Interim Director of Revenue Integrity Working with Soarian System/ EPIC experience a Plus, Duration: 6 month engagement Location: Massachusetts, M-Thursday orM-Fr onsite Travel: 100% Start: ASAP
Revenue Integrity Director The Revenue Integrity Director will provide oversight of Customers revenue integrity staff in order to verify Customers charges, claims and billing supportive functions are performing efficiently. Key responsibilities and areas of focus include:
Direct and coordinate activities of Revenue Integrity team members
Prepare and plan for a formalized process for additions and changes to the Charge Description Master (CDM)
Prepare and plan for a clinical education program for quarterly/annual education and training for the purposes of charge capture, charge integrity, and lost opportunity
Prepare and plan for a standardized process to review sub-systems and compare to the main CDM on a quarterly basis for consistency
Review any current manual labor intensive processes to consider an electronic/integrated streamlined workflow
Oversee and refine existing CDM audit process
Oversee and refine as needed charge capture audit processes to verify charges flow from point of service to bill drop
Prepare and plan for the development of updated departmental policies and procedures, job descriptions, workflows, training, staffing, productivity metrics and education
Collaborate across departments to verify standard processes and communication, including if necessary begin plans for a Revenue Integrity Committee
Monitor and recommend improvements to departmental key reports, metrics, dashboard and Key Performance Indicators (KPI)
Evaluate and/or document educational needs and the department education program
EEO Employer Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at 844-###-####-6178.
* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.