Director of Revenue Integrity

Job Description:

The Director, Revenue Cycle Organization is responsible for directing and overseeing the assigned area of the Revenue Cycle Function within the Revenue Cycle Organization. This leader is responsible for developing a high-performance team in a centralized business office. The Director leads the management team in planning, program development, human resource management, budget planning, customer satisfaction, patient safety, communication and compliance with regulatory agencies.



Essential Functions

• Translates organization strategy into goals, action plans and metrics for the assigned department(s).
• Leads and mentors a team of revenue cycle professionals, providing guidance, support, and professional development opportunities.
• Develops best practices to drive greater performance and productivity for the assigned team, Identify and implement process improvements to enhance revenue cycle efficiency, reduce errors, and optimize cash flow.
• Actively manages vendor relationships by monitoring costs and utilization of any vendor relationships assigned to the department.
• Develop and monitor key performance indicators (KPIs) to track the effectiveness of revenue cycle operations and identify areas for improvement.
• Oversees service needs and volumes. Directs management team in managing staff levels and productivity. Provides communication to management team and department caregivers through huddles, staff meetings and other forms of communication to relay updates regarding department updates, organizational activities, financial performance, educational opportunities, interdepartmental activities and QI activities. 
• Collaborates with HR concerning employee issues and performance.  In partnership with HR - conducts employee coaching, counselling, and disciplinary action when appropriate.  Ensures caregiver adherence to departmental policies and procedures.
• Prepares the operational budgets. Monitors and reports the performance of the department against budget. Develops annual operating plans, business plans for new services and changes in the organizational structure in the department.
• Identifies and drives quality and performance improvement initiatives. Leads the team to establish mechanisms to design, measure, maintain, and improve the performance and quality of department services. 
• Ensures compliance with applicable regulatory guidelines and established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards. 

Skills

• Leadership
• Team Building
• Communication
• Critical Thinking
• Problem Solving
• Data Analytics
• Budgeting
• Revenue Cycle Operations
• Patient Financial Systems
• Medical Billing Regulations

Minimum Qualifications

• Demonstrated progressive management experience within a healthcare revenue cycle function. 
• Demonstrated ability to manage assigned department functions effectively with overall accountability for department outcomes.
• Demonstrated leadership abilities in a team environment and able to work collaboratively with others.
• Experience in a role requiring self-directed outcomes with the ability to work with limited direct supervision.
• Experience in a role requiring demonstrated attention to detail with excellent organizational and analytical skills. Flexible and adaptable to change.
• Demonstrated excellent communication skills (both written and oral) with the ability to communicate with all levels of the organization.
• Working knowledge of patient accounting systems as well as back-end and front-end revenue cycle functions and processes required

Preferred Qualifications

• Bachelor's degree in accounting healthcare administration, finance or related field from an accredited institution.  Education will be verified. 
• Eight years of progressive management or consulting experience is a healthcare environment. 
• Five years of direct management experience of people and projects.
• Three years managing the assigned department function in a large health system operating on the Epic platform.
• Advanced certification preferred (e.g. CCS, CCA, COC, RHIT, RHIA)
• Certified Revenue Cycle Representative (HFMA)
• Certification in Healthcare Revenue Integrity (CHRI)
• HFMA CRCR and/or CHFP Certifications
• Epic Certification(s)

Physical Requirements:

Physical Requirements

• Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors who require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.

With this position, you are eligible to participate in the Annual Pay for Performance (AP4P) Plan. This plan enables Intermountain Health to provide leaders with an additional performance compensation opportunity. The AP4P award opportunities are calculated as a percentage of your base salary. Awards are paid out based on attainment of selected Board-approved goals.

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$67.41 - $104.06

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.