Responsible for development and long term sustainability of compliant charge capture workflows for clinician driven revenue.
Responsible for documentation, audit and system driven revenue capture.
Highest level of escalation for issues related to charge capture operations.
Responsible for creation and maintenance of a quality assurance function to complete a provider education, review and feedback loop to preserve revenue integrity with charge entry and clinical staff.
Responsible for ongoing monitoring of regulatory changes impacting revenue cycle.
Responsible for project coordination to implement required regulatory changes specific to revenue cycle.
Leadership of charge auditing functions generating revenue recoveries in acute and ambulatory service lines.
Guide clients through current workflows, upgrades, system changes and enhancements and ongoing system maintenance.
Act as primary consultant for the client's solution troubleshooting, consultation and knowledge transfer.
Cultivate and sustain relationships with clients to provide appropriate escalation of issues, solution knowledge and engagement support.

Bachelor's in Computer Science, Information Systems, Business, or related Health Care related field or equivalent experience
Expert-level working knowledge of principles, practices, and operations in assigned or related area of responsibility as normally obtained through a minimum of ten plus years of progressively responsible managerial experience within a healthcare system setting or large multi-operational, complex corporate environment.
Working knowledge of regulatory, compliance and legal requirements pertaining to revenue cycle, charge capture and revenue integrity.
Revenue cycle experience, preferably from middle revenue cycle disciplines.
Experience with Oracle Health/Cerner Rev Cycle
Nursing degree, coding certification, CRCR, RHIT, Healthcare Management or similar certification is preferred.
Strong analytical and technical skills with ability to analyze issues, assess technical risks, and recommend sound solutions in a timely manner.

Senior Director, Revenue Integrity and Regulatory Research

Key skills