Revenue Integrity Director Days FT - 2406000222

　　Description

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　　Children’s Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children provides advanced diagnostic services including Positron Emission Tomography (PET) and MRI. The Children’s Hospital of Michigan Emergency Department is a verified Level 1 Pediatric Trauma Center and dedicated pediatric burn center. Experts in pediatric critical care, rehabilitation, and neonatal and perinatal medicine provide care for thousands of children every year at Children’s Hospital of Michigan, Children’s Hospital of Michigan - Troy and six ambulatory sites.

　　Summary Description Directs the complex revenue cycle functions for hospital site and ambulatory sites. Reviews and audits revenue cycle departmental utilization of information systems and business practices. Analyzes data and identifies process issues and opportunities to enhance number of billable services and reduce back end rejections. Performs audits to ensure all charges are captured and billed appropriately. Determines impact on overall operations, explains effects, develops responses/solutions and communicates with appropriate personnel. Prepares reports that include analysis and interpretation of data and identifies trends which impact the revenue cycle. Provides technical expertise and guidance to staff. Identifies and helps resolve system weaknesses that impact the revenue cycle. Ensures system upgrades impacting the revenue cycle are properly executed by personnel. Develops project work plans for all upgrade phases and monitors compliance related to system upgrades, enhancements, or new application installs that impact the revenue cycle. Controls project progress and prepares status reports as necessary. Performs audits to identify training deficiencies in registration areas, and ensures all staff are properly trained. Leads process improvement efforts that impact the revenue cycle to ensure revenue cycle activities contribute to financial viability and long-term organizational success. Acts as liaison and resource person for user departments. Develops procedure manuals for Patient Management for revenue cycle functions.

　　Qualifications

　　: Minimum Qualifications 1. Bachelor's degree in Accounting, Finance, Business Administration or related area or equivalent combination of education and experience. 2. Four or more years of progressively more responsible analytical experience in the revenue cycle continuum from patient access through reimbursement. Skills Required 1. High level of analytical ability required to compile data in the revenue cycle; review, interpret and analyze complex financial reports and activities and present findings. Ability to understand relationships within the revenue cycle process, identify potential discrepancies and resolve complex business operational issues. Ability to evaluate processes and conduct cost and pricing studies. Analytical ability to evaluate processes and conduct cost pricing studies. 2. Communication and/or interpersonal skills for contact with internal and external customers/stakeholders to obtain and interpret a variety of information based on knowledge of departmental practices, DMC policies and programs and specific technical and regulatory knowledge. Discretion must be exercised in deciding what and how to communicate. Conflict resolution skills must be exercised where policy issues are concerned both within the functional area and interdepartmentally. Diplomacy, tact and listening skills are required. Ability to read, interpret and write technical materials. 2. 3. Project management skills including the ability to define program, project, or process objectives, identify stakeholders and their interests, plan steps, coordinate and allocate human, technological and fiscal resources to accomplish goals and objectives in a resourceful yet timely manner. 4. Thorough understanding of mathematical logic to compute figures related to complex financial studies, to see relationships between data and to draw valid conclusions. 5. Strong technical knowledge of financial analysis billing and reimbursement experience. 6. Thorough understanding of financial services computer systems, accounts receivable and collection report format, policies, and procedures. 7. Proficient in the use of a personal computer and spreadsheet software.

　　Job : Non-Clinical/Administrative

　　Primary Location : MI-Detroit

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　　Hospital/Facility : DMC Children's Hospital of Michigan

　　Job Type: : Full-time

　　Shift Type: : Days

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　　Req ID: 2406000222