VP Revenue Cycle

Overview:
Qualifications: Education
Bachelor's Degree Required

Experience
10 years Multi Hospital Revenue Cycle Leadership Required

Responsibilities: Job Summary
The Vice President of Revenue Cycle is responsible for supervising Network Hospital and Physician Billing services, processes and technology that support multiple locations and all payers. Develops and manages policies and procedures to optimize all facets of revenue cycle operations.

Develops the vision and strategies to ensure best in class, compliant, revenue cycle results are achieved. Interacts with clinical and business leaders across the organization to ensure optimal financial and patient experience results. Serves as the revenue cycle executive for applicable financial system transitions and merger and acquisition activity.

Plays a key role in education, development and monitoring of Corporate Compliance policies and procedures. Organizes and leads intra-departmental efforts to maximize operational efficiency, optimize reimbursement and achieve the highest levels of customer service. Develops and presents policies throughout the HonorHealth System.

• Responsible for managing all operational activities of assigned departments and outside contractors which provide outsourced services such as third party coding agencies, collection agencies, AHCCCS eligibility, on-line eligibility, out-of-state Medicaid billing, coding audits, and legal services. Develops and implements departmental procedures to effectively process claims and pursue collections. Defines and implements long term strategies that allow the organization to sustain efficient and best practice payment and collection processes. Develops policies and procedures, and operational benchmarks for system-wide standardization for best practice standards in the implementation of storage, retention, maintenance and confidentiality of health records/information. Conducts information management planning to ensure compliance with state/federal and accrediting agencies. Establishes data collection procedures to ensure database/repository consistency throughout the system. Acts as system resource to all departments and physicians as it relates to state/federal and accrediting agencies medical record documentation. Also, recommends revisions to Medical Staff Rules and Regulations as appropriate. Negotiate, manage, and monitor outside contracts with vendors, as well as internal relationship with key divisions such as IT, Financial Services, Managed Care, and Compliance.
  
• Interacts with Information Systems to develop, evaluate and maintain information systems for registration, eligibility, authorization, electronic billings, corporate compliance and collections to maximize reimbursement, provide peak performance and reporting. Interacts with Information Systems to develop and enhance information systems for health information management, transcription, and coding needs. Analyzes and presents data and metrics regarding the revenue cycle. Monitors daily, weekly and monthly key performance indicator reports and identifies trends impacting performance for action.
  
• Serves as a resource to all levels of management throughout the system regarding recent enactments and contract requirements necessitating changes in the registration and billing process. Coordinates closely with the Managed Care Department to preview contract language prior to signing, providing recommendations and revisions as deemed necessary, in addition to implementing new contracts. Proposes, recommends and develops strategies for the Network to address changes in the payer community to maximize operational efficiency and reimbursement. Understands the payer and regulatory environment as it impacts revenue cycle functions and ensures compliance with all applicable third-party rules. Develops, implements and monitors procedures and policies in place to ensure compliance.
  
• Directs Clinical Documentation improvement to assess and improve the quality and specificity of clinical documentation by providers to facilitate coding and abstraction to appropriately reflect severity of illness and risk of mortality. In addition, provides leadership and physician education and consultation to improve accuracy of documentation within the patient record.
  
• Establishes and directs the system-wide consistency in coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement.
  
• Directs all transcription services and ensures that all established turnaround times are met monthly and continues to review new technology.
  
• Supports the Corporate Compliance efforts through investigation, policy/procedure development and monitoring.
  
• Develops the budget for the assigned departments, allocating funds within budget limits to accomplish departmental and system objectives and goals. Monitors variances against budget on an on-going basis.
  
• Sets clear goals for all applicable Revenue Cycle employees and works closely with the Chief Financial Officer and other finance leaders on process improvement initiatives.
  
• Manages personnel/subordinate directors, managers and supervisors. Plans, establishes and revises work assignments. Interviews, selects and recommends hiring of personnel. Initiates changes in classification, salary action, promotion, demotion, transfer and termination. Settles employee problems and administers appropriate discipline action.
  
• Performs other related duties as assigned or requested.

Facility: Support Services Department: Revenue Cycle Admin Work Hours: Monday-Friday 8am-5pm Shift: 01 - Days Position Type: Regular Full-Time