Director of Revenue Integrity

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Closing Date:

11/16/2024

Type of Position:

Management - Operations

Job Type:

Regular

Work Shift:

Sponsorship Available:

No

Institution Name:

University of Arkansas for Medical Sciences

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
 

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

• Health: Medical, Dental and Vision plans available for qualifying staff and family
• Holiday, Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50,000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening.  To apply for the position, please click the Apply link/button.

The University of Arkansas is an equal opportunity, affirmative action institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age, race, color, national origin, disability, religion, marital or parental status, protected veteran status, military service, genetic information, or sex (including pregnancy, sexual orientation, and gender identity). Federal law prohibits the University from discriminating on these bases. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

At UAMS we value Diversity, Equity and Inclusion.
 

For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.

Department:

FIN | CORE Coding

Department's Website:

Summary of Job Duties:

The Director of Revenue Integrity will serve as a key staff member of the Revenue Cycle, providing detailed and extensive financial review of clinical revenue. The Director develops, maintains, and reports on the charge description master (CDM); ensures data and charge integrity between the CDM and hospital departments and service lines. The Director will assure accurate charge design, build, validation, testing and quality assurance for all changes to the CDM, electronic and paper charge forms, and charge systems applications. The Director is also responsible for Professional Fee Schedule maintenance to include yearly updates and ongoing changes as needed. The Director will lead the Denials Team, as well as the newly formed Revenue Cycle Work Queue Team and is also responsible for overall review and monitoring of Epic Revenue Activity.

Optimally, this would be a hybrid role, filled in the Central Arkansas area. However, fully remote candidates are welcome to apply!

Qualifications:

Minimum Qualifications:

• Bachelor’s degree in accounting, business, finance, healthcare or related field plus seven (7) years of hospital financial healthcare revenue cycle experience to include five (5) years of supervisory experience in personnel management and budget preparation.

• Proficient knowledge of personal computer uses and Microsoft Office especially Word and Excel.

• Strong communication, organizational, customer service and problem-solving skills.

• Ability to maintain strong relationships with business partners.

Preferred Qualifications:

• Epic certification with one or more revenue cycle Epic applications.

• Epic experience with account and claim work queues.

Additional Information:

Responsibilities:

• Manages all staff reporting to the Revenue Integrity Team to include the hiring, training, evaluation, disciplinary action and termination of staff as necessary.    Ensures departmental, IRRC, ICE, and campus policies are followed within the unit.    

• Develops, maintains and enhances the CDM in a manner that supports UAMS’s Coding and Compliance Monitoring Plan.

• Performs a detailed, annual review of the CDM that includes identifying CPT and HCPCS codes that have been deleted, added, or replaced; assigns CPT and HCPCS specific codes when appropriate, identifies description changes, ensures the nomenclature reflects the procedures performed, and maintains an audit trail of all changes.

• Performs all necessary reviews and updates to the Professional Fee Schedule. 

• Monitors revenue and usage reports daily for anomalies and research issues. Reviews late charge reports for optimization and efficiency opportunities. Completes and provides other management reports as requested. 

• Analyzes informational bulletins, journals, newsletters, and other sources and disseminates pertinent information and instructions to involved staff. Exhibits and maintains an understanding and application of CPT, HCPCS and ICD coding regulations and guidelines.

• Manages the revenue Epic Work Queue Team that will daily review and work as necessary all revenue assigned work queues.

• Leverages technology to ensure that automated solutions and applications (Epic and non-Epic) support functional objectives. Identifies gaps and proposes solutions where necessary.

• Serves as the Denial Prevention Team Director and will lead meetings and coordinate preparation efforts, escalate barriers to SLAs, owns denial metric measurement, reporting, and weekly report distribution, conduct independent denial trend and detailed research, proactively identify shifts in denial performance, establish DPT subcommittees based on needs, functions as Huron Super User to address issues and enhancement requests.

• Leads the quarterly joint Revenue Cycle and Service Line meetings.

• Serves as resource for other Revenue Cycle Directors regarding revenue reporting and information gathering.   

• Performs other duties as assigned.

Salary Information:

Commensurate with education and experience

Required Documents to Apply:

List of three Professional References (name, email, business title), Resume

Optional Documents:

Special Instructions to Applicants:

Recruitment Contact Information:

Please contact askrecruitment@uams.edu for any recruiting related questions.

All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS  

Please do not send to listed recruitment contact.

Pre-employment Screening Requirements:

Criminal Background Check

This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity.  The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. 

Constant Physical Activity:

Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting

Frequent Physical Activity:

Hearing, Talking, Walking

Occasional Physical Activity:

Lifting, Reaching, Standing, Stooping

Benefits Eligible:

Yes Apply