Director, Revenue Integrity

Company: Scripps Health
Location: San Diego
Posted on: May 2, 2024

Job Description:

At Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So, if you're open to change, go ahead and unlock your potential. The Revenue Integrity department has systemwide responsibilities for charge capture integrity for both hospital and professional services, Primary job responsibilities to include:

• The Director of Revenue Integrity is responsible for oversight and leadership of the activities and functions for system hospital and professional charge master maintenance and charge capture optimization.
• Participates in establishing and ensures achievement of the organization's strategic objective and leads strategic planning for assigned areas.
• Provides functional expertise essential to support department directors and managers and/or executive team.
• Oversees budget for assigned areas.
• Directs standards of practice and process improvement activities.
• Oversees staffing matrices and possesses authority to hire, conduct performance evaluations, and discipline employees.
• Directs policy and procedures formation for guiding and supporting the provisions of service. The ideal candidate:
  • We are seeking a director level leader with deep expertise in both Hospital and Professional charge capture within an Electronic Medical Record platform. To include charge optimization, charge master maintenance, reporting and monitoring of charging integrity.
  • Experience with Service Line charge optimization and has knowledge of Medicare and Payer regulations, Coding and Billing rules.
  • It is preferred if you have previous experience working on the EPIC EMR platform. You will work closely with all departments within our Scripps Health System to ensure that there is an effective workflow in place for charge capture optimization. This is a hybrid position that will require availability to work on-site and have flexibility to work remotely. Our corporate offices are located in San Diego, CA. #LI-LP1
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Keywords: Scripps Health, El Cajon , Director, Revenue Integrity, Executive , San Diego, California