09 oct
|
Johnson Regional Medical Center
|
Madrid
09 oct
Johnson Regional Medical Center
Madrid
DescriptionJob Title: Senior Revenue Cycle DirectorReports to: Chief Financial OfficerDirect Reports: Admissions and Patient Access, Business Office, Revenue Integrity TeamsPosition SummaryThe Revenue Cycle Director is Full-Time, Exempt position that oversees the full revenue cycle, including Patient Access, Business Office, and Revenue Integrity. This leader ensures accurate documentation, charge capture, coding alignment, and compliant billing to optimize reimbursement, reduce denials, and support excellent patient financial experience.Demonstrates Competency in the Following AreasProvide leadership across Patient Access, Business Office, and Revenue Integrity.Develop goals, KPIs, and operational plans to support financial objectives.Identify revenue leakage and compliance risks and implement corrective actions.Lea Ensure accurate and complete charge capture and documentation.Oversee chargemaster maintenance and auditing.Monitor underbilling, overbilling,
and missed charges.Review new services and supplies for proper charge structure.Collaborate with HIM/Coding and clinical teams to ensure compliance.Implement standardized charge capture processes with reconciliation.Ensure coding accuracy and compliance with CMS, Medicaid, Medicare, and payers.Conduct audits and provide documentation education.Maintain charging system integrity in partnership with IT/IS.Oversee preregistration, registration, verification, authorization, and POS collections.Monitor accuracy, wait times, and financial counseling processes.Resolve issues impacting downstream billing.Lead billing, claims submission, payment posting, AR follow-up, and collections.Ensure timely and accurate claims to reduce denials.Manage appeals and monitor payer trends.Optimize AR days, reimbursement, and bad debt processes.Analyze denial trends and reimbursement variances.Manage RAC, MAC, and commercial audits.Partner with PFS on appeals and corrective action plans.Develop financial analysis dashboards and reporting
📌 Senior Revenue Cycle Director (Madrid)
🏢 Johnson Regional Medical Center
📍 Madrid