• Supervises, trains, and develops Revenue Integrity team members to ensure effective performance and adherence to best practices in revenue cycle operations.
• Oversees the management and maintenance of the Charge Description Master (CDM) to ensure accuracy, compliant effective and efficient operations. Work to implement strategies to improve charge capture and prevent revenue leakage.
• Develops CDM-related departmental, division and/or organizational policies and procedures for recommendation and approval including but not limited to pricing, CDM audits, charge reconciliation, and charge capture. Create and execute work plans to successfully implement changes to systems and/or process as necessary.
• Leads efforts of multidisciplinary groups where necessary to monitor the completeness and accuracy of revenue and billing information.
• Leads organization RAC Denials team and works closely with the Patient Financial Services (“PFS”) to track and monitor coding-related denials.
• Coordinates and/or participates in system testing as a result of upgrades, changes, enhancements, new application implementations, etc. that may impact the CDM, charge capture and/or charge data flow between systems or modules.
• Analyzes financial and clinical data to identify trends, revenue improvement opportunities, and potential risks. Monitor key performance indicators (KPIs) and provide regular reports on revenue integrity performance.
• Partners with finance, billing, compliance, and revenue cycle to develop strategies and ensure alignment across departments.
• Actively promotes and participates in initiatives to improve organization effectiveness and efficiency.
• Works with departmental managers to ensure that clinical charges and billing codes are fully and correctly established in Electronic Medical Record patient care applications and are captured by Electronic Medical Record patient billing applications. Provides education as needed to departments related to their charges and charging practices
• Regularly attends and actively participates in staff meetings, in-services and continuing education programs as offered in order to remain current with organizational and industry changes. Communicate and disseminate information to other departments as applicable.
• Successfully maintains staff engagement and satisfaction scores for responsible departments based on periodic internal surveys at or above the stated organizational goal.
• Modela los principios de una Cultura Justa y Valores Organizacionales.
• Debe cumplir con HIPAA

• Five years healthcare-revenue cycle experience required, including two years in Revenue Integrity.
• Prior supervisory experience preferred.
• Demonstrated knowledge of laws and regulations pertaining to healthcare industry required.
• Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system preferred.
• Prior CDM or charge capture experience required.
• Proficiency in medical terminology, hospital charge masters, charge review, clinical record information systems, and coding methodologies required
• Prior experience leading and managing complex projects

• Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC/CPC-H), Certified Coding Specialist (CCS/CCS-P), Certification in Healthcare Revenue Integrity (CHRI), Certified Revenue Cycle Representative (CRCR), Certified Revenue Cycle Professional (CRCP) or other HIM related certification preferred.

• Bachelor’s degree required or higher preferred; related experience may be considered in lieu of degree.

Beneficios en Vail Health (Tiempo Completo y Parcial) Incluyen:

• Salarios competitivos y beneficios familiares:
  • Salarios competitivos
  • Licencia parental (4 semanas pagadas)
  • Programas de vivienda
  • Reembolso de cuidado infantil 
• Beneficios de Salud Integrales: 
  • Médico
  • Dental 
  • Visión
• Programas educativos: 
  • Asistencia de matrícula 
  • Pago de préstamos estudiantiles existentes
  • Reembolso de Certificación Especializada
  • Fondos Educativos Suplementarios Anuales
• Tiempo libre remunerado
  • Hasta cinco semanas en tu primer año de empleo y continúa creciendo cada año.
• Seguros de jubilación y complementarios:
  • Plan de jubilación 403(b) con aportación equivalente inmediata 
  • Seguro de vida
  • Incapacidad a corto y largo plazo
• Beneficios de Recreación, Bienestar y Más:
  • Reembolso anual por bienestar de hasta $1,000
  • Descuentos en recreación
  • Seguro para mascotas