Director of Revenue Integrity

🕒 Outubro 30

🐊 Florida – Remoto

🐊 Florida – Remote

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

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Cancer Center of South Florida

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2016

🏥 Saúde

Healthcare

O Cancer Center of South Florida é uma clínica oncológica regional, em parceria com o TGH Cancer Institute do Tampa General Hospital, que oferece atendimento especializado em câncer em todo o condado de Palm Beach e na região de Tampa. Fundado em 2008 e aliado ao TGH desde 2020, o CCSF conta com unidades de infusão e clínicas, oferecendo serviços de oncologia clínica e cirúrgica, quimioterapia, imunoterapia, radioterapia, terapias-alvo e genéticas, navegação do paciente por enfermeiros e acesso a clinical trials. A organização reúne mais de 60 médicos, profissionais de prática avançada, enfermeiros, navegadores e profissionais de farmácia. Também destaca duas unidades no condado de Palm Beach e uma em Hillsborough (Tampa), além de um portal do paciente (MYCHART) para acesso ao prontuário médico.

Descrição

• Lead revenue integrity across the TGH Cancer Institute, including charge capture, reconciliation, and coding processes • Establish and oversee workflows to identify and resolve missing, incorrect, duplicate, or delayed charges before claims are submitted • Oversee coding quality and timeliness and partner with providers and clinical leaders to improve documentation supporting accurate, compliant billing • Analyze charge, coding, billing, and denial data; identify root causes and lead changes that prevent recurring errors and denials • Partner with Revenue Cycle, Clinical Operations, Patient Access, Compliance, IT, and Epic teams to define business requirements, test changes, and confirm workflow and system updates • Establish performance measures for charge capture, reconciliation, coding accuracy, clean claims, and preventable denials; report findings and recommended actions to leadership • Lead and develop assigned revenue integrity and coding staff, including setting expectations, evaluating performance, and addressing gaps • Ensure revenue integrity practices align with applicable billing regulations, payer requirements, and organizational policies

🎯 Requisitos

• Bachelor's degree in Healthcare Administration, Finance, Business, Health Information Management, or a related field • Minimum of 7 years of experience in revenue integrity with progressive experience in a complex healthcare system • A minimum of 3 years in a leadership role • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Revenue Cycle Representative (CRCR), or comparable certification • Knowledge of professional billing, coding, charge capture, and revenue cycle processes • Ability to analyze charge, billing, and denial data and identify the root causes of revenue leakage • Ability to lead initiatives involving access, clinical, operational, IT, and Revenue Cycle teams • Experience with Epic Resolute to include HB/PB billing workflows, charge router, charge reconciliation, charge review

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