$200K - $250K(Ladders Estimates)
UW Medicine is comprised of UW Medical Center (UWMC), Harborview Medical Center (HMC), Northwest Medical Center (NWH), Valley Medical Center (VMC), Airlift Northwest, UW School of Medicine (SOM), UW Physicians (UWP), and UW Neighborhood Clinics (UWNC). Our people are the most important asset in our pursuit of achieving excellence in education, research, and improving the health of the public. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, and natural beauty
The Senior Director of Revenue Integrity is a key member of the UW Medicine Enterprise Revenue Cycle (ERC) team. This role reports to the Administrator, Enterprise Revenue Cycle/Assistant Vice President of Medical Affairs. ERC is accountable for Revenue Cycle functions at UWMC, HMC, NWH, and close collaboration with UWP. The UW Medicine Revenue Integrity Department develops and coordinates operations and programs that oversee a wide range of revenue capture and integrity areas.
The primary purpose of this role is to oversee Revenue Integrity teams with the goal to enhance effectiveness of patient net revenue realization and minimize revenue leakage across the system. This involves complete capture of patient revenue in every area that generates charges, ERH management in relation to charging mechanisms and triggers, ensuring clean handoffs between ERC and clinical departments, Strategic Pricing, denials management, and clinical operations relations.
Regulatory and Compliance Analysis and Education
CDM and Charge Capture
Supervision, oversight, and direction to Directors, extended team, special projects analysts, and consultants as necessary to support Revenue Integrity functions
Bachelor's Degree in Business, Finance Healthcare, or a related field AND ten (10) years of leadershipexperience in a complex academic, research, healthcare or governmental setting, or an equivalent combination of education and work experience.
Demonstrated working knowledge of all processes surrounding Revenue Cycle Operations in a healthcare environment, including both hospital and physician settings.
Demonstrated proficiency with APC/APG reimbursement, CMS rules and regulations, coding, billing, and compliance.
Proficiency with financial, billing and reimbursement data & analytics.
Excellent communication and interpersonal skills, both verbally and in writing, with employees, medical staff, board members and external parties; strong presentation skills.
An equivalent combination of education and experience may substitute for stated requirements.
Advanced degree in business, finance or a healthcare related field (strongly preferred).
Registered Nurse (RN), Registered Health Information Administrator (RHIA), Registered, Health Information Technician (RHIT), Certified Coding Specialist (CCS) and/or Certified Professional Coder (CPC).
Experience with CDM/Charge Capture management in hospital setting or consulting role.
A skilled communicator with an ability to create a collaborative work environment with multiple stakeholders across non-co-located entities is highly preferred.
Valid Through: 2019-11-1