As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare.
Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
The Director of Revenue Integrity position serves in a senior leadership capacity and demonstrates client and business unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. The Conifer Revenue Integrity scope includes Charge Description Master (ï¿½CDMï¿½), Observation charge capture, Charge Audit, Billing Edit Resolution, Training/Education and general charge capture initiatives and processes to secure and improve revenue for the integrated health systems that Conifer supports. This Director ensures charge capture compliance is maintained, performance reporting and communication is provided to executive leadership and projects are properly managed. The Directorï¿½s primary role will be to lead a Revenue Integrity business unit in support of multiple client hospitals in the Pacific Northwest and North Dakota. In addition to this regional client-facing leadership role, the Director will also oversee a national Charge Audit team that supports two large health systems. The Director leverages skills in project management, data-driven decision-making, team building, and consultation to ensure Conifer performs at expected levels on behalf of our clients. We invite candidates that are eager to take the next step in their career and join Conifer as an industry-leading organization in healthcare.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance.
Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives.
Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc.
Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost effective manner; provides direction to clients for implementation of multiple regulatory requirements.
Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates.
Maintain a high level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Direct Reports: Manager, Revenue Integrity
Indirect Reports: Revenue Integrity Analyst I-III and Revenue Integrity Administrator
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions
Demonstrated critical-thinking skills with proven ability to make sound decisions
Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals
Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely
Ability to manage multiple projects/initiatives simultaneously, including resourcing
Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner
Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement
Advanced ability to work well with people of vastly differing levels, styles, and preferences; respectful of all positions and all levels
Ability to effectively and professionally motivate team members and peers to meet goals
Advanced knowledge of external and internal drivers affecting the entire revenue cycle
Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point)
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
Bachelorï¿½s degree or higher; seven (7) or more years of related experience may be considered in lieu of degree
Minimum of five years healthcare-related experience required
Extensive experience as Revenue Integrity manager
Extensive knowledge of laws and regulations pertaining to healthcare industry required
Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required
Consulting experience a plus
CERTIFICATES, LICENSES, REGISTRATIONS
Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear.
Must frequently lift and/or move up to 25 pounds
Specific vision abilities required by this job include close vision
Some travel required
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Normal corporate office environment
Approximately 10 ï¿½ 25%
Job: Conifer Health Solutions
Primary Location: Frisco, Texas
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2005035527
About Conifer Health Solutions
Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.