Director Enterprise Mid Revenue Cycle - HIM Operations Document Management

Department :

10278 Enterprise Revenue Cycle - HIM : Operations Administration

Status : Full time

Benefits Eligible : Yes

Hou rs Per Week : 40

Schedule Details / Additional Information :

Remote, weekdays

Pay Range

$62.15 - $93.25

Major Responsibilities :

• Strategic Leadership : The MRC Director recognizes the division’s mission and strategic priorities and identifies the role of the function and sub-functions under his / her leadership to serve the MRC division. The MRC director assumes responsibility for defining their function / sub-function strategic priorities, core operations, and KPIs to contribute to the MRC division success.
• Operational Leadership : Lead assigned Mid Revenue Cycle sub-function area(s) to ensuring alignment with divisional and enterprise-wide goals. service delivery meets organizational goals and regulatory requirements.
• Operational Efficiency : Evaluate processes to improve efficiency, enhance productivity, and support standardized best practices across the Mid-Revenue Cycle.
• Regulatory Compliance & Confidentiality : Ensure adherence to regulatory requirements, accreditation standards, and organizational policies. Maintain confidentiality of patient records and report any perceived non-compliant practices to leadership or the Compliance Department. Align coding practices with regulatory requirements and implement strategic plans to enhance coding quality and audit processes.
• Coding Denials and Customer Service Requests : Direct resolution of professional and hospital coding denials to ensure accurate and timely reimbursement. Oversee the timely resolution of Customer Service department requests related to HIM Coding disputes.
• Performance Monitoring & Reporting : Develop, implement, and monitor quality standards, workflows, and productivity metrics to optimize team performance. Utilize key performance indicators (KPIs) to measure effectiveness, track trends, and implement data-driven strategies for improvement.
• Quality Assurance : Maintain a high standard of quality and oversee processes and implement corrective actions as needed to ensure high reliability, accuracy and optimal reimbursement.
• Technology Utilization : Leverage healthcare technology and analytics tools to enhance efficiency, support decision-making, and drive innovation in Mid-Revenue Cycle processes.
• Collaboration & Stakeholder Engagement : Serve as a liaison across Mid-Revenue Cycle and other organizational units to ensure processes drive value, support enterprise-wide initiatives and priorities and adhere to regulatory requirements. Build and maintain relationships with key stakeholders to drive communication, problem-solving, and operational alignment.
• Team Leadership & Development : Manage and develop a team of professionals by performing human resource functions such as hiring, performance evaluations, and professional development. Provide training, feedback, and career growth opportunities to foster a high-performing and financially responsible workforce. Ensure proper staffing, training, and resource allocation to meet operational demands and quality standards.
• Strategic Initiatives & Execution : Contribute to the development and execution of strategic initiatives within the Mid Revenue Cycle to support Advocate Health's long-term goals.

Licensure, Registration, and / or Certification Required :

Education Required :

Experience Required :

Knowledge, Skills & Abilities Required :

Physical Requirements and Working Conditions :

Our Commitment to You :

Advocate Health offers a comprehensive suite of Total Rewards : benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including :

Compensation

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About Advocate Health

is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names in Illinois; in the Carolinas, Georgia and Alabama; and in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.