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Location: Louisville, Kentucky
Job ID:
Work Type: Regular Full-Time
Shift: Days
Facility Group: Norton System Services
Job Description
Responsibilities
The System Director, Revenue Integrity, is responsible for ensuring the integrity of the hospital and physician practice revenue cycle, assuring documentation reflecting registration, clinical service delivery, charging, coding, billing and remittance are accurate, complete, comprehensive and in compliance with regulatory and payor requirements.
Key Accountabilities:
Directs ongoing programs for education of physicians and ancillary staff regarding documentation and regulatory compliance. Monitors CMS regulatory environment and integrates these requirements into facility/practice processes.
Provides support to Patient Financial Services to ensure accurate billing and payment compliance. Assists in compliance issues and reviews billing edit issues including APC grouper edits, Emdeon and LMRP reviews. Serves as a member of the Billing and Documentation Committee for both the hospital and physicians to ensure compliance.
Provides support and education to Norton Healthcare coders to improve accurate coding for appropriate reimbursement. This will include Hospital, Physician Services and Norton Cancer Institute. Plans the coding audits to assess compliance with applicable coding guidelines.
Monitors the CDM to ensure proper charge capture and reimbursement. Interacts with various clinical and support departments and systems influencing charge propriety. Maintains mechanisms to ensure accurate charge capture.
Performs financial analysis of revenue and reimbursement performance. Functions as an integral link between clinical and financial departments. Provides support to evaluate future service line development regarding reimbursement potential.
Qualifications
Required:
Five years management in a healthcare setting
Bachelor Degree
Desired:
One year working with Epic
Master Degree
Certified Coding Specialist OR Certified Professional Coder
Screening requirements:
Background check
License & education verification
Employment reference verification
Drug Screen
Norton Healthcare offers a competitive benefit package, including:
Paid vacation, sick days and holidays
Paid parental leave
403b/401k retirement plan
View more: Benefits Guide
Medical, Dental, and Vision Insurance
Discover meaningful career opportunities at NortonHealthcareCareers.com.
Norton Healthcare Careers — Together, We Will.
Norton Healthcare is a leader in serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The not-for-profit hospital and health care system is Louisville’s third largest employer, with more than 17,000 employees.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Equal Employment Opportunity is the law.
Equal Employment Opportunity is the law Supplement
Pay Transparency Notice
Seniority level
Seniority level
Director
Employment type
Employment type
Full-time
Job function
Job function
Engineering and Information Technology
Industries
Hospitals and Health Care
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Worksite address
louisville, KY, 40201, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.