The Vice President, Revenue Cycle will develop and deploy a strategic vision which will drive the direction of Revenue Cycle and maximize net patient revenue. The position will assure best-in-class performance and results, maximize cash collections, facilitate continuous improvement, and foster patient, employee, physician and business-partner engagement. Leads successful and compliant operations of Insurance and Self-Pay Billing, Cash Posting, Denial and Underpayment resolution. The VP Revenue Cycle will work collaboratively as a strategic business partner with SENTA Partners leadership.
Major Duties and Responsibilities:
Strategically builds and leads the revenue cycle management team for the platform to include architecture, centralization, and optimization efforts.Partners with the operational leaders to ensure that operational and RCM processes are aligned.Comfortable with matrix organizational structure (division of responsibility to exceed company goals)Establishes short term and long-term revenue cycle strategies to ensure long term vision and objectives are obtained providing seamless integration of strategic planning with tactical execution.Assuring the key elements of an effective revenue cycle compliance program are in place and operationalized such as policies, education, risk assessments, profiling, work plan, monitoring, reporting and corrective/remedial action plans.Establishes system wide coding compliance standards and policies related to documentation and charge capture of professional coding and billing practices.Analyzes, reports on, and provides recommendations on corrective action plans, disciplinary actions or compliance issues and risk.Monitors clinical and non-clinical documentation in accordance with Government guidelines to support claims and all applicable regulations including but not limited to: E&M, CPT, ICD10 and HCPCs coding and documentation and medical necessity, billing for non-physician practitioners, scribes and Locums Tenens.Uses audits and/or other evaluation techniques to monitor compliance and ensure reductions in identified problem areas.Oversees the development of coding and documentation training materials and programs for employees and providers.Participates in the due-diligence evaluation of the prospective affiliations to determine appropriate post-affiliation integration plans for staffing, systems, A/R transition, etc.Manages daily activities for staff members, including job interviewing and hiring; preparation of employee performance reviews; determination of raises, promotions, transfers, and terminations in conjunction with HR.Contributes to the team effort by completing other tasks/projects as needed.