UW Medicine
Healthcare
Director,RevenueIntegrityEdits,&ChargeCaptureOperations
“Director, Revenue Integrity Edits, & Charge Capture Operations at UW Medicine. Skills: Revenue Integrity, Charge Capture Operations, Financial Performance, Compliance, Leadership. Lead and support enterprise-wide revenue integrity and charge capture initiatives to improve financial performance and compliance. Serve as a management-level representative on Finance, Ambulatory Care Division, and Compliance committees”
What You'll Achieve.
Improve financial performance; Improve compliance; Achieve compliant and accurate charge capture
Industry & Context.
Problem solving; Analytical skills; Research and resolve issues within Epic work queues
What They're Looking For.
Must Have
Bachelor's Degree (BA or BS) in business, finance, healthcare, or a related field, 10+ years of related leadership experience in a complex academic, research, healthcare or governmental setting, revenue cycle management/revenue integrity, or an equivalent combination of education and work experience, Coding credentials CCS, COC, RHIT or RHIA from AAPC, or AHIMA – if not credentialed, must be credentialed within one year of hire date, Understanding of hospital billing or reimbursement and charge capture operations, Excellent project management, problem solving, and analytical skills, Demonstrated proficiency standard Project Management principles and tools, Demonstrated working knowledge of considerations and processes surrounding Revenue Cycle Operations in a healthcare environment, including both hospital and physician settings, Understanding of CMS and Medicaid regulations and ability to interpret healthcare guidelines and regulations, Proficiency with financial, billing and reimbursement data & analytics, Excellent communication and interpersonal skills, both verbally and in writing, with employees, medical staff, board members, and external presentation skills, Detail-oriented and independently motivated, Demonstrates knowledge and proficiency of standard Microsoft Suite including Teams, Word, Excel, Visio, Outlook, and Power Point, Experience with large EHR implementation projects or hospital integration projects
Nice to Have
Advanced degree in business, finance, or a healthcare related field, Familiarity with multiple Epic systems modules, Continuous Quality Improvement training and experience leading quality improvement teams, A skilled communicator with an ability to create a collaborative work environment with multiple stakeholders across non-co-located entities is highly preferred, Experience with the hospital financial system, the A/R system, hospital ancillary systems (e. g. , Radiology, Laboratory) and the data within such systems
What You'll Do.
Lead and support enterprise-wide revenue integrity and charge capture initiatives to improve financial performance and compliance
Serve as a management-level representative on Finance
Ambulatory Care Division
and Compliance committees
and revenue cycle leadership to identify process gaps
and resolve charge capture issues
service-oriented relationships with executive sponsors
providing regular status updates and reporting
Oversee facility and professional charge capture processes across 376 service lines
including reconciliation of charges from Epic/EpicCare
and charging data to identify trends
and improvement opportunities
Analyze missing charges
and code/charge recommend and implement corrective actions
Ensure compliance with federal and state billing regulations and coding guidelines
Direct operational changes as needed to achieve compliant and accurate charge capture
Provide leadership for the design
and maintenance of ordering and charging tools
Identify opportunities for automation and system optimization within Epic
and related reporting tools
Research and resolve issues within Epic work queues (Charge Review
Recommend and enhance reporting (BOE/SSRS) to support leading practice revenue cycle performance monitoring
Provide direct managerial and administrative oversight of Revenue Integrity staff
performance management
Lead weekly Revenue Integrity meetings to review regulatory updates
and track follow-up actions
How You'll Work.
Team & Collaboration
Partner with medical, nursing, ambulatory, compliance, and revenue cycle leadership; Maintain strong, service-oriented relationships with executive sponsors, stakeholders, and project teams; Provide direct managerial and administrative oversight of Revenue Integrity staff; Create a collaborative work environment with multiple stakeholders across non-co-located entities
Communication Scope
Excellent communication and interpersonal skills, both verbally and in writing; External presentation skills; Skilled communicator
Process & Methodology
Project management principles and tools, EHR implementation projects, Hospital integration projects
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