Chief Medical Officer of Revenue Cycle (New Baltimore) - University of Michigan (New Baltimore, MI)
Posted: Saturday, February 24, 2018 10:44 PM
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our StrategicPrinciples and has three critical components; patient care, education and research that together enhance our contribution to society., The University of Michigan is an equal opportunity/affirmative action employer.The Associate Director for Revenue Cycle Compliance & Education partners with Revenue Cycle Operations to provide guidance and assistance to ensure that day to day work is performed in a compliant manner. This role assists Revenue Cycle leadership to create and maintain an environment grounded in compliance. A key aspect of this role is to be a part of operations, to attend regular operational meetings, to know staff and be known to staff so that they feel free to ask questions and report concerns., Directs and manages the Revenue Cycle Compliance and Education (RCE) Unit. This office includes clinical documentation specialists, auditors, a business analyst and an administrative assistant. Responsible for hiring, training, supervising, evaluating and terminating RCE staff. Responsible for the development, maintenance, and monitoring of the unit budget. Reports directly to the Chief Medical Officer and Chief Officer of Revenue Cycle with dotted-line reporting to the Michigan Medicine Chief Compliance Officer. Assists in identifying, developing and coordinating provider education programs related to coding and documentation. Leads and/or conducts reviews of coding and billing practices to identify issues, communicate to relevant parties, partner with clinical areas to assist with corrective action plans and education needs. Monitors the performance of the compliance program, taking appropriate steps to improve its effectiveness. Develops and maintains the Rev Cycle Compliance Work Plan items and regularly reports updates to the Revenue Cycle Compliance & Education Committee (RCEC). Responsible for preparing and writing reports and overseeing those who prepare and write reports to ensure comprehensive documentation of all matters that require investigation and action. Recommends appropriate actions based on findings. Reviews the OIG Work Plan, recent payer audits (including OIG Reports), industry communications and other resources to establish and prioritize the Work Plan items. Responsible for coordinating the review, writing and updating of billing policies and procedures to ensure that Revenue Cycle operations are in compliance with all federal & state regulations, payer rules and other reimbursement requirements. Serve as a consultant for operational managers with regard to interpretation of regulations and rules. Works closely with Revenue Cycle management and staff to investigate compliance issues. Collaborates and consults regularly with Corporate Compliance and the Office of General Counsel (OGC) with regard to outcomes of investigations, the work plan, audit work, and other issues that may arise. Corporate Compliance and OGC assists RCE with interpretation and understanding complex regulations and rules and also provides advice with regard to risk assessment. Partners with these offices to respond external parties with regard to formal governmental audit activity. Partners with the Chief Medical Officer of Revenue Cycle to prepare agenda items for the monthly RCEC meetings. Chairs or co-chairs the following billing compliance committees: * Facility Billing & Documentation Committee + Primary purpose: Address hospital documentation and billing issues that are not addressed elsewhere. * Therapy Compliance Committee + Primary purpose: Monitor compliance with government & third party payer rules for physical therapy, occupational therapy and speech-language pathology services. Utilizes available systems and tools to monitor and review coding trends to identify compliance issues. Provides analysis and reports to operational units for assessment and action. Provides guidance and advice to other areas, such as HIM, Home Care Services, on compliance issues and participates in the review of annual work plan items in those areas. Other duties as assigned., Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.* Bachelor's degree relevant to the position, Master's degree preferred * A minimum of 10 years of experience in a healthcare organization * A minimum of 5 years of experience in revenue cycle management and billing operations * A minimum of 5 years of experience in a compliance related position * Must have the following competencies: + Demonstrated excellence in writing skills + Proficient communication skills, verbal and written + Teamwork orientation + Attention to detail, thoroughness + Customer service oriented + Flexibility, Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.
• Location: Detroit, New Baltimore
• Post ID: 47155862 detroit