RESPONSIBILITIESI. JOB SUMMARY/RESPONSIBILITIES: Supervises clinical and financial processes to improve revenue results, ensure integrity, and safeguard The Queen’s Health Systems (QHS) medical facilities against exposure and penalties. Provides oversight of the charge capture processes across QHS to ensure that all valid charges are captured in the billing process in a timely and compliant manner. Identifies charge compliance issues and root causes of noncompliance. Ensures correction of issues and develops changes to workflow processes to ensure that issues are prevented in the future. Ensures operations and functions are in compliance with regulatory requirements and policies and procedures of QHS. Prepares and presents financial reports for executive management review.II. TYPICAL PHYSICAL DEMANDS: Seeing, hearing, speaking, finger dexterity. Frequent: sitting. Infrequent: walking, stooping/bending, reaching at and below shoulder level.III. TYPICAL WORKING CONDITIONS: Not substantially subjected to adverse environmental conditions.IV. MINIMUM QUALIFICATIONS:A. EDUCATION/CERTIFICATION AND LICENSURE: Bachelor’s degree in Business Administration, Finance, Health Care Administration or related field; or four (4) years of progressive experience in revenue cycle or finance may be substituted for the educational requirement. Master’s degree in a related field preferred.B. EXPERIENCE: In addition to the educational requirement, four (4) years of experience in two (2) or more of the following revenue cycle areas: revenue integrity, charge capture, facility or professional coding, billing, compliance, or pricing and reimbursement, preferably in a comparable organization. One (1) year, supervisory/leadership experience. Experience to demonstrate the following:o Working knowledge of charge master principles and the relationship to coding, billing and compliance in a hospital setting.o Knowledge of contracts, financial analysis methods, accounting principles and health care delivery systems.o Knowledge of requirements specific to government-funded health care program and third-party payer reimbursement.o Proficiency with computer-based hospital billing/records applications and Microsoft Office applications, i.e. Word and Excel. Prior experience with Epic systems preferred.Equal Opportunity Employer/Disability/Vet
