Job Description:
Reporting directly to the Senior Vice President of Revenue Cycle, the Middle Revenue Services Senior Director is responsible for the leadership, direction, strategic development, implementation, and sustainment of programs and processes to lead coding, clinical documentation integrity, utilization management, health information management and revenue integrity. The Senior Director uses their deep knowledge of industry best practices and extensive experience to partner with physician leaders and stakeholders to develop organization-level roadmaps of process and technology improvements to reduce provider burden and maximize patient experience while increasing efficiency. The Senior Director provides overall strategic direction to the Middle Revenue Services teams across the health system, centered on improving accuracy, optimizing revenue, and creating efficiencies.
Education Qualifications:
Key Responsibilities:
Develops policies and procedures across the system for greater efficiency, reduced variation and increased patient satisfaction
Promotes industry best practices and point-of-service (POS) tools, techniques, and measurements
Serves as a coding, CDI, HIM subject matter expert for the system, serving on an array of business operations and clinical committees
Develops and manages key performance indicators and metrics and adherence to fiscal targets
Develops and oversees a comprehensive quality assurance and productivity program for all staff
Collaborates with physician and operational leadership to optimize workflows and technology
Demonstrates in-depth working knowledge of ICD, CPT, HCCs, MS-DRGs and APR-DRGs code classifications/groupers with the ability to analyze and trend key metrics including CMI
Directs instructions and education activities for all providers and clinicians across the system, in collaboration with key stakeholders. Promotes compliance with CMS, third party payers, NCDs and LCDs, coding, and billing regulations. Oversees the development and coordination of ongoing education for new staff, including physicians, clinicians and coders.
Provides input to coding and medical record documentation guidelines to assure compatibility and compliance with all regulatory, third party and organization policies
Provides input to the direction for the establishment and maintenance of documentation standards, policies, and procedures
Oversees and manages coding denial management activities
Educational Requirements:
- Bachelor’s degree in business, healthcare administration, health information, finance or related field
Required Qualifications:
5 years of mid-cycle operational experience
10 years of multi-hospital system management responsibility, including operations redesign and project management
Knowledge of Federal/State/Commercial Insurance/Payers requirements
Preferred Qualifications:
Master’s degree in Business, Healthcare Administration, Health Information, or Finance
EPIC system experience
3M and Computer Assisted Coding experience
Strong analytical, assessment and critical-thinking skills
Licensure/Certification Qualifications:
Certification/Licensure Requirements:
AHIMA RHIA (Registered Health Information Administrator) or
AHIMA RHIT (Registered Health Information Technician) or
AHIMA CCS (Certified Coding Specialist)
This position is open to candidates authorized to work in the United States, with the exception of residents in the following states: California, Massachusetts, New Jersey, New York, Oregon, and Washington. Due to current employment policies, Essentia Health is not able to offer remote employment to individuals residing in these locations.
Employee Benefits at Essentia Health: At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.
Job Location: Business Service Center
Shift Rotation: Day Rotation (United States of America)
Hours Per Pay Period: 80
Compensation Range: $164965 - $247458 / year
FTE: 1
It is our policy to afford EEO to all individuals, regardless of race, religion, color, sex, pregnancy, gender identity, national origin, age, disability, family medical history, genetic information, sexual orientation, marital status, military service or veteran status, culture, socio-economic status, status with regard to public assistance, and other factors not related to qualifications, including employees or applicants who inquire about, discuss, or disclose their compensation or the compensation of other employees or applicants, or membership or activity in a local human rights commission, or any other category as defined by law.