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Director, Revenue Cycle

Orthopedic Surgery

Director, Revenue Cycle

  • 533441
  • Medical Center
  • Orthopedic Surgery
  • Full Time
  • Opening on: Jan 25 2023
  • Grade 106
  • Job Type: Officer of Administration
  • Bargaining Unit:
  • Regular/Temporary: Regular
  • End Date if Temporary:
  • Hours Per Week: 35
  • Salary Range: $170,000 - $175,000
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.
 

Position Summary

Reporting to the Department Administrator, the Director of Revenue Cycle will manage the revenue cycle services at the Department of Orthopedic Surgery.


Responsibilities

  • Oversee productivity and quality of team and staff performance, Determines guidelines for staffing levels and prioritizing work activities. Evaluate workflow effectiveness and performance.
  • Monitor and analyze trends to improve revenue cycle billing and collections to maximizing effective billing processes. Monitor standard metrics for charges, volume, and other revenue cycle relevant factors. Report outcomes with measurements of these standards; Operationalize solutions and continuously check effectiveness.
  • Ensure that CUMC policies, procedures, and compliance regulations related to physician billing are followed. Must keep standardized processes regarding revenue transactions across all practice sites.
  • Work closely with managers to develop standards of performance related to revenue cycle. Aid with educating managers on improving deficiencies and standardizing front end revenue cycle functions including registration, insurance verification, referrals, authorizations, coding charge entry.
  • Understand payor policy about Orthopedics billing and authorizations and circulate policies and updates to providers and staff as appropriate
  • Review (and run) monthly and quarterly analysis reports by providers – share trends, collection analysis, write offs and suggest improvements to documentation and coding as indicated
  • Attend faculty meetings to review overall billing operations, payor policy changes, coding updates
  • Review provider participating status with Department Administrator during PEG annual re-credentialing period to ensure the best allocation for the providers and department. Submit proper paperwork to PEG for changes in par status by carrier and by location
  • Conduct periodic evaluation of EPIC and other workflows, identify issues, and develop strategies for corrective measures and lead implementation. Measure the effectiveness of implementation and adjust as needed.
  • Ensure strategic alignment of team’s goals to overall Department’s mission, vision, and values.
  • Partner with the HR team to develop HR strategies for team and engage management team to execute strategy. Actively engage in the recruiting process to keep the team performing at its best level on full capacity.
  • Keeps apprised of rules and regulations affecting revenue cycle, Stays current through journals and personal contacts of such developments in the industry. Learns best industry practices about staffing and account management, conducts environmental scan and identified potential gaps in current processes to develop proposals for senior leadership.
  • Attend as department representative all revenue cycle meetings with other departments and consultants
  • Perform other related duties as needed

Minimum Qualifications

  • Bachelor’s degree or equivalent in education and experience.
  • Five years of related experience, with at least 3 years of revenue cycle and faculty practice management experience.
  • Expertise in physician reimbursement.
  • Substantial experience in financial, budget and operations.
  • Strong initiative, problem-solving and project management skills to develop and implement new systems, techniques, and procedures.
  • Practical knowledge of software applications including Microsoft Office Suite and Epic.
  • Excellent interpersonal, communication skills both verbal and written.

Preferred Qualifications

  • Master’s degree, preferably in Health Administration or Business Administration
  • CPC and Compliance Training
  • Orthopedics billing experience
  • Cognos reporting system knowledge preferred

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.

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