Director Revenue Integrity, Coding & Strategic Pricing

Step into a high-impact leadership role where your expertise directly drives financial strength compliance and innovation across a dynamic health system. The Revenue Integrity Director plays a critical role in providing strategic direction and oversight of various revenue cycle functions to safeguard the integrity of the organizations revenue within the health system. This encompasses revenue optimization prevention of revenue leakage and direction and oversight related to charge capture charge reconciliation professional coding functions and other reimbursement matters. The role extends to providing guidance on compliant transparent and defensible pricing for both new and existing services as well as reporting and analyzing revenue-related data. Additionally the Director supports revenue-related process improvement initiatives and provides oversight and direction for the charge description master and physician fee schedules.

The Johns Hopkins Health System Corporation is a not-for-profit organization dedicated to providing the highest quality of care in the treatment and prevention of human illness. JHHS is an academically based health system consisting of: The Johns Hopkins Hospital Johns Hopkins Bayview Medical Center Johns Hopkins Howard County Medical Center Suburban Hospital Sibley Memorial Hospital The Johns Hopkins All Childrens Health System Johns Hopkins Community Physicians The Johns Hopkins Medical Services Corporation and Johns Hopkins Medical Management Corporation.

QUALIFICATIONS
Education & Experience:

• Bachelors degree required preferably in business or healthcare; Masters preferred
• Minimum of 10 years of progressively responsible related experience in professional and hospital
  coding and/or clinical documentation experience healthcare finance revenue integrity revenue
  cycle operations accounting or related field.
• Two years related to hospital and physician revenue
  integrity work.
• 5-7 years of management experience with significant business impact

Knowledge Skills & Abilities:

• Experience with a progressive focus on charge to payment relationships and patient account
  functions and understanding of healthcare financing and reimbursement mechanisms (DRGs EAPGsCCI MUE)
• Experience with clinical documentation and coding including strong knowledge around CPT HCPCSICD10-CM/PCS revenue codes and code assignment
• Strong quantitative analytic and problem-solving skills
• Advanced use of Excel (i.e. sorting pivot tables graphs etc.).
• Ability to plan develop and present data/materials to an audience including senior leaders andexecutives
• Strong organizational skills to handle multiple priorities of highly detailed information
• Strong communication skills both written and verbal
• Strong understanding of laws and regulations as they pertain to coding billing and pricing
• transparency
• Requires excellent interpersonal skills in dealing with subordinates co-workers hospital staff patients and payer representatives.
• Requires proven analytical ability and organizational skills necessary to organize/assess information and provide timely recommendations based on data analysis.
• Must possess excellent verbal and written communication skills to support interaction and participation in meetings with patients physicians payer representatives MHA and representatives of other departments within our organization (Medical Records Utilization Review JHMCIS registration etc.).
• Requires leadership and mentoring skills necessary to provide support to work group and promote employees.
• Managerial abilities necessary to motivate and control the activities of a large production unit.
• Analytical skills necessary to comprehend complicated issues and formulate creative solutions.
• Synthesize large data sets and summarize for large and diverse audiences.
• Requires strong customer service skills and a customer-centered approach to leadership.

Were proud to offer a robust benefits package that supports your health growth and well-being. Discover our full offerings and costs here:

What Awaits You:

• Competitive pay and benefitsthat support you at every stage of your life and career.

• Retirement plans with employer contributionsto help you plan confidently for the future.

• Generous time offso you can unplug recharge and enjoy life outside of work.

• Access to world-class facilities and innovative technologythat fuel your curiosity.

• Endless opportunities to advance your careeras part of the Johns Hopkins team

Salary Range: Minimum 155454.00/annually - Maximum 190000.00/annually. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount salary discussions will occur during candidate screening calls before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment where we embrace and celebrate our differences where all employees feel valued contribute to our mission of serving the community and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity and expression age national origin mental or physical disability genetic information veteran status or any other status protected by federal state or local law.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.