Associate Director, Compliance, Revenue Integrity

🕒 Outubro 16

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $138.299 - $239.262 / ano

⏰ Tempo Integral

🟠 Sênior

🚔 Conformidade

👻 Score fantasma 1%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 25 dias.
• As vagas desta empresa costumam ser preenchidas em 61 dias.

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Cedars-Sinai

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

💊 Farmacêutico

Healthcare • Pharmaceuticals

Desde seu início em 1902, o Cedars-Sinai evoluiu para atender às necessidades de saúde de uma das regiões mais diversas do país, estabelecendo continuamente novos padrões de qualidade e inovação no atendimento ao paciente, pesquisa, ensino e serviço comunitário.

Descrição

• Ensure the integrity of revenues captured and billed across all health system entities • Review and assure accurate charging and strategic price setting • Use denial avoidance techniques and oversee compliant revenue management practices • Research regulatory documentation to ensure revenue integrity compliance • Maintain staff compliance with Cedars-Sinai policies, procedures, and protocols • Monitor productivity and quality goals and benchmarks • Coordinate subject matter expertise across responsibilities and liaise between Revenue Cycle, Finance, and clinical departments • Plan, organize, and implement process and business improvements for strategic initiatives • Collaborate with inter-departmental teams to implement cohesive change • Develop, maintain, and enhance the CDM in compliance with policy and the annual compliance plan • Establish denial avoidance feedback loops and improve operational processes to enhance revenue capture • Participate in or lead workgroups and committees for revenue optimization and denial mitigation • Recommend improvements and initiatives supporting optimal revenue capture • Review charge-master services and codes, charge capture, and compliance audits to ensure compliant charging practices

🎯 Requisitos

• Bachelor's degree in business administration, health or a related major required • Minimum of 5 years of progressive healthcare experience required • EPIC Certifications in HB and PB preferred • Coding or Compliance Certificate (AHIMA, AAPC, HCCA) preferred • Knowledge of healthcare Revenue Cycle trends and regulatory issues • Understanding of state and federal laws, accreditation, professional and regulatory agency standards, and licensure requirements • Knowledge of compliant charging practices, charge-master services and codes, charge capture, and compliance audits

🏖️ Benefícios

• Health care • Paid time off • 403(b) • Health and dental insurance • Vacation • Dynamic, inclusive work environment • Employee engagement-focused workplace

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