System Director, Revenue Integrity in Louisville, Kentucky at Norton Healthcare

Location: Louisville, Kentucky
Job Category: Revenue Integ/Coding
Job ID: 155418
Facility Group: Norton System Services
Job Description

Responsibilities

The System Director, Revenue Integrity, is responsible for ensuring the integrity of the hospital and physician practice revenue cycle, assuring documentation reflecting registration, clinical service delivery, charging, coding, billing and remittance are accurate, complete, comprehensive and in compliance with regulatory and payor requirements.

Key Accountabilities:

• Directs ongoing programs for education of physicians and ancillary staff regarding documentation and regulatory compliance. Monitors CMS regulatory environment and integrates these requirements into facility/practice processes.
• Provides support to Patient Financial Services to ensure accurate billing and payment compliance. Assists in compliance issues and reviews billing edit issues including APC grouper edits, Emdeon and LMRP reviews. Serves as a member of the Billing and Documentation Committee for both the hospital and physicians to ensure compliance.
• Provides support and education to Norton Healthcare coders to improve accurate coding for appropriate reimbursement. This will include Hospital, Physician Services and Norton Cancer Institute. Plans the coding audits to assess compliance with applicable coding guidelines.
• Monitors the CDM to ensure proper charge capture and reimbursement. Interacts with various clinical and support departments and systems influencing charge propriety. Maintains mechanisms to ensure accurate charge capture.
• Performs financial analysis of revenue and reimbursement performance. Functions as an integral link between clinical and financial departments. Provides support to evaluate future service line development regarding reimbursement potential.

Qualifications

Required:

• Five years management in a healthcare setting
• Bachelor Degree

Desired:

• One year working with Epic
• Master Degree
• Certified Coding Specialist OR Certified Professional Coder

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Screening requirements:

• Background check
• License & education verification
• Employment reference verification
• Drug Screen

Norton Healthcare offers a competitive benefit package, including:

• Paid vacation, sick days and holidays
• Paid parental leave
• 403b/401k retirement plan
• View more: Benefits Guide
• Medical, Dental, and Vision Insurance

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Norton Healthcare is a leader in serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The not-for-profit hospital and health care system is Louisville's second largest employer, with more than 20,000 employees.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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