Integrity Director Jobs (NOW HIRING)

Under the direction of the Vice President of Revenue Cycle, the Director of Revenue Integrity oversees the Revenue Integrity Department. The Director is responsible for supporting the enhancement and maintenance of properly functioning revenue capture processes at Mosaic Life Care. The Revenue Integrity Director works across the organization, collaborating with Managed Care, Finance, Technology Services and clinical teams to ensure accurate, timely and compliant revenue posting and reimbursement. Provides guidance and oversight for charge description master integrity, patient account charge audits, regulatory audits and appeals, underpayment recovery and denials management for hospital and physician clinic services. Supports and manages the technical charge capture systems, processes and workflows of revenue generating departments for the organization to ensure timely and accurate recording of revenue, in accordance with all applicable governmental and institutional standards, bylaws, rules and regulations. Provides information to charge capture teams and operational directors/managers related to mechanisms of charge triggers, controls and reconciliation, and coding purposes of compliant billing and charging procedures. This position is responsible for developing and implementing price setting methodology and procedures. This position aims to maximize operational efficiency by supporting staff functions and promoting the integrity of the revenue charge capture system. To achieve these goals, the Director of Revenue Integrity identifies opportunities to work with leaders in other organizational areas - including compliance, clinical service lines, case management, Patient Access, Patient Financial Services and other departments - to ensure regulatory compliance, increase care coordination, and improve communication among departments. Principle responsibilities will also include directing the overall functions of assigned areas across the continuum to support quality, cost and satisfaction outcomes; assuring department is appropriately staffed and providing performance feedback, assure appropriate management of Revenue Integrity, and all other utilization functions. This leader interacts with leadership and front-line caregivers across the organization to accomplish department goals and assures that department objectives align with Mosaic's Mission/Vision/Values and Strategic Priorities. The leader is also responsible for designing and leading an integrated (enterprise) Revenue Integrity services. Direct reports include; Revenue Integrity Manager and underpayments team.

Essential Technical/Motor Skills

• The Director will have a thorough knowledge of the leadership and technical skills needed to assure high quality outcomes. Experience in a role comparable to the size and scope of Mosaic's revenue cycle function is valued.

Interpersonal Skills

• The ideal candidate demonstrates the following leadership characteristics as defined by Mosaic's leadership competency model: Promotes high quality patient care Communicates in a positive manner Listens and effectively responds to caregiver and customer concerns Responds promptly to problem-working on what counts the most Can be counted on to do what he or she says will be done-ethical Is visionary, and can align the vision to overall MLC strategy Takes actions that reflect the mission and values of Mosaic Life Care Is a role model for HEART behaviors.

Essential Physical Requirements

• Moving, walking, balancing, kneeling, crouching, stooping, reaching, standing, pushing, pulling, lifting, and restraining. Must travel throughout the Mosaic complex to meet with users in their environment.

Essential Mental Abilities

• The incumbent will possess a set of skills including but not limited to; forecasting, analyzing, synthesizing, explaining, adapting, comprehending, interpreting data, negotiating, organizational skills, speaking in front of groups, Directorship, conflict resolution, listening skills, the ability to select and develop a competent staff, and the flexibility to meet the changing needs of the enterprise. The successful incumbent will maintain skills in process improvement and change management.

Essential Sensory Requirements

• Must be able to communicate via telephone and in person. Must be able to review reports and organization goals for quality and accuracy. Communicate effectively with all levels of staff and customers.

Exposure to Hazards

• Electrical output of personal computer, eye and neck strain.

