Vice President Revenue Cycle

Job Description

Job Description

Duties :

Procedural / Surgical Coding

Inpatient Professional Coding

ED Coding

Anesthesia Coding

Clinical Documentation Improvement

Utilization Management

Clinical Denial Recovery Unit

Payer Audit

Transcription

Central Business Office

Hospital Insurance Recovery

Professional Services Insurance Recovery

Coding Recovery

Transaction Flow

Patient Services

Revenue Integrity

PRINCIPLE DUTIES AND RESPONSIBILITIES :

Partners with the Sr. Vice President and Chief Revenue Officer to build a vision and strategies that assure world class quality integrated services that meet or exceed customer needs.

Clearly communicates the business model and tactics to stakeholders.

Works closely with Revenue Cycle Performance Improvement & Analytics staff to drive Revenue Cycle Playbook projects.

Develops excellent relationships with revenue cycle customers including Market leadership, Service Line Leadership, Finance Leadership Team, hospital presidents and clinical department chairs and administrators.

Recruits and develops excellent talent in areas of responsibility including a blend of subject matter experts and transformational leaders.

Establishes clear performance expectations and standards of excellence.

Supports the development of a diverse and representative talent pool with involved and empowered employees.

Ensures effective and compliant revenue cycle systems using internal and external resources as needed.

Develops and monitors offshore work streams, ensuring compliance and adherence to budget.

Evaluates and leads the contracting for capital acquisitions, consumable supplies, purchased services, and leased property to realize economies of scale and protect the interest of the organization.

Leads the development and acquisition of information technology strategies to support the information and business needs of the Revenue Cycle service line.

Within an overall objective of optimizing Epic functionality and staying current on Epic model system, evaluates existing and emerging technology and outsourced services to consider the potential utility, acquisition, and implementation options for the enterprise. Creates an environment of continual improvement and adaptive innovation, which is responsive to the needs of customers.

Facilitates a matrix approach in the development of services and demonstrates the ability to participate effectively on committees and teams within the health systems organizational structure.

Effectively represents HFHS and its interests when communicating with key stakeholders, both internal and external, suppliers, contractors, government officials, regulatory agencies, third party payors, and healthcare providers.

Effectively manages financial performance including planning capital and operating budgets, growth initiatives, and expense management.

Performs other related duties as needed.

Skills :

The VP Revenue Cycle and other members of the Leadership Team are jointly responsible for the annual update and execution of the Revenue Cycle Playbook designed to continue Transformational activities to result in World Class Performance in the areas of :

Yield Management

Risk Adjustment Factor Management

Acceleration of Accounts Receivable

Compliance

Cost-to-Collect

Staff Engagement

Patient Engagement

This executive provides leadership for human resources, work processes, and information technology for assigned functions across all service locations. The individual in this role fosters a culture of innovation, employee development, safety, accreditation, and responsible business performance. This leader works to integrate Revenue Cycle services with the vision and mission of the organization and its operating units. Key transformational areas of focus will include :

Use of advanced analytics to segment populations and activities for the purpose of supporting customized responses.

Deployment of automation and other technology enhancements to streamline processes and improve performance.

Redeployment of labor savings into areas of enhanced service for patients and clinical customers.

Acceleration of adoption of emergent technology to facilitate automation of coding and documentation and other processes.

Use of Artificial Intelligence and Machine Learning to segment review, querying and educational activities in areas most critical to performance areas.

Development of clinically based alerts in Epic and integrated bolt-ons to facilitate accurate documentation & coding.

Promotion of voice recognition and NLP as an alternative to manual dictation & transcription.

Promotion of continued exodus from paper records & scanning, and for those areas where scanning is necessary, movement of processes towards point-of-service

EDUCATION / EXPERIENCE REQUIRED :

Bachelors degree required. Masters degree in business or health related field is strongly preferred.

Minimum of seven (7) years of progressive experience including director level responsibility in a complex healthcare organization.

Exceptional business acumen including experience in contracting or group purchasing required.

Exceptional interpersonal skills for written, verbal, presentation, and computer communication required.

Experience with leading integration or other large transformation projects preferred.

CERTIFICATIONS / LICENSURES REQUIRED :

Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the HFHS Customer Service Policy and summarized below :

Communication

Ownership

Understanding

Motivation

Sensitivity

Excellence

Teamwork

Respect

Must practice the customer skills as provided through on-going training and in-services.

Must possess the following personal qualities :

Be self directed

Be flexible and committed to the team concept

Demonstrate teamwork, intitiative and willingness to learn

Be open to new learning experiences

Accpts and respects diversity without judgement

Demonstrates customer service values

PHYSICAL DEMANDS / WORKING CONDITIONS :

Normal office environment with minimal exposure to noise, dust, or extreme temperatures

Education :

Bachelors degree required. Masters degree in business or health related field is strongly preferred.