VP, Middle Revenue Cycle

🕒 Agosto 27

🤠 Texas – Remoto

🤠 Texas – Remote

⏰ Tempo Integral

🔴 Especialista

👔 Vice-presidente

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Memorial Hermann Health System

SiteLinkedInTodas as Vagas

10.000+ funcionários

⚕️ Seguro de Saúde

🏥 Saúde

🧘 Bem-estar

💰 $5.000.000 Grant em 2022-08

Healthcare Insurance • Healthcare • Wellness

O Memorial Hermann Health System é uma organização de saúde abrangente que oferece uma ampla gama de serviços médicos, incluindo cuidados oncológicos, serviços cardiovasculares, atendimento de emergência e trauma, saúde da mulher e serviços cirúrgicos. Com a maior rede de centros de emergência da Grande Houston, a organização se concentra em fornecer programas avançados de saúde e bem-estar adaptados às necessidades individuais. O Memorial Hermann está comprometido em promover a equidade na saúde e melhorar a saúde da comunidade por meio de suas diversas instalações e serviços médicos.

Descrição

• Establish and execute the enterprise middle revenue cycle strategy across HIM, CDI, HB/PB coding, CDM, charge capture, and revenue integrity • Design and lead a standardized operating model across hospitals and employed physician groups • Provide executive oversight of enterprise CDI and partner with physician leadership to improve documentation quality and compliant severity capture • Set strategy and oversight for inpatient, outpatient, and professional coding operations, competency frameworks, quality auditing, and vendor performance • Own DNFB and CFB drivers associated with documentation, coding, and charge capture; improve throughput and minimize backlogs • Optimize quality measurement, quality reporting, payment, and ratings programs • Lead enterprise revenue integrity and charge capture strategy to prevent leakage and strengthen pre-bill controls • Oversee CDM governance and pricing strategy in partnership with Managed Care, Revenue Integrity, and Finance • Partner with Patient Financial Services and denials teams to reduce preventable denials through upstream interventions • Support payer contracting governance with middle revenue cycle expertise • Ensure audit readiness, regulatory compliance, audit responses, corrective action plans, and monitoring processes • Develop KPI dashboards and executive reporting covering coding, CDI, CMI, charge capture, claim quality, and denials • Lead EHR, CAC/encoder, workflow automation, reporting, and analytics optimization • Ensure consistent operating models across academic medical centers, community hospitals, and employed physician groups • Build, mentor, and retain high-performing HIM, CDI, coding, and revenue integrity teams • Facilitate automation adoption to improve efficiency, effectiveness, and accuracy • Manage budgets, staffing plans, vendors, and ROI for initiatives and technology investments • Adhere to Memorial Hermann policies, procedures, safety standards, budget, productivity, and quality expectations • Promote professional growth, continuing education, mentorship, and department goals • Create compassionate, personalized, safe, and efficient experiences for patients and the workforce • Perform other duties as assigned

🎯 Requisitos

• Bachelor’s degree in Business Administration, Finance, Accounting, Healthcare Administration, Health Information Management, or related field, or equivalent combination of education and experience, required • Master’s degree (MBA, MHA, MPH, MS-HIM, or related) preferred • Professional credentials such as RHIA, RHIT, CCS, CCS-P, CPC, CRC, CDIP, CCDS, or RN, or demonstrable experience overseeing mid-cycle operations including HIM, Coding, CDI, and Revenue Integrity • Experience with enterprise EHR and revenue cycle platforms such as Epic • Experience with coding, encoder, and CAC technologies • Lean/Six Sigma or comparable process improvement training and application in complex operations • Deep understanding of middle revenue cycle interdependencies • Strong working knowledge of inpatient and outpatient reimbursement and coding rules, including ICD-10-CM/PCS, CPT/HCPCS, MS-DRG/APC concepts, NCCI edits, modifier usage, and medical necessity documentation • Ability to create enterprise governance, standardize workflows, and establish performance accountability in a matrixed environment • Proven change leadership in workflow redesign, operational transformation, and technology enablement • Progressive leadership experience in middle revenue cycle functions within a complex healthcare delivery system • Knowledge of federal and state regulations and payer requirements affecting documentation, coding, billing, and reimbursement • Knowledge of quality and payment-related program measurement, reporting, and public ratings systems • Ability to lead multi-site teams and drive measurable transformation • Data-driven performance management skills, including defining KPIs, building dashboards, and translating trends into action plans • Strong communication and influence skills with physicians, clinical leaders, finance, compliance, and operational stakeholders • Experience leading internal and external audits, corrective action plans, and compliance monitoring • People leadership capabilities including talent development, succession planning, and building high-performing multi-site teams • Ability to travel across the enterprise and different hospital sites as needed

🏖️ Benefícios

• Professional growth and development opportunities • Mandatory/continuing education and skills competency support • Mentorship and preceptor opportunities • Safe, caring, personalized, and efficient workplace experiences • Budgetary, supply management, productivity, and quality-of-service support