Create monthly analytics workbook for clinical departments and service lines focused on gross revenue, denials, cash, and coding related metrics. Present analytics workbook to clinical department and service line leadership on recurring basis. Identify revenue improvement opportunities through analysis of data and review of current processes. Manage implementation and completion of process improvements through partnering with appropriate clinical and revenue cycle teams leading to measureable su... more detailsccess. Manage ad hoc report requests received from other departments in the organization. Contribute to the strategic plan for Revenue Cycle services, including the rollout of monthly analytics workbooks to additional clinical departments and service lines. Appropriately utilize industry information (e.g. from HFMA, AAHAM, etc.) and CNMC peer resources (e.g. State Hospital Association, CHA) to understand national and regional trends, peer hospital innovations, successes, and benchmarks related to revenue cycle, specifically denials management. Provide strategic support of AR Strategy as it relates to items such as reporting and identify focus areas for improvement. Responsible for overall Revenue Cycle Dashboard reporting on both a weekly and monthly basis, which includes data mining and report interpretation to ensure key themes are identified, addressed and escalated appropriately to VP of Revenue Cycle. Collaborate with upper management to evaluate current as well as new program initiatives for effectiveness, feasibility, performance measurement and cost; ensure compliance with organizational and departmental policies and procedures, and regulatory standards. Analyze data on all Revenue Cycle KPIs related to Patient Access, Patient Accounting, and Revenue Integrity. Manage improvement initiatives related to opportunities identified from Revenue Cycle reporting. Acts as the “super user” of Revenue Cycle reporting tools; provide key input and participation on any system upgrade or enhancement affecting these systems. Utilize multiple IT systems to manage analysis, issue research and resolution, and process improvement implementation. Routinely identify enhancements to reports and/or tools to support leading practice processes and facilitate continuing Revenue Cycle improvement; provide content expertise in the development, implementation, revision and management of data systems that support the Revenue Cycle. Actively support initiatives related to Revenue Cycle and ensure organizational preparedness and compliance (such as Cerner Revenue Cycle implementation). Serve as key resource for Revenue Cycle reporting vendors; manage tasks related to these vendors. Work with Director of Revenue Cycle Analytics and Vice President of Revenue Cycle throughout the year and participate in the budgeting process to identify volume impacts, equipment needs, resource needs. Implement actions to administer programs within budgetary guidelines. Mitigate financial risks for the organization and departments with the organization associated with the processes and programs reporting to the Vice President. Anticipate and responds to customer needs; follows up until needs are met Demonstrate collaborative and respectful behavior Partner with all team members to achieve goals Receptive to others’ ideas and opinions Contribute to a positive work environment Demonstrate flexibility and willingness to change Identify opportunities to improve clinical and administrative processes Make appropriate decisions, using sound judgment Use resources efficiently Search for less costly ways of doing things Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Dorchester (L 045) 12200 Plum Orchard Dr Silver Spring 20904
