Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

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The Director of Revenue Integrity serves as the revenue process expert for a multi-site, multi-specialty healthcare system providing direct oversight of Coding, Insurance Follow-up, Revenue Integrity, and the Payments Department. The primary function of this role is assessing, directing, and coordinating activities between clinic operations and revenue cycle teams to achieve optimal financial health and key performance metrics (KPI). The Director oversees all aspects of the health systems charge description master (CDM) functions that support accurate charge capture and billing in compliance with state and federal regulations. This role collaborates with IT Leadership to prioritize and plan project implementation directed towards charge capture workflow optimization, efficient coding and payment posting, claims automation, and identification of insurance underpayments. Key to this role is the development and execution of education programs targeted toward registration and charge capture process improvement, denial mitigation, provider coding/documentation quality, and coding/billing regulations. Lastly this role partners with Finance and Network Strategy teams to develop and monitor payer performance metrics while working directly with payer representatives to ensure accurate reimbursement, timely claim remediation and ensure compliance with contractual obligations.

Position Reports To: VP of Revenue Cycle

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Desired: