System Director, Revenue Integrity

Location: Louisville, Kentucky

Job ID: 138624

Work Type: Regular Full-Time

Shift: Days

Facility Group: Norton System Services

Job Description

Responsibilities

The System Director, Revenue Integrity, is responsible for ensuring the integrity of the hospital and physician practice revenue cycle, assuring documentation reflecting registration, clinical service delivery, charging, coding, billing and remittance are accurate, complete, comprehensive and in compliance with regulatory and payor requirements.

Key Accountabilities:

Directs ongoing programs for education of physicians and ancillary staff regarding documentation and regulatory compliance. Monitors CMS regulatory environment and integrates these requirements into facility/practice processes.

Provides support to Patient Financial Services to ensure accurate billing and payment compliance. Assists in compliance issues and reviews billing edit issues including APC grouper edits, Emdeon and LMRP reviews. Serves as a member of the Billing and Documentation Committee for both the hospital and physicians to ensure compliance.

Provides support and education to Norton Healthcare coders to improve accurate coding for appropriate reimbursement. This will include Hospital, Physician Services and Norton Cancer Institute. Plans the coding audits to assess compliance with applicable coding guidelines.

Monitors the CDM to ensure proper charge capture and reimbursement. Interacts with various clinical and support departments and systems influencing charge propriety. Maintains mechanisms to ensure accurate charge capture.

Performs financial analysis of revenue and reimbursement performance. Functions as an integral link between clinical and financial departments. Provides support to evaluate future service line development regarding reimbursement potential.

Qualifications

Required:

Five years management in a healthcare setting

Bachelor Degree

Desired:

One year working with Epic

Master Degree

Certified Coding Specialist OR Certified Professional Coder

Screening requirements:

Background check

License & education verification

Employment reference verification

Drug Screen

Norton Healthcare offers a competitive benefit package, including:

Paid vacation, sick days and holidays

Paid parental leave

403b/401k retirement plan

View more: Benefits Guide

Medical, Dental, and Vision Insurance

Discover meaningful career opportunities at NortonHealthcareCareers.com.

Norton Healthcare Careers Together, We Will.

Norton Healthcare is a leader in serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The not-for-profit hospital and health care system is Louisvilles third largest employer, with more than 17,000 employees.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Equal Employment Opportunity is the law.

Equal Employment Opportunity is the law Supplement

Pay Transparency Notice

PI8d555c7625a1-31181-37353407

Full Time