Director, Coding (Revenue Cycle)

UT Health San Antonio • San Antonio, TX

1d

About The Position

Responsible for directing the Revenue Cycle activity. This position manages the processes and provides guidance, direction and support for one or more of the following areas: registration, financial clearance, referrals/authorization processing, charge capture, coding, insurance follow-up and research billing.

Requirements

• Coding Certifications from AAPC or AHIMA is highly preferred
• Broad knowledge of health care compliance and insurance billing guidelines and rules.
• Experience with EPIC.
• Knowledge of budgets and budget processes, and ability to make sound financial decisions.
• Ability to coordinate and manage cost, quality and budgetary requirements; works with others to accomplish goals and objectives.
• Ability to lead, direct and contribute to initiatives and processes within the institution while creating a collaborative and respectful team environment and improving workflows.
• Ability to coordinate the diverse components of the project by quality project planning, execution and change control to achieve required balance of time, cost and quality.
• Strong ability to communicate verbally and in written form.
• Must be able to effectively communicate and present complex information clearly to a variety of audiences.

Responsibilities

• Responsible for day- to-day management of Revenue Cycle activities within the guidelines/policies and procedures.
• Reviews and manages A/R ; to include oversight of days in A/R, gross billings, gross collections, net revenue, percent of collections to net revenue and monitoring and management of denial rates and denial categories related to activity.
• Responsible for monitoring A/R and cash trends and instituting measures to control negative trends.
• Continually monitors processes and identifies problems or areas of concern and recommends corrective actions.
• Implements enhancements to Revenue Cycle efforts; works on process improvement across multiple A/R functions; including registration, verification of benefits, interaction with patients/families, self pay amounts, prior authorizations, insurance verification/follow up/denials, charge capture, timeliness and accuracy of coding and documentation, compliance, payer correspondence and cash posting.
• Collaborates and coordinates activities with clinical departments to improve processes, resolve problems and enhance communications.
• Management duties include interviewing, selecting and training employees; setting and adjusting pay rates and hours of work; planning and directing work; appraising productivity and efficiency, handling complaints/grievances and disciplining when necessary.
• Performs all other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed