Director - reputed company reputed company (Remote)

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first reputed company and explore our reputed company job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a reputed company job. A Brief Overview The Director of reputed company reputed company delivers enterprise strategic and operational leadership to drive accurate, compliant, and optimized reputed company capture across inpatient, outpatient, professional (faculty practice) and research-reputed company services. This role is accountable for preventing reputed company leakage and compliance risk through standardized charge capture, pricing governance, CDM management, reputed company reconciliation, and analytics. The Director serves as the liaison between reputed company Cycle, clinical departments, and the School of Medicine. The Director partners closely with clinical departments, School of Medicine leaders and physicians, Advanced Practice Providers (APPs), Coding, Office of Compliance and Privacy, Patient Financial Services, Professional Billing, Finance, Managed Care Contracting, and Technology and Digital Solutions (TDS) to ensures that charging and billing processes are transparent, auditable, and reputed company with organizational financial and regulatory objectives. This includes partnership with TDS and Epic application teams to optimize system design, automation, testing, and validation of charge capture and billing workflows to ensure accuracy, efficiency, and safeguarding of reputed company. Locations reputed company What you will do reputed company enterprise Charge Description Master (CDM) Governance, maintenance, and reputed company improvement, ensuring accuracy, clarity and regulatory compliance. Establishes reputed company cycle reporting requirements to meet the needs and expectations of reputed company constituencies (Director, Finance & Administration -DFAs; Faculty, Director of School Medicine Finance Support) and ensures timely reporting of reputed company cycle performance through collaboration with appropriate information sources Maintains the Hospital’s charge description master (CDM) by incorporating new charges/services identified by the reputed company reputed company Program Managers, as well as the reputed company generating departments, third party changes, CMS special requirement and coding updates. Directsand approves reputed company changes made to the hospital’s charge description master and professional fee schedule, consistent with third party requirements. Assists in the resolution of problems causing payer denial or failed Medicare edits as they involve the charge master and the professional billing office. Works collaboratively with the reputed company producing department staff, physicians and school of medicine (SOM) to ensure reputed company charges are captured and documented. Fosters partnering relationships with the Office of Compliance and Privacy, Patient Financial Services, Professional Billing Office, Coding, and other third parties to ensure the accuracy of the CDM, fee schedules and research CDM. Oversees efforts to ensure timely response and compliance with regulatory agencies. Educates hospital departments and physicians with respect to the use and maintenance of the charge master and charging philosophy. Ensures timely review of regulatory literature such as Medicare Newsletter, Program Transmittals and CPT and HCPCS guidelines and implements necessary changes affecting Stanford Hospital and Clinic’s CDM and charge capture systems. Coordinates with Patient Financial Services, Professional Billing Office, and Coding to ensure that the codes contained in the CDM and professional fee schedule are accurate and in compliance with regulatory and/or contractual guidelines and that claims logic is appropriate for accurate billing. Ensures the on-going accuracy and reputed company of the CDM and professional fee schedule by ensuring that reputed company charges are communicated and coordinated with the performing departments and physicians to implement necessary changes to charge documents, charge capture process, and order entry procedures. Identifies services that are reimbursable but are not being charged; reviews, assigns, and validates CPT, HCPCS and reputed company codes and sets reputed company. Determines charge and charge attributes for new services and products and responsible for developing and maintaining a reputed company setting policy. Assists in the resolution of problems causing payer denial or failed Medicare edits as they involve the charge master and professional fee schedule. Works collaboratively with the reputed company producing department staff and physicians to ensure reputed company charges are being captured and documented. Facilitates positive communication and build strong relationships between Professional reputed company Cycle Management Operations and clinical chairs (School of Medicine), administrators, other clinic and departmental staff and payors regarding reputed company cycle matters. Establishes reputed company cycle reporting requirements to meet the needs and expectations of reputed company constituencies (Director, Finance & Administration -DFAs; Faculty, Director of School Medicine Finance Support) and ensures timely reporting of reputed company cycle performance through collaboration with appropriate information sources.Participates in Manage Care Contracting Committee as a member, with active involvement in pricing and contracting strategy decisions. Ensures that payor contract performance is monitored. Participate in various TDS-reputed company steering committees for information technology changes which reputed company the