University Emergency Medicine Foundation
Providence, RI, United States
Finance, Manager, Healthcare
Revenue Cycle Manager
University Emergency Medicine Foundation (UEMF) is the academic emergency medicine physician practice plan of the Department of Emergency Medicine at the Alpert Medical School of Brown University. UEMF provides emergency department staffing for Rhode Island Hospital, the only Level I trauma center in this region; Hasbro Childrenís Hospital, Rhode Islandís only childrenís specialty hospital; The Miriam Hospital, a leading community teaching hospital and Newport Hospital, a community Magnet Hospital. UEMF member physicians and providers treat over 250,000 patients per year at our 4 clinical sites, drawing patients from Rhode Island, Massachusetts and Connecticut. As a non-profit foundation, UEMF is committed to its mission and vision of academic and research support. UEMF offers an excellent benefits package, including 85-90% employer-paid medical and dental, vision, employer-paid life insurance, long-term disability, paid time off, paid holidays and generous 401(k) retirement plan.
UEMF is looking for a full-time, 40 hour per week Revenue Cycle Manager who will be responsible for the management of revenue cycle operations. The successful individual will help foster an environment of trust and collaboration amongst the business office; provide oversight, direction and professional development for direct reports and collaborate with the leadership team and others on developing and implementing strategy and activities in support of the Foundationís missions.
The Revenue Cycle Manager will report to the Vice President of Finance and will be based in Providence. Other responsibilities include:
Revenue operations leadership and overall planning and execution of revenue cycle operations and goals (medical coding, chart auditing, billing and accounts receivable).
Planning, directing, reviewing, coordinating and evaluating the functions of the department to achieve operational efficiencies and ensure compliance with laws, regulations, practices and procedures.
Work closely with managers and leadership team to communicate information necessary to ensure processes are implemented and adhered to.
Provide consultation and recommendations on escalations and on complex coding and billing issues.
Monitor department performance results through observation, audits, data analysis and operational reports. Develop new reporting, measures and metrics as needed.
Work with leadership team and others to ensure compliance with government and non-government payersí incentive based and other quality measures programs.
With the Director of Compliance, coordinate external revenue audits and partner with the Compliance Director in following the Foundationís Compliance Plan.
Review internal audit summaries. Prepare reporting and commentary as needed for various stakeholders. When appropriate, prepare, implement and monitor action plans.
Work closely with the Compliance Director on reviewing and developing clinical documentation guidance in support of coding guidelines and payer requirements.
Oversee direct staff, provide direction, feedback, coaching and development opportunities and work with direct reports to develop tactical and strategic solutions to meet the goals of the organization.
Work with back-office leadership team on developing, executing and maintaining strategic vision.
Play lead role in training provider staff on documentation requirements and provide feedback, when appropriate, on documentation practices.
Keep up-to-date on regulatory practices.
Act as liaison with healthcare system on EPIC, coding and billing related topics and activities.
The qualifications for the position are:
Bachelorís degree in Healthcare Administration, Business Management, Finance, or equivalent work experience.
Certified Professional Coder Certificate (CPC), Certified Coding Specialist- Physician based Certificate (CCS-P), Registered Health Information Administrator (RHIA), Certified Healthcare Financial Professional (CHFP) or a related certificate preferred.
Current knowledge of ICD-10 CM and CPT-4 coding, billing, medical terminology, and compliance standards required.
Strong understanding of Medicare regulations and overall coding regulatory landscape.
Experience in the complete revenue cycle of a large medical practice or with a commercial health insurance company.
Requires eight (8) to ten (10) years of progressively responsible managerial experience in a healthcare organization.
Superior communication skills and interpersonal skills are required.
Must have a proven record of good managerial and excellent customer service skills.
Ability to prioritize and organize a variety of tasks to support departmental needs.
Demonstrates ability to clearly communicate verbally and in written form.
Good computer skills required. Must be familiar with electronic medical record and coding/billing platforms.
Successful candidate must submit to a background release form, demonstrate proof of being free from disqualifying information and must possess a driverís license and access to an insured vehicle as some transportation may be required.
All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves and others. UEMF is an equal opportunity employer. We strive to provide a workplace free from harassment. For more information about UEMF, please visit our website at www.uemf.org.
University Emergency Medicine Foundation