KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to work independently with little supervision and seek guidance as needed to clarify assignments or request for information.
Excellent communication, customer service and time-management skills
Strong team-building and development skills
Possess basic business skills, an understanding of general compliance operations and department goals in the healthcare environment.
Proficient with various desktop applications such as Microsoft Excel, Word, PowerPoint and/or Access.
Intermediate knowledge of relational database management systems
Must be a team player - Always willing to help in whatever way possible and go the extra mile to get the job done.
Intuitive and skilled at problem solving in anticipation of team member and client request
Have the ability to make logical correlations between data points to determine if analysis is accurate
Detail oriented, meticulous and accurate in completing tasks on time
Revenue Cycle Compliance Director Specifics:
Monitors, analyzes, interprets, and communicates regulatory changes related to coding, billing, and collections. Leads and oversees efforts to respond to new or changing regulations, including but not limited to communicating regulations to leadership and affected departments, assembling and chairing work teams.
Ensures compliance with existing rules, new rules, regulations and revisions, as set forth by the Center for Medicare and Medicaid Services (CMS), as well as other federal and state laws and regulations that govern matters related to hospital and physician revenue cycle.
Oversees the follow-up to ensure timely repayment is made for all identified overpayments received from government agencies and patient.
Oversees the development and implementation of compliance policies and procedures related to the organization's hospital and physician revenue cycle.
Reduces organization risk by identifying risks related to hospital and physician revenue cycle and manage annual work plan to address identified risks.
Contribute to the annual compliance monitoring plan and oversee the components related to hospital and physican revenue cycle activities.
EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job.
Masters Degree in Business, Information Systems, Health Care Administration; Juris Doctorate or related field or equivalent years of related Manager experience required.
Minimum of five (5) years experience in related area with two of theseyears being healthcare management or healthcare compliance.
Variety of billing and/or coding certifications will be considered and are preferred
Certified Healthcare Compliance (CHC) is preferred
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in sitting position, use computer and answer telephone
Ability to Travel
Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
Conifer Health Solutions
Tenet Healthcare Corporation