Director, Revenue Integrity Edits, & Charge Capture Operations

Job Description

UW Medicines Revenue Integrity Department has an outstanding opportunity for a Director of Revenue Integrity Edits & Charge Capture Operations.

WORK SCHEDULE

• 100% FTE
• Day Shift

DEPARTMENT DESCRIPTION

UW Medicine Enterprise Revenue Cycle (ERC) is accountable for Revenue Cycle functions at UWMC ML UWMC NW HMC and close collaboration with FPPS. UW Medicine ERC Revenue Integrity (RI) develops and coordinates operations and programs that oversee a wide range of revenue capture and integrity areas.

PRIMARY JOB RESPONSIBILITIES

• 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
• Partner with medical nursing ambulatory compliance and revenue cycle leadership to identify process gaps redesign workflows and resolve charge capture issues
• Maintain strong service-oriented relationships with executive sponsors stakeholders and project teams providing regular status updates and reporting
• Oversee facility and professional charge capture processes across 376 service lines including reconciliation of charges from Epic/EpicCare
• Monitor revenue utilization Epic workflows and charging data to identify trends risks and improvement opportunities
• Analyze missing charges late charges denials write-offs and code/charge discrepancies; 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 implementation and maintenance of ordering and charging tools.
• Identify opportunities for automation and system optimization within Epic EpicCare and related reporting tools
• Research and resolve issues within Epic work queues (Charge Review Charge Router Revenue Guardian Error Pool)
• Recommend and enhance reporting (BOE/SSRS) to support leading practice revenue cycle performance monitoring
• Provide direct managerial and administrative oversight of Revenue Integrity staff including mentoring performance management and goal setting
• Lead weekly Revenue Integrity meetings to review regulatory updates assign work and track follow-up actions

REQUIREMENTS

• Bachelors 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 parties; strong 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

Desired:

• 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

ABOUT UW MEDICINE WHERE YOUR IMPACT GOES FURTHER

UW Medicine is Washingtons only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicines mission is to improve the health of the publicby advancing medical knowledge providing outstanding primary and specialty care to the people of the region and preparing tomorrows physicians scientists and other health professionals.

All across UW Medicine our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful welcoming environment where every patient family student and colleague is valued and honored. Nearly 29000 healthcare professionals researchers and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center UW Medical Center - Montlake UW Medical Center - Northwest Valley Medical Center UW Medicine Primary Care UW Physicians UW School of Medicine and Airlift Northwest.

Become part of our team. Join our mission to make life healthier for everyone in our community.

Compensation Benefits and Position Details

Pay Range Minimum:

Pay Range Maximum:

Other Compensation:

Benefits:

Temporary or Regular

FTE (Full-Time Equivalent):

Union/Bargaining Unit:

About the UW

Working at the University of Washington provides a unique opportunity to change lives on our campuses in our state and around the world.

UW employees bring their boundless energy creative problem-solving skills and dedication to building stronger minds and a healthier return they enjoy outstanding benefits opportunities for professional growth and the chance to work in an environment known for its diversity intellectual excitement artistic pursuits and natural beauty.

Our Commitment

The University of Washington is committed to fostering an inclusive respectful and welcoming community for all. As an equal opportunity employer the University considers applicants for employment without regard to race color creed religion national origin citizenship sex pregnancy age marital status sexual orientation gender identity or expression genetic information disability or veteran status consistent with UW Executive Order No. 81.

To request disability accommodation in the application process contact the Disability Services Office at or .

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.