Director of Revenue Integrity Limited

JOB REQUIREMENTS: Position Description: Every day, in ways both big and
small, the Medical College of Wisconsin (MCW) is impacting lives for the
better. MCW … changemaking for a healthier Wisconsin. Purpose The
Director of Revenue Integrity is responsible for identifying and leading
efforts to improve professional services revenue cycle with a primary
focus on denials prevention, clinical documentation optimization,
provider education, and professional services audits. The incumbent will
direct projects to implement new solutions and drive process
improvements, as well as lead teams regularly evaluating and
communicating clinical revenue opportunities. The initial term for this
position is 6 months. The position will be re-assesed at the end of six
months to determine if it shall be extended or modified. Primary
Functions Leads the Denials Prevention team with a focus on identifying
denials trends and the timely response/resolution of coding
correspondence and related denials. Leads the Clinical Documentation
Improvement (Optimization) and Provider Education teams with a focus on
optimizing Epic clinical documentation with templates and enhanced Epic
functionality as it relates to charge capture. Leads Provider Education
efforts including new provider onboarding and education (clinical
documentation/coding/billing guidelines), and specialty-specific coding,
billing & clinical documentation education programs. Leads the
Professional Services Auditing team with a focus on coder audits &
education, and provider audits. Develops and implements revenue
integrity strategies, policies, and procedure to improve revenue cycle
performance Collaborate with revenue cycle operations, compliance, and
technology teams to identify and address revenue cycle improvement
opportunities; Monitor and analyze revenue cycle performance metrics,
identifying trends, and leading efforts to optimize revenue capture and
reduce denials through collaboration with upstream business units.
Ownership of RCM-related communications and regular performance
reporting for Revenue Integrity focus areas Serve as subject matter
expert on revenue integrity matters, providing auditing, education and
training to staff and stakeholders as needed Preferred Schedule:
Full-time role with expectations for coverage during core business hours
and flexibility required as necessary to accommodate business needs.
Position Requirements: Knowledge – Skills – Abilities Must possess
leadership and persuasive skills. Ability to influence others in a
dotted-line matrixed organizational structure. Excellent communication
skills, both written and… For full info follow application link.
EEO/AA Minorities/Females/Vets/Disability The Medical College of
Wisconsin is an affirmative action/equal opportunity employer and does
not discriminate in hiring or employment on the basis of age, sex, race,
color, religion, national origin, veteran status, disability or sexual
orientation. APPLICATION INSTRUCTIONS: Apply Online:
ipc.us/t/B13B98A7ABF544C0 Qualified females, minorities, and special
disabled veterans and other veterans are encouraged to apply.