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Sr. Mgr, Tech. Coding Compliance & Educ. for Comm. Hospitals Job
Cleveland Clinic
Date: Apr 24, 2013
Location: CLEVELAND, OH, US
SR MANAGER REVENUE CYCLE MANAGEMENT
Reference Title
HR Use Only: Sr. Mgr, Tech. Coding Compliance & Educ. for Comm. Hospitals
Hospital: Cleveland Clinic Main Campus & Family Health Centers
Facility: CLEVELAND CLINIC FOUNDATION (MAIN CAMPUS)
Department: HDS ADMINISTRATION
Job Code: T34065
Pay Grade: 17
Schedule: Full Time
Shift: Days
Hours: 8-430
Job Details: - Bachelors Degree Required
- Certified Professional Coder (CPC/RHIA/RHIT)
- Managerial experience required
Summary: Oversees the coding compliance program, education and training of the community hospital coding staff. Reporting to the Director, this key role provides decision support, organizational planning and operational leadership toward revenue support. Incumbent will participate in the application of relevant systems and software applications. Incumbent will provide operational support /assistance to the Director, toward accurate and timely resolution of RCM processes and/or patient revenue generated as a result of effective and efficient reimbursement, billing, collection and HIM/CDI processes.
Job Responsibilities: Provides management supervision and operational direction to the efforts of assigned Revenue Cycle Management department(s). Oversees other professionals and other subordinate supervisors. Specific leadership responsibilities in the relevant software applications. Leadership and Direction will provide World Class levels of service for revenue cycle management processes, leading toward superior levels of patient satisfaction In participation with the Director; accountable for operation of the RCM department to include: budget preparation, salary administration, equipment purchases and establishment of annual goals and objectives. Communicates Cleveland Clinic performance expectations of Patients First while assisting department operations supporting corporate goals for revenue cycle management. Ensures consistent implementation of Cleveland Clinic corporate financial and Revenue Cycle Management policies and procedures. Participates in oversight of operations and system upgrades, integrity, and/or conversion. Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement Ensures required communication to various CCHS and hospital leadership, clinical practices, Administrators and Divisional chairmen. Recommends ,implements and monitors Revenue Cycle Management solutions, strategies and systems. Other duties as assigned.
Education: Bachelor's Degree in Business Administration, Accounting, Finance, HIM, RN or other applicable field of study required. Knowledge of third party hospital billing, contractual and compliance regulations, hospital billing practices, HIM processes, along with a demonstrated understanding of automated processes, electronic data interchange and associated operational processes is considered a highly desired advantage Master's Degree in Business, Accounting, Finance, HIM or other applicable field is preferred.
Experience: Minimum seven years of experience in a hospital or multi-hospital system in a RCM area that includes management experience. (A total of eleven years of successful Revenue Cycle Management experience, with four or more years in a management role may offset the degree requirement.)
Licensure/Certification/Registration: For HIM/CDI- RHIA or RHIT or RN with CCS preferred for Coding area.
Category: Managerial/Professional/Physician
Reference Title
HR Use Only: Sr. Mgr, Tech. Coding Compliance & Educ. for Comm. Hospitals
Hospital: Cleveland Clinic Main Campus & Family Health Centers
Facility: CLEVELAND CLINIC FOUNDATION (MAIN CAMPUS)
Department: HDS ADMINISTRATION
Job Code: T34065
Pay Grade: 17
Schedule: Full Time
Shift: Days
Hours: 8-430
Job Details: - Bachelors Degree Required
- Certified Professional Coder (CPC/RHIA/RHIT)
- Managerial experience required
Summary: Oversees the coding compliance program, education and training of the community hospital coding staff. Reporting to the Director, this key role provides decision support, organizational planning and operational leadership toward revenue support. Incumbent will participate in the application of relevant systems and software applications. Incumbent will provide operational support /assistance to the Director, toward accurate and timely resolution of RCM processes and/or patient revenue generated as a result of effective and efficient reimbursement, billing, collection and HIM/CDI processes.
Job Responsibilities: Provides management supervision and operational direction to the efforts of assigned Revenue Cycle Management department(s). Oversees other professionals and other subordinate supervisors. Specific leadership responsibilities in the relevant software applications. Leadership and Direction will provide World Class levels of service for revenue cycle management processes, leading toward superior levels of patient satisfaction In participation with the Director; accountable for operation of the RCM department to include: budget preparation, salary administration, equipment purchases and establishment of annual goals and objectives. Communicates Cleveland Clinic performance expectations of Patients First while assisting department operations supporting corporate goals for revenue cycle management. Ensures consistent implementation of Cleveland Clinic corporate financial and Revenue Cycle Management policies and procedures. Participates in oversight of operations and system upgrades, integrity, and/or conversion. Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement Ensures required communication to various CCHS and hospital leadership, clinical practices, Administrators and Divisional chairmen. Recommends ,implements and monitors Revenue Cycle Management solutions, strategies and systems. Other duties as assigned.
Education: Bachelor's Degree in Business Administration, Accounting, Finance, HIM, RN or other applicable field of study required. Knowledge of third party hospital billing, contractual and compliance regulations, hospital billing practices, HIM processes, along with a demonstrated understanding of automated processes, electronic data interchange and associated operational processes is considered a highly desired advantage Master's Degree in Business, Accounting, Finance, HIM or other applicable field is preferred.
Experience: Minimum seven years of experience in a hospital or multi-hospital system in a RCM area that includes management experience. (A total of eleven years of successful Revenue Cycle Management experience, with four or more years in a management role may offset the degree requirement.)
Licensure/Certification/Registration: For HIM/CDI- RHIA or RHIT or RN with CCS preferred for Coding area.
Category: Managerial/Professional/Physician
Nearest Major Market: Cleveland
Job Segments: Compliance, Manager, Medical Coding, Corporate Finance, Legal, Management, Healthcare, Finance
