System Director, Revenue Integrity

at NorthShore University Health System in Skokie, Illinois, United States

Job Description

System Director, Revenue Integrity

Position Highlights:
Position: System Director, Revenue Integrity
Location: Skokie
Full Time
Hours: 40 hours

What you will do:
Responsible for operational management and administration of fiscal matters pertaining to revenue integrity
Leads and develops the Regional Revenue Integrity teams, including hiring, training, goal setting, and performance reviews of direct reports.
Ensures adherence to applicable governmental and payer regulations through clinical documentation audits
Directs charge capture, charge reconciliation and other reimbursement matters for hospital service lines across 3 instances of Epic
Participates in planning revenue integrity alignment efforts in preparation for the move to a single Epic instance
Directs the education, auditing, monitoring and support of revenue functions
Provides support and direction for charge integrity audits, claims processing denials, and compliance monitoring
Proactively identifies opportunities for charge integrity and stability in revenue with service line leaders across the health system
Performs reporting and analysis of revenue related data and supports revenue related process improvement
Partners with health system clinical, operational and information technology leaders to develop, implement and maintain strategies and tools to prevent revenue leakage and ensure consistent business operations
Partners with compliance to support audit related recommendations and denials mitigation
Provides expertise as it relates to billing compliance for new and existing services, while maintaining compliance with organizational, federal, state and third party requirements
Optimizes revenue by performing appropriate reviews, investigating trends and patterns, and providing education regarding charge capture, charge reconciliation and billing guidelines
Monitors adherence to best practice operations and process flows, recommends changes as necessary, and sees them through implementation

What you will need:
Education:
Bachelor's degree in nursing, business administration, finance, or related field; master's degree in business, health administration or related field
Experience:
Approximately ten (10) years of progressive experience in revenue cycle management
5 years of leadership experience in patient finance, hospital or professional coding and/or revenue cycle consulting in a managerial position required, with prior experience in hospital revenue integrity preferred
Certification:
RN, BSN, CIC, CCS, CPC designations are highly desirable; certification in auditing and/or health care compliance preferred

Benefits:
Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, Pet and Vision options, including Domestic Partner Coverage
Tuition Reimbursement
Free Parking
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities
Visa Sponsorship Available (Nursing and Lab roles)

Benefits:
Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, Pet and Vision options
Tuition Reimbursement
Free Parking
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit .

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website () to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting... For full info follow application link.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.