Other Skills and Abilities

• Vision. The Revenue Integrity Director works in collaboration with direct report caregivers to articulate a vision for the future direction of the department and assures that every decision made advances the department toward that vision. This leader is knowledgeable of national trends and applies this knowledge to benefit the department; anticipates changes that will be required to realize the vision; and guides transformation in a systematic, inspirational manner. The Revenue Integrity Director is a thoughtful leader and expert regarding his or her department and is a valued internal resource for this knowledge.
• Building Partnerships. A primary role for the Revenue Integrity Director is to build highly effective partnerships with key stakeholders across the organization. The Revenue Integrity Director creates highly effective, consultative relationships with internal customers in development of processes. The Revenue Integrity Director, as a content expert, is effective in assessing customer needs, educating customers in the processes, and keeps customers informed relative to changes and improvements. The Revenue Integrity Director values consultative approaches and instills this in direct report caregivers.
• People Development. The Revenue Integrity Director accomplishes his or her goals through effective selection, development and coaching of the caregiver team. The Revenue Integrity Director continually seeks and applies best practice approaches in providing feedback through formal monthly and annual performance reviews and regular informal conversations. The Revenue Integrity Director uses critical conversations techniques to retain and grow high performers; to provide clarity and development for middle performers; and to improve or deselect low performers, continually seeking to improve both the clinical, administrative and behavioral skills of front-line caregivers. The Revenue Integrity Director sees self and front-line caregiver development as an integral obligation and function of his or her role. The Revenue Integrity Director understands his or her role as a model for HEART behaviors.
• Performance Management. The Revenue Integrity Director is the Subject Matter Expert in His/Her Industry.The Revenue Integrity Director leads, administers and improves all aspects related to performance outcomes for the department, assuring best practice processes. The Revenue Integrity Director collaborates with leaders and the caregiver team to establish annual and ongoing measures of performance and assures alignment to expected department and process area measures. This leader understands the disciplines of performance measurement and management and uses disciplined high-accountability approaches to accomplish goals. The Revenue Integrity Director engages direct report caregivers and end customers in understanding, prioritizing and deploying best practice performance improvement methodologies to assure top performance outcomes.
• Quality. The Director is a key advocate to assure services provided to the organization are carried out with the highest attention to quality. The Revenue Integrity Director sets priorities and assures department initiatives meet organizational standards. The Director specifically assures compliance with the Joint Commission, Centers for Medicare and Medicaid Services, Missouri Department of Health and other regulatory bodies. The Director participates on teams to prioritize and resolve stakeholder issues.
• Administrative Function. The Revenue Integrity Director works with the Vice President to contribute to and monitor the department operational budgets. The Director works with others to define equipment, supply, labor and other resource needs, helps prioritize among competing needs, and works with the Vice President to finalize annual budget. The Director also assures technology and systems meet the informational needs of the department and end customers.
• Evidence-Based Leadership. The Revenue Integrity Director continually gathers information from a variety of sources: customers, caregivers, leaders, and others to identify critical issues and problems and to develop breakthrough solutions. This leader continually seeks knowledge related to best-practice, evidence-based leadership approaches and engages others through teaching, feedback and encouragement. The Director navigates through difficult, complex situations, helping to resolve ambiguity and inspire others to their best performance.
• Other. The Revenue Integrity Director participates on a variety of multi-disciplinary, cross-functional teams and committees to represent the department and to contribute to broader organizational outcomes. The Director invests in learning and education to continuously develop own capabilities and to maintain knowledge of national trends.

• Bachelor's Degree - Finance, Business Administration, Healthcare Administration, or closely-related field - Required

• 5 Years - Five years' experience in a health care business setting or acute care hospital, preferably with hospital charging, reimbursement, and/or charge master responsibility. - Required
• In addition, evidence of experience in the following: In collaboration with others, develops and meets or exceeds performance metrics for the department in alignment with the strategic priorities of the organization. Works with the Vice President to monitor results on a monthly, quarterly and annual basis. Understands and values the use of individual and department metrics to measure, monitor and accomplish goals. Continuously seeks ways to mitigate performance gaps. Understands how to create and deploy effective performance improvement strategies-using organizational resources to their best benefit. Understands the disciplines of performance improvement. In collaboration with others, creates and deploys plans to assure stakeholder satisfaction/engagement goals are met partially with internal customers and caregivers. Effectively engages others in understanding and actively working toward high performance-energizing and motivating caregivers to confidently pursue desired outcomes. - Required

• Professional Certification designation as accepted by HFMA, NAHAM or other professional networking organization - Preferred Upon Hire

• Must be able to travel between various system facilities and off-site locations as needed. - Required