Interim Director of Revenue Integrity (Consulting)

Southfield, MI | $175K | Job ID: 57264

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Job Description

Interim Director of Revenue Integrity (Consulting)

 

LaSalle Network is partnered up with a Revenue Cycle Management Consulting Firm that partners with healthcare systems nationwide to deliver project-based expertise around the Revenue Cycle. They are currently searching for an Interim Director of Revenue Integrity who will be working side-by-side with various client hospitals to implement revenue cycle solutions.

 

This role will manage and maintain existing operations while working side-by-side with hospital’s revenue cycle team to assess current state and driving forward initiatives to achieve improved outcomes and better operating practices for the client. This position will require traveling to a client site four days a week and occasionally to our corporate headquarters. Location of the client site varies, so candidates must be flexible with travel.

 

Interim Director of Revenue Integrity Responsibilities:

  • Serve as Liaison with Payer Strategies, Patient Business Services, HIM, and Patient Access
  • Manage existing staff members – drive accountability, improve productivity, and closely monitor metrics
  • Coordinate with Physician Advisors, Case Management, and other Department Leadership for denials resolution Maintain Chargemaster
  • Supervision and coordination of Chargemaster management functions
  • Maintain current worklist levels by resolving Revenue Integrity Errors
  • Provide recommendations and take implementation steps following assessment on CDM maintenance, charge audit function, team staffing and responsibilities, charge reconciliation, HIS edits, and all other Revenue Integrity related functions
  • Develop workplans, project tasks, and manage project to provide comprehensive assessment of Revenue Integrity function relating to structure, processes, policies
  • Maintain chargemaster with timely response and organized approach to executing ad-hoc change requests and recurring (quarterly/annually) updates
  • Collaborate with client revenue cycle team and other departments to facilitate resolution of immediate process issues and implement solutions
  • Performs all related duties or special projects as assigned/required
  • Monitor and ensure proper revenue generation across clinical departments
  • Maintain compliance with all government and third-party payor requirements
  • Work with external departments to perform applicable analyses Perform Assessment of Current State and Address Areas for Improvement
  • Provide Decision Support and Analytics as necessary to support Finance/Revenue Cycle teams
  • Develop sustainable process to reconcile all PB/HB charges with increased clinical department engagement and accountability
  • Create and lead charge champion meetings to increase charge integrity accountability to the clinical departments
  • Document and communicate changes/improvements in client stakeholder meetings Support Transition and Department Hand-Off
  • Support sourcing/onboarding of new Revenue Integrity department leader following engagement and successfully transition department new leader
  • Development of all necessary materials hand-off materials (including assessment/plan above) to ensure sustainable results

 

Interim Director of Revenue Integrity Requirements:

  • 10+ years project management and preferably recent PM experience in Meditech, HealthQuest or Epic based projects
  • 10+ years’ experience in hospital revenue cycle environment
  • 5-7+ years consulting in a healthcare management related field
  • Experience in an Epic, Meditech and/or HealthQuest EHR based project/environment is preferred Creation of Clinical Charge Champion Structure and Charge Reconciliation Processes
  • Bachelor’s degree required
  • Coding certification (e.g. RHIT, CCS) preferred, but not required; deep familiarity with AMA guidelines for chargemaster maintenance necessary
  • Epic expertise within revenue cycle applications (Resolute HB experience/certification preferred), including subject matter expertise with EAP record maintenance and charging/charge reconciliation best practices within Epic
  • Solid understanding of revenue cycle workflow in the hospital environment (registration, scheduling, coding, billing, contracting)
  • A high degree of self-motivation, versatility and flexibility
  • In-depth knowledge of the complete healthcare revenue cycle
  • Ability to work closely with groups outside of your organization/control
  • Excellent presentation skills
  • Strong attention to detail and follow-through skills
  • Critical thinking and problem-solving skills

 

If you are qualified and interested in the Interim Director of Revenue Integrity position, please apply today!

 

Thanks,

 

Jerad Clifford

Senior Unit Manager, Healthcare Revenue Cycle

LaSalle Network

630-472-1700

 

Keywords: Revenue Integrity, EPIC, Meditech, HealthQuest, RHIT, CCS, Consulting, Consultant, Director, PB, HB, Charges, ChargeMaster, CDM, HIM, Patient Access, Payer Strategies, Patient Business Services, Leadership, Revenue Cycle, Healthcare, Healthcare Management, Charge Capture,

 

LaSalle Network is an Equal Opportunity Employer m/f/d/v. LaSalle Network is Chicago's leading provider of professional staffing and recruiting services. LaSalle has worked with 10,000 companies, ranging from Fortune 500s to start ups. Specializing in administrative, accounting and finance, marketing, executive search, technology, supply chain, healthcare revenue cycle, call center, and human resources, LaSalle serves companies of all sizes and across all industries.