Director, Revenue Integrity

Position Summary

The GW Medical Faculty Associates, the largest multi-specialty physician practice in the Washington, DC area, is hiring! When you choose to work for us, you choose to help improve people's health care experience on a daily basis. We seek qualified professionals from all backgrounds and disciplines to join our family of physicians and staff. Come join our exciting team as we reshape trends through our innovations and commitment to providing excellent healthcare.

The MFA offers competitive compensation and a strong benefits package that includes:

• Comprehensive medical and dental care plans, including a flexible spending account (FSA) and healthcare saving account (HSA)
• A generous 403(b) retirement plan
• Paid time off (multiple sources)
• The most paid vacations in the DMV area!
• Disability Insurance
• Tuition reimbursement (The George Washington University)

The unique leadership opportunity of Director of Revenue Integrity/Initiatives will report directly to the Chief Revenue Officer and will lead and oversee the following key areas to capture MFA revenue across the system:

• Revenue Integrity
• Charge Master review and validation
• Vendor management

This is a critical liaison role between the Revenue Cycle vendor and GW Medical Faculty Associates to ensure capture of revenue, communication on payer reimbursement changes, and collaborating with clinical departments.

Similar to all clinical and non-clinical roles here at the MFA, the Director, Revenue Integrity/Initiatives opportunity is centered around our mission to transform lives through healing, education and discovery. Our administrative and operations staff plays an important role in supporting our clinical care teams and shares the number one priority for our organization: our patients.

The future of healthcare is here – join us and play an active role in it!

Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned.

• Lead and oversee organization-wide Revenue Integrity and vendor charge capture functions.
• Ensure vendor integrates pricing and charge capture processes for all revenue cycle operations across organization.
• Assist clinical departments with the deployment, as well as continuous performance improvement efforts, for accurate and compliant charge submission. Drive execution and transformational change and leading-edge operations to contribute to the financial success of GW Medical Faculty Associates.
• Manage development of policies tailored to GW Medical Faculty Associates clinical operations to ensure organizational best practices.
• Oversee annual price adjustment process through pricing models and vendor contract management variance reporting.
• Oversee vendor charge integrity, reconciliation, late charge monitoring, and charge interfaces for all ancillary charging systems.
• Collaborate with billing vendor to establish and maintain charge capture audit processes, to check for appropriate coding and areas of potential revenue leakage; collaborate with Department leadership on improvement opportunities.
• Act as a conduit between the billing vendor and the Finance team to ensure that revenue recognition in Epic system is appropriately accounted for in our General Ledger.
• Oversee the development and execution of reimbursement policies and practices to improve revenue cycle processes and procedures.
• Oversee the development and execution of monitoring tools to ensure effectiveness of revenue cycle projects and processes related to revenue capture (timeliness of charge capture, DNFB, etc.).
• Oversee Revenue Cycle vendor with revenue related compliance policies, processes and tools, including analysis and interpretation of federal, state and local laws and regulations.
• Represent GW Medical Faculty Associates to third party payers and regulatory agencies regarding reimbursement practices, policies, and regulations.

Minimum Qualifications

Education

• A Bachelor’s degree in Business Administration, Accounting, Finance, Information Technology, or Health Administration is required.
• A Master’s degree in one of the above areas is preferred.

Experience

• A minimum of 5 years of experience within revenue cycle operations, revenue metrics and analytics, and revenue management or equivalent combination of education and experience.
• Strong knowledge of accounting systems and insurance issues, healthcare industry issues and trends, legal issues in field of expertise, required third party and governmental guidelines, and work processing.
• Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel is required.
• Must be fluent in Epic and able to manipulate large amounts of data.
• Previous managerial and supervisory experience is necessary.

Physical Requirements

• Walk, bend, twist, and reach above the shoulder frequently in a clinical setting.
• Must be able to occasionally lift or carry and frequently push or pull up to 20 lbs. as part of the role
• Regularly exposed to healthcare settings that may require personal protective equipment
• Requires manual dexterity to operate a computer keyboard, calculator, copier machine, and other equipment.

About GW MFA

MFA physicians provide comprehensive patient care, offering one practice for the whole person with 52 medical and surgical specialties. As members of the GW School of Medicine and Health Sciences faculty, MFA providers are teachers and mentors for medical students, residents, fellows, and researchers preserving the rich tradition of academics, research, and healing. In addition to maintaining a closely integrated alliance with The George Washington University and The George Washington University Hospital (GWUH) which is separately owned and operated by Universal Health Services (UHS), the GW MFA has active referring relationships with 12 area hospitals.

The GW MFA’s leading healthcare presence in the DC metro region is complemented by a network of community-based practices in DC, Maryland, and Virginia. Given its geographic location in central NW Washington, DC, and proximity to more than 175 resident embassies, the MFA continues to evolve its international clinical outreach.

Equal Opportunity Employer

The GW Medical Faculty Associates is an Equal Employment Opportunity/Affirmative Action employer that does not unlawfully discriminate in any of its programs or activities on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity or expression, or on any other basis prohibited by applicable law.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)