in between the southwest Chicago Suburbs and the Quad Cities/Davenport Iowa Our client is an 80 bed, independent non-profit hospital.Recently our client received the Outstanding Patient Experience Award from HealthGrades, scoring in the top 5% of more than 3,700 U.S. hospitals surveyed. More...

  • Senior Director, Revenue Cycle

    20 hours ago

    San Diego, CA, United States Scripps Health Full time

    This is a full-time leadership position, eligible for Scripps Health annual Management Incentive Compensation Plan. This position is partial remote and located in San Diego and does require residence in San Diego. Join the Scripps Health team and work alongside passionate caregivers to provide patient-centered healthcare. Receive endless appreciation while...

  • Director of Revenue Cycle

    4 weeks ago

    Chicago, IL, United States J.Damichri Full time

    Our client located in Chicago, IL is seeking a Director of Revenue Cycle. this person will be responsible for the direction and leadership of operational, financial, programmatic and personnel activities for Revenue Cycle, including provider enrollment, claims, payments, credit balance, insurancereimbursement, and self-pay management. This includes...

  • Director of Revenue Cycle

    1 month ago

    Edgerton, WI, United States H&H Leadership Solutions Full time

    Interim Director of Revenue Cycle at Edgerton Hospital and Health Services in Edgerton, WIH&H Leadership Solutions invites you to explore the outstanding opportunity with Edgerton Hospital and Health Services. This Interim Director of Revenue Cycle will be for a contract term of 90-180 days. With a range of services - from emergency care to diagnostic...

  • Director Revenue Cycle

    4 weeks ago

    New Orleans, LA, United States St. Charles Surgical Hospital, LLC Full time

    Company DescriptionSt. Charles Surgical Hospital, LLC, located in New Orleans, LA, is the only hospital globally dedicated to Breast Reconstruction. The hospital focuses on providing healing in a patient and family-centered environment and offers advanced Breast Reconstructive Surgical Services.Role DescriptionThis is a full-time on-site role for a Director...

  • Revenue Cycle Management Director

    19 hours ago

    San Francisco, CA, United States Delta Dental of California Full time

    JOB DESCRIPTION At the Oral Health Innovation Center (OHIC), we are transforming the future of dental care through cutting-edge Digital Experiences and Dental Medical Integration (DMI). As the Revenue Cycle Management (RCM) Director, you will be responsible for developing and overseeing the strategic and operational aspects of the organization's revenue...

  • Director Revenue Cycle

    17 hours ago

    , WA, United States ASP Team Full time

    Nestled in the beautiful Puget Sound the 110-bed for-profit hospital seeks a leader to make a significant impact into their organization. As the Director of Revenue Cycle, you will lead a season team. The facility has excellent tenured leadership and award-winning service lines. Here is just a few of your responsibilities that you will enhance,...

  • Director of Revenue Cycle

    18 hours ago

    Portland, OR, United States RPMGlobal Full time

    JOB TITLE: Director of Revenue Cycle SUPERVISOR: CFO HOURS PER WEEK: 40hrs (M-F)/Exempt DEPARTMENT: Revenue Cycle PRIMARY FUNCTION: Responsible for directing, coordinating, and monitoring of Revenue Cycle functions, including: EMR analysis, insurance, referrals, coding, patient account/collections, scheduling and registration. DUTIES AND...

  • Director, Revenue Cycle Management

    2 days ago

    Lafayette, LA, United States Core Clinical Partners Full time

    Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery. ...

  • Director of Revenue Cycle Management

    4 weeks ago

    Charlotte, NC, United States Kare Partners Full time

    Role: Director of Revenue Cycle Management (RCM)Overview: Kare Partners is seeking a highly experienced and strategic Director of Revenue Cycle Management (RCM) to lead and optimize the company’s revenue cycle operations. This individual will be responsible for overseeing all aspects of RCM, ensuring efficient processes, and driving revenue growth....

  • Director of Revenue Cycle

    4 weeks ago

    Fort Myers, FL, United States Orthopedic Specialists of SW Florida Full time

    Join Orthopedic Specialists of SW Florida as Director of Revenue Cycle Operations, where you will play a crucial role in overseeing and optimizing the operational aspects of our Billing Department. With a focus on the oversight of the revenue cycle to maximize revenue utilizing the most innovative and effective processes  About OSSWF:Orthopedic Specialists...

  • Financial Revenue Cycle Executive Director

    2 days ago

    Arlington, TX, United States Clinical Management Consultants Full time

    An accomplished and well-regarded healthcare system and Hospital in the Dallas Fort Worth Area is actively interviewing candidates for a Financial Revenue Cycle Executive Director opportunity. Join this established non-profit healthcare system’s business and revenue team, and help support world-class patient treatment. This trusted community hospital...

  • Director of Revenue Cycle

    4 weeks ago

    Beverly Hills, CA, United States Beverly Hills Cancer Center Full time

    Beverly Hills Cancer Center is currently seeking an experienced, full-time Director of Revenue Cycle. This position is responsible for overseeing the planning, organization and coordination of daily revenue cycle operations to ensure effective processes for charge capture, claims processing, and overall revenue collections and payment functions for all...

  • Director Revenue Cycle

    4 weeks ago

    Wichita Falls, TX, United States Nearterm Corporation Full time

    Are You A Proven Director of Revnue Cycle with Hospital and Critical Access ExperienceCompany Offer Support, Creativity and Great BenefitsScope:Mentor & Develop StaffImprove Billing & Collections ProcessesImprove on Cash Collections & PostingPut Policies and Procedures in PlaceMust be results drivenDegree & Skills:5 years plus proven Revenue Cycle Leadership...

  • Revenue Cycle Management Director

    20 hours ago

    Hampshire, IL, United States Delta Dental Full time

    At the Oral Health Innovation Center (OHIC), we are transforming the future of dental care through cutting-edge Digital Experiences and Dental Medical Integration (DMI). As the Revenue Cycle Management (RCM) Director, you will be responsible for developing and overseeing the strategic and operational aspects of the organization’s revenue cycle. In this...

  • Assistant Director, Revenue Cycle Optimization

    4 weeks ago

    San Antonio, TX, United States MPOWERHealth Full time

    For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology. We pride ourselves on being a partner that offers foresight to customers. We simplify what’s complex, and we help them find a better way. Our best-in-class analytics coupled with...

  • Revenue Cycle Manager

    4 weeks ago

    San Antonio, TX, United States Nearterm Corporation Full time

    Are you an experienced healthcare revenue cycle leader that is ready to make a huge impact and put your stamp on the revenue cycle department? Are you an expert at bringing revenue cycle inhouse from an outsourced billing company? Do you thrive in a patient centric culture that provides long term stability to staff? Do you thrive working on-site? Do you like...

  • Revenue Cycle Transition Manager

    3 weeks ago

    Troy, NY, United States Collabera Full time

    Industry: Healthcare You can get further details about the nature of this opening, and what is expected from applicants, by reading the below. Title: Revenue Cycle Transition Manager Location: Troy, MI 48083 (Hybrid) Rates: $40/hr. - $42/hr. without benefits. Duration: 2+ Months (Direct Placement based on the performance and attendance) Position:...

  • Senior Revenue Cycle Consultant

    18 hours ago

    Washington, DC, United States Intellect Solutions LLC Full time

    Job Description: Summary: As a Senior Revenue Cycle Consultant, you will provide services to assist our Defense Health Agency (DHA) client in managing revenue cycle operations. This includes reviewing and analyzing data, identifying process improvement opportunities, developing recommendations, and supporting congressional inquiries to enhance efficiency...