Director, Transformation Services – Revenue Integrity

🕒 il y a 1 mois

🏖️ New Jersey – Distant

🏖️ New Jersey – Remote

⏰ Temps Plein

🔴 Expert

👔 Directeur

👻 Score fantôme 24%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Med-Metrix

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2010

🏥 Santé

☁️ SaaS

💰 Private equity en 2025-09

Healthcare • SaaS

Med-Metrix est une entreprise pour laquelle seule une présence web minimale a été fournie (la page affichait uniquement « Chargement de l'application... Votre navigateur web doit avoir le JavaScript activé... »). Aucun détail sur le produit, le marché ou la mission n'était inclus dans le texte fourni. En se basant uniquement sur le nom de l'entreprise, il est plausible qu'elle se concentre sur les métriques médicales ou cliniques, l'analyse ou les logiciels de santé, mais cela reste spéculatif et non confirmé par les informations fournies. Des détails publics supplémentaires seraient nécessaires pour être plus précis.

Description

• Lead and drive Revenue Integrity revenue cycle transformation initiatives for clients • Manage project plans, deadlines, and on-time deliverables • Prepare reports, presentations, and documentation to monitor and communicate initiative effectiveness • Improve tracking tools and develop KPIs and metrics to identify operational performance improvement opportunities • Serve as a Revenue Integrity subject matter expert for clients and team members • Collaborate with colleagues and client counterparts to address business challenges and adapt implementation methodologies • Monitor analytics and report trends in denials and procedural problems • Develop scalable transition plans to sustain improvements • Assist in developing and improving revenue cycle assessment and implementation methodologies • Evaluate current-state operations and create transition blueprints toward the desired future state • Establish measurable goals and priorities aligned with organizational objectives • Perform audits, consolidations, and standardizations of Charge Data Masters and Revenue Integrity workflows • Improve charge capture accuracy through workflow assessments, coding reviews, process improvements, and report generation • Use, protect, and disclose patients' protected health information in accordance with HIPAA • Comply with Information Security and HIPAA policies and procedures • Limit viewing of protected health information to the minimum necessary

🎯 Exigences

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field preferred • 7+ years of proven experience in healthcare operations related to revenue integrity, coding, finance, revenue cycle management, patient accounting and/or physician billing • 7+ years of healthcare consulting experience • Proven success leading large-scale Revenue Integrity strategic development and implementations • Full understanding of charge capture and charge reconciliation processes, including electronic health record charge links to the CDM and charge capture processes • Professional certifications such as CPAM or CRCP, or demonstrated progress toward such certifications, a plus • Advanced Excel proficiency and experience in financial modeling and analysis • Advanced Microsoft PowerPoint and Word skills • Experience with SQL, SPSS, Power BI, benchmarking, and MGMA survey data a plus • Project leadership and workplan management experience for opportunity assessments within a consulting firm setting, focused on middle revenue cycle areas • Knowledge of state and federal governmental, legal, and regulatory provisions related to middle revenue cycle operations • Exceptional communication and interpersonal skills • Strong analytical and problem-solving abilities with a data-driven approach • Ability to adapt to a fast-paced, changing environment and manage multiple priorities and deadlines • Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes

🏖️ Avantages

• Occasional travel and flexibility to work outside of normal business hours as needed • Smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes

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