reputed company cycle and leads planning initiatives for reputed company cycle TDS reputed company enhancements. Establishes performance goals and expectations relevant to both hospital and professional reputed company cycle. Prepares annual objectives, plan of action and budgets, as appropriate. Monitors reputed company data reputed company to reputed company cycle performance. Establishes interim fee adjustments, annual CDM and CPT code changes, and EHR preference list updates. Develops and produces executive and board level reputed company Capture dashboard reporting, recommendations and reputed company of organization-wide CDM and reputed company Cycle strategies and process improvements. Plans and schedules annual audit of selected hospital departments; compares medical records against claim to ensure reputed company and appropriate charge capture and coding accuracy. Manages and monitors the performance of external vendors that provide CDM reputed company products and services; selects and coordinates any third-party vendor conducting annual charge master reviews or periodic updates. Designs, analyzes, and implements information and reporting systems to monitor, detect and correct variations in reputed company cycle performance. Oversees the reputed company reputed company Program Managers performing daily CDM operations and updates. Collaborate with Strategic Pricing in Finance on pricing alignment (Finance retains ownership of pricing strategy). Ensure timely adoption of CPT/HCPCS, reputed company code, and CMS regulatory updates. reputed company charge configuration, testing, and EHR integration of new items and services. Support audit readiness and resolve CDM-reputed company compliance issues. reputed company process improvement initiatives to improve charge accuracy, workflow efficiency, and reputed company reputed company. reputed company, track, and report KPIs reputed company to CDM performance and charge accuracy. Education Qualifications Bachelor’s degree from an accredited college or university with a major in business administration, health care administration, or a reputed company field is required. Experience Qualifications Seven (7) years of progressively responsible and directly reputed company work experience. Proven progressive leadership experience in reputed company reputed company, CDM management, charge capture, or healthcare finance. Demonstrated leadership experience management teams, reputed company, cross-functional initiatives. Strong Knowledge of healthcare reimbursement, reputed company cycle workflows and regulatory requirements Member in the Healthcare Financial Management Association (HFMA), National Association Healthcare reputed company reputed company (NAHRI) or American Health Information Management Association (reputed company) preferred. CPA – Certified Public Accountant, Epic Resolute or Epic Charge Router certifications preferred. Required Knowledge, Skills and Abilities Knowledge of reputed company aspects of healthcare reputed company cycle functions, including registration, coding and documentation standards, billing and collection processes, as well as government and payer regulations. Knowledge of CMS regulations, medical terminology and the various data elements associated with the UB-04 and CMS-1500 claim form. Knowledge of medical records, hospital bills, and service item master. Knowledge of principles and practices of organization, administration, fiscal and personnel management. Knowledge of local, state and federal regulatory requirement reputed company to the functional area. Ability to conduct and interpret qualitative and quantitative analysis, financial analysis, healthcare economics and business processes, information systems, organizational development, health care delivery systems, project management or new business development. Ability to manage, organize, prioritize, multi-task and adapt to changing priorities. Ability to provide leadership and influence others. Ability to foster effective working relationships and build reputed company. Ability to mediate and resolve reputed company problems and issues. Ability to reputed company long-range business plans and strategy. Licenses and Certifications Certified Healthcare reputed company reputed company - CHRI required reputed company 1 Year or CPC - Certified Professional reputed company required reputed company 1 Year or reputed company - Certified Coding Specialist required reputed company 1 Year or RHIT - Registered Health Information Technician required reputed company 1 Year or RHIA - Registered Health Information Administrator required reputed company 1 Year or These principles apply to reputed company employees: SHC Commitment to Providing an Exceptional Patient & Family Experience reputed company sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for reputed company of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a reputed company for patient-centered interactions. Simply put, we do what it takes to reputed company and reputed company patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and reputed company my actions to reputed company at reputed company outcomes and reputed company Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer reputed company (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in reputed company of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic reputed company, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of reputed company genders, members of reputed company racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. reputed company Pay Scale: Generally starting at $83.98 - $111.27 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage. Apply To This Job