Overview:
Novant Health revenue cycle services is introducing a New Vice President of Mid Cycle Services to lead the unification of hospital and ambulatory coding, coding audits, Health Information Management, Revenue Integrity, Charge Capture, Utilization Review and Provider coding support services. This leader will be pivotal in driving quality, compliance, and efficiency using transformative technology throughout the mid- revenue cycle.
The VP of Health Information and Revenue Integrity will report to the SVP, Revenue Cycle and be responsible for providing strategic leadership, direction and oversight of all aspects of Health Information Management (HIM), coding, clinical documentation, and revenue integrity across the enterprise. This role involves overseeing strategic planning, leadership, and operations support for clinical work such as utilization review, coding, clinical documentation improvement, health information management, release of information, charge capture, coding audits, provider education, and charge master optimization. This role ensures accurate and comprehensive coding, charges and documentation to minimize revenue leakage and improve compliance. The VP of Health Information and Revenue Integrity will work closely with other executive and clinical leaders to enhance financial performance, optimize operational efficiency, and support the health system's overall goals.
Come join a remarkable team where quality care meets quality service, in every dimension, every time.
#JoinTeamAubergine #NovantHealth Let Novant Health be the destination for your professional growth.
At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.
Responsibilities:
Our team members are part of an environment that fosters team work, team member engagement and community involvement.
The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".
Qualifications:
Education:
* 4 Year / Bachelors Degree, required. Degree in Business Administration with a Healthcare of Finance concentration, or equivalent, Health Care Administration, or a related field.
* Graduate Degree, preferred. MS, MBA; a combination of experience and/or education will be taken into consideration.
Experience:
* Minimum of 10 years' experience in healthcare revenue cycle management, preferably in mid cycle services including director level responsibility in a complex, healthcare organization.
* 10 years Experience with revenue cycle management and mid cycle technology solutions, preferred.
* 10 years Expertise with Epic and other mid cycle software. Experience with leading integration or other large transformation projects preferred.
Licensure/Certification: CIC, CCS, CPC, CCA, RHIT, or RHIA or related field, preferred.
Additional Skills (required):
* Strong leadership skills with the ability to manage and motivate a large team.
* Excellent communication and interpersonal skills.
* Knowledge of healthcare regulations and compliance standards.
* Expert knowledge of Medicare/Medicaid regulations, payer rules, billing compliance, coding standards (ICD-10, CPT), and reimbursement methodologies (DRG, APC, etc.).
* Proven ability to develop and implement strategic plans.
* Strong analytical and problem-solving skills with ability to use data to inform decisions.
* Ability to work collaboratively with executive leadership and clinical staff.
* Proven track record of improving operational efficiency, reducing revenue leakage and engaging clinical staff.
Essential Functions
Revenue Cycle Strategy & Operational Oversight
Develop and execute a vision and strategy for mid-revenue cycle operations.
Ensures accurate and complete financial documentation, while maximizing revenue.
Oversees CDI (Clinical Documentation Improvement), HIM, charge capture, coding and UR programs to enhance clinical documentation, coding and charge capture accuracy.
Oversee day-to-day operations of mid cycle departments, ensuring high-quality service delivery.
Revenue Integrity
Leads efforts to ensure accurate and compliant billing and coding practices, minimizing denials and maximizing revenue capture.
Monitor billing processes, claims, and reimbursement patterns to identify and prevent underpayments or missed billing opportunities.
Compliance and Risk
Ensure compliance with all applicable regulation, identify and mitigate revenue cycle risks.
Ensure accurate coding, compliance with regulations like HIPAA, and optimal revenue cycle performance.
Work closely with compliance, audit, and legal teams to mitigate risk and maintain alignment with federal/state regulations.
Auditing and Investigation
Conducts regular and frequent audits and investigations to identify and correct errors in billing and coding practices.
Regularly reevaluates audit and investigatory practices to ensure effectiveness.
Education and Training
Leads education and training strategy for clinical and non-clinical staff on coding, documentation, charge capture, billing, and compliance issues.
Leadership & Workforce Development
Direct the recruitment, development, and retention of mid cycle staff.
Conduct regular meetings with reporting executives and staff to ensure operational efficiency.
Leads and develops a team of HIM (Health Information Management) professionals, providing guidance, coaching and performance management.
Stakeholder & Vendor Collaboration
Collaborate with executive leadership to establish goals, objectives, and policies for mid cycle services.
Work closely with clinical leadership to promote accurate documentation and financial performance.
Represent the health system in negotiations with suppliers and other organizations.
Automation and Technology
Identifies opportunities to implement automation, artificial intelligence, and other technologies to streamline processes and improve efficiency.
Data Analysis, Reporting and Data Optimization
Direct the development and implementation of policies and workflows to optimize revenue capture.
Review and analyze reports, financial statements, and other performance data to measure productivity and goal achievement.
Vendor management
Partner with VPs of Transformation and Shared Services to support governance, performance management and selection of vendors, as relevant.
Guide selection, implementation, and optimization of technology systems that support revenue integrity (e.g., CDI software, charge capture tools, reporting dashboards).
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