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The Senior Manager, Student Health Insurance Program & Revenue Operations is responsible for the efficient management of the Health System's Student Health Insurance Program, patient billing procedures and processes, and the supervision and collection of revenue from both internal and external sources. The Senior Manager works closely with Student Health executive leadership to plan, deploy and analyze functions and strategies that maximize the fiscal support of Student Health Services while ensuring that health care insurance and services are competitively and reasonably priced for the student population.
The Clinical Documentation Improvement Program Manager uses clinical, coding and CDI expertise to perform daily operational management of the CDI program and CDI Staff. This position evaluates the adequacy and effectiveness of internal and operational controls designed to ensure that CDI processes and practices lead to appropriate execution of regulatory requirements and guidelines related to facility coding and CDI practices, including federal and state compliance standards. This position plays a key role in leading the initiative for reporting quality of care outcomes and in obtaining complete, accurate and compliant documentation for appropriate reimbursement of services provided and capture of clinical outcome measures. This position will work in concert with physician leadership, Health Information Management coders and leadership, as well as Quality and Compliance leadership to support timely, accurate and complete documentation of clinical information and the success of the CDI Program Department. Assists with the management of monthly, weekly and ad hoc reporting for CDI program performance, including that of CDI staff and providers. Assists in the performance of quality audits and analyzes the findings of performance audit information to build staff education, identify areas of individual and team performance opportunity and resolve as needed. Serve as a subject matter expert and authoritative resource on interpretation and application of CDI practices, coding rules and regulations and conducts risk assessments of potential and detected compliance deficiencies, as well as documentation improvement opportunities. This position will draft and manage CDI Program Department policies and processes. The CDI Manager will work with the Director of HIM and Coding Manager to implement CDI program strategy and collaboration with Quality, compliance to coordinate provider documentation best practice.
Essential Duties:
Required Qualifications:
Preferred Qualifications:
Required Licenses/Certifications:
Full Time
Colleges & Universities
$109k-150k (estimate)
06/22/2024
08/21/2024
usc.edu
LOS ANGELES, CA
15,000 - 50,000
1880
PATRICIA CORONA
$500M - $1B
Colleges & Universities
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