Manager Revenue Optimization
Eskenazi Health

Job Info

---

Division:Eskenazi Health

Sub-Division:Hospital

Req ID:10759

Schedule:Full Time

Shift:Days

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 327-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus as well as at 10 Eskenazi Health Center sites located throughout Indianapolis.

FLSA Status

Exempt

Job Role Summary

The Manager, Revenue Optimization manages and coordinates the daily operations for all CDM Specialists and Charge Reconciliation staff to ensure the functions of compliant facility-based charge code requests, charge capture, and reporting are maintained. This position reports to the Director, Revenue Cycle Support.

Essential Functions and Responsibilities

• Ensures regulatory and financial compliance within all departmental activities in addition to maintaining positive internal and external customer satisfaction with all stated processes
• Reviews, enhances, and maintains all facility charge forms on an as-needed basis
• Attains departmental goals while ensuring compliant proactive approaches are taken to strengthen charge capture processes to realize appropriate revenue for services provided
• Provides appropriate training, guidance, continuing education and overall job competency evaluation to all clinical and non-clinical direct reports
• Assists Director of Revenue Cycle Support to ensure internal departmental audits are conducted as it relates to the CDM and Charge Capture/Reconciliation functions; such audits are performed routinely according to Revenue Integrity, Charge Audit, and Charge Description Master Protocols; such audits include but are not limited to:
  • Routine strategic pricing reviews
  • Appropriate codes are set up within the CDM for optimal reimbursement
• Develops and maintains quality assurance processes for all CDM builds
• Works closely with other areas to ensure compliant and optimal generation of revenue occurs with minimal impact on revenue cycle processes
• Works closely with government and non-government audit vendors to comply with mandated audit timelines
• Maintains, develops and implements operating policies and procedures pertinent to areas of responsibility
• Establishes, maintains, and manages departmental standards ensuring quality, accuracy, and productivity
• Directs various personnel actions including, but not limited to, hiring, performance appraisals, promotions and transfers
• Completes or contributes to the completion of various financial forecasts, including productivity, month-end financial reporting, goal tracking, and any long-range departmental strategic plans
• Stays abreast of all governmental and industry trends in hospital and healthcare reimbursement; reviews internal controls, policies and procedures to ensure compliance with appropriate Federal, State and regulatory entity guidelines and procedures
• Troubleshoots current issues and anticipates potential problems; resolves issues by involving appropriate departments and personnel when needed, with the expertise to know when to involve others to minimize loss of revenue, reimbursement, penalties or sanctions
• Provides leadership through effective communication, guidance, feedback and delegation
• Ensures and advocates excellence in all customer service values

Job Requirements

• Bachelor's degree in Finance, Business, Health or Public Administration, Management, Nursing or a related field preferred
• Six years of related experience in a hospital/medical environment may be accepted in lieu of educational requirements
• Five years management experience in healthcare facility-based auditing and CDM oversight required

Knowledge, Skills & Abilities

• Ability to act as a change agent within the department by proactively initiating performance and process improvement
• Possesses in-depth knowledge of compliant facility-based charging, auditing, billing and reimbursement methodologies
• Possesses strong knowledge of healthcare industry revenue integrity key performance indicators and best practices
• Demonstrates excellent PC, Microsoft Office, and various software skills
• Possesses the ability to retrieve and compile data across multiple information systems to provide needed information for internal and external customers in a timely manner
• Possesses excellent oral and written communication skills, and demonstrates an ability to work with a variety of disciplines/levels of staff throughout the organization
• Demonstrates knowledge and expertise in influencing individual, group, and organizational behavior to reach strategic goals
• Demonstrates excellent customer service and organizational skills, is detail- and task-oriented, and sets appropriate priorities
• Possesses critical thinking, analytical, and results-driven project management skills
• Employs professional, team-oriented, solution-driven approaches to problem solving for all types of issues

Accredited by The Joint Commission and named one of the nation's 150 best places to work by Becker's Hospital Review for four consecutive years and Forbes list of best places to work for women, and Forbes list of America's best midsize employers' Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana, the first community mental health center in Indiana and the Eskenazi Health Center Primary Care - Center of Excellence in Women's Health, just to name a few.

Nearest Major Market: Indianapolis

This job has expired.