Director of Professional Revenue Cycle

Reporting to the VP of Revenue Cycle, this leadership role provides oversight, management, and is accountability for all Professional Revenue coding and related processes including: all professional service coding, Provider/Physician documentation and coding, education for enhanced performance, coding and regulatory changes, quality reviews, outsourced coding vendor management, and team performance and development. This leader proactively engages as a trusted business partner with their direct and indirect coding teams, coding vendor teams, physicians and providers, Revenue Cycle, other stake-holder leadership and teams to maximize professional revenue across the enterprise.

This is an intermittent remote position, which means that the person hired will work with his or her manager to determine a schedule that includes both at home and on-site hours at a Children’s Mercy location. The incumbent must live in the Kansas City metro area

• Responsible for management of all coding teams and vendors related to professional services within the CMKC enterprise with an efficient and effective focus meeting best-practice industry benchmarks, identifying and addressing areas of improvement and risk, partnering with physician/clinical and operational leadership to drive defined, optimal coding performance and professional revenue while meeting and maintaining regulatory and best-practices for their teams.
• Provides oversight, management, and monitoring of all communication updates and issues for coding educators, Coders, Coding Auditors, Coding Supervisors and Managers, Coding Vendors, enterprise physicians and providers.
• Provides coding-related technology and tool oversight, management, and monitoring of all coding operations including coding accuracy, timely processing, coding resource, and vendor performance where applicable. Collaborates and manages work queue development, standardization, oversight, and management, including standardization and maintenance of work queue ownership, oversight of work queue escalation policies, high level monitoring of work queues to ensure timely work queue issue resolution.
• Manages and collaborates with stakeholders for consistent charge capture reconciliation/validation process across all Professional revenue departments and practices. Charge Capture Optimization (use of EMR and implementation of Electronic Charge Capture) Payor Incentive Maximization-In coordination of Payer Relations, achieve the following: Evaluate and implement processes to maximize incentives captured across all CM practices and departments. Develop tools to facilitate compliance with payor incentive programs across the organization.

• Master's Degree or 7 or more years experience Master's degree in health administration or other related field is preferred. Minimum of 10 years' healthcare revenue cycle experience in a provider and or hospital setting.
• One of the following: Registered Health Information Administrator, Registered Health Information Technician, Certified Professional Coder required upon hire
• RHIMA or RHIA or RHIT or CPC Required Upon Hire