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Empowering the Hands that Heal

Senior Director, Revenue Integrity Charge Description Master

Louisville, Kentucky

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Overview

ScionHealth strives to provide quality-driven, patient-centered acute and post-acute hospital solutions. The health system is focused on driving innovation, serving its communities, and investing in people and technology to deliver compassionate patient care and excellent health outcomes. Based in Louisville, ScionHealth operates 79 hospital campuses in 25 states – 61 long-term acute care hospitals and 18 community hospital campuses and associated health systems.

Success Profile

What do you need to be successful at ScionHealth? Here are the top traits we’re looking for:

  • Communicator
  • Creative
  • Deadline-oriented
  • Goal-oriented
  • Problem-solver
  • Strategic

Our Culture

  • Driven by quality: We believe that if we focus on delivering quality care, exceeding expectations related to customer service and supporting our people, our business results will follow.
  • We equip our hospitals and our people with the resources, technology and expertise they need to deliver the best possible care to patients.
  • We’re always looking to find better ways to support caregivers by improving what we do, sharing best practices, and responding to the changing needs of our people and the patients they serve.
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Quote

“ScionHealth allows leaders to inspire the organization to take responsibility for creating a better future.”

Jarrell King Talent Acquisition
Jarrell King, Talent Acquisition

Senior Director, Revenue Integrity Charge Description Master

Louisville, Kentucky
Facility ScionHealth Corporate Support Center
Req ID 509575 Post Date 05/21/2024 Category Accounting and Finance
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Description

ScionHealth is recruiting for a Senior Director, Revenue Integrity Charge Description Master to join our Revenue Cycle team!

Job Summary

The Senior Director, Revenue Integrity Change Description Master shares in the Revenue Cycle creation of strategic direction for people, processes and technology while ensuring the accuracy of the charge description master and resources or technology to protect revenue and create revenue accuracy.Responsible for reviewing, identifying, and analyzing necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes by established timelines.

Accountable for development of work teams which demonstrate timeliness and accuracy of charge description master.Ensure key performance targets and timelines are achieved.

Accountable for meeting the department goals and objectives including auditing, strategizing, and maintain performance accountability throughout the department.Delegates authority and responsibility where appropriate and monitor progress on delegated tasks.Provide opportunities for co-worker empowerment and growth.

This position provides leadership, direction, decision-making, and supports management and staff in best practice day to day revenue cycle functions relating to charge description master and revenue integrity. Must develop consistent policies and procedures which overlap with internal and external relationships such as information technology, legal, compliance, and internal audit.

Position may require travel to other markets.

Essential Functions

  • Establishing goals by using industry benchmarks to stimulate best practice performance. Meets regularly with market leadership and to ensure department operations are working in accord to resolve any performance barriers.
  • Analyzes changes to coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars, and publications.Executes work plans to adapt systems and processes to accommodate changes.
  • Clear understanding of financial objectives which includes forecasting, preparation of operating budget, monitoring expenditures, and understanding any variances while making recommendations and taking steps for corrective measures.
  • Improves results by reviewing, evaluating processes, and analyzing results while implementing positive change management exercises. Constantly looking to seek opportunities for process improvement through technology for driving the business as well as through patient experience.
  • Ensures that departments maintain current and in-depth knowledge of policies, procedures, and laws relating to CPT adds changes and deletions.Also, responsible for implementing revenue protection measures as well as revenue recording accuracies.
  • Processing CDM requests received from the clinical departments, or others, researching references and regulations to ensure correct coding and charging through the CDM.Assigns charge codes as requested by revenue producing clinical departments and practices, working within system wide policies and procedures with direction from Revenue Integrity Liaisons.
  • Works with Revenue Integrity Liaisons and clinical departments and practices creating new CDM items and pricing for new services and items.
  • Provides mentoring, guidance, and expertise to CDM Coordinator role and assists in development of individuals in all CDM efforts.
  • Ability to function independently and as a collaborator in a challenging environment required.

Qualifications

Education

  • Bachelor's degree preferred in one of the following fields, Business Administration, Finance, or a related field. Alternatively, equivalent experience and education. 

License/Certification

  • Preferred:CPC, CPC-H, CCS, CCSP, PMP

Experience

  • Three (3) prior years’ experience as CDM Coordinator or equivalent related experience.

Knowledge/Skills/Abilities

  • Strong knowledge in the day-to-day operations of a physician business office.
  • Prior work experience must include a significant role in a redesign project and/or management experience working in an automated environment.
  • In-depth knowledge of and experience with reporting and projects associated with revenue cycle management and reimbursement procedures.

Position may be filled at a different level depending upon candidate’s qualifications.

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Benefits

  • Career Development

    We support growth and development for all our employees through various means and in programs designed to foster inclusion.

  • Healthcare

    Your health is important to us. We offer a comprehensive benefits program and resources to support healthy lifestyles for you and your family.

  • Retirement Plan

    Employees can contribute to their retirement with plans that allow for pre-tax or after-tax contributions through payroll deductions.

  • Paid Time Off

    With paid holidays and unlimited PTO, you are encouraged to take the time you need to relax and recharge with family and friends.

  • Work-Life Balance

    Work-life balance is not just a perk, it is encouraged. We believe that our employees work their best when they’re allowed to be their best selves in and out of the office.

  • Miscellaneous Benefits

    Whether you’re looking for pet insurance, identity theft protection, or select discounts from hundreds of local and national merchants, we have a variety of benefits that help provide peace of mind.

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  • Accounting and Finance, Louisville, Kentucky, United StatesRemove
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