Administrator, Clinical Revenue Cycle
The Administrator of Revenue Integrity and Clinical Data Management is the strategic business and operational lead for: Revenue Integrity and Management ( includes Strategic Charge Description Management and Alignment Charge Compliance and Timeliness Charge Audits New Cost Center Service and Procedure Set up Charge Routing Reconciliation and Testing Charge Management Liaison and Process Improvement with Clinical Departments Payer Audit Recovery Training. Utilization Management for Compliant and Financially Cleared Admissions and Observation Stays. Medical Center Technical Coding oversight and management. Clinical Documentation Improvement functions impacting Health System Quality Goals and Standards such as CMI LOS Present on Admission Mortality and Compliant Revenue Cycle performance. Compliance and operational readiness. Strategic alignment of Technical Coding Services CDI UM and Revenue Integrity with the School of Medicine (SOM) and University Physicians Group (UPG) and Medical Center Clinical and Revenue Cycle. The Administrator is the Medical Center Technical Coding CDI UM and Revenue Management and Integrity leader who leads system and process improvement initiatives collaboratively with Health System Clinical Administrative and Revenue Cycle Executive teams to develop strategic direction for quality and revenue cycle initiatives. The Administrator is a standing member of the Revenue Cycle Operations Group and Health System Operations Groups as well as an ICD-10 Executive Leader for the Heath System. This role has direct oversight and responsibility to execute implement and facilitate process improvements and provides guidance direction and support to encompass revenue cycle functions including revenue integrity coding and clinical documentation improvement and utilization management. The Administrator leads and actively participates in the development and implementation of overarching strategic business plans to execute long range.
- Ensures all Revenue Cycle Integrity units performance metrics business analytics quality processes and financial discipline are in place to maximize operational effectiveness internal and external customer satisfaction and link to clinical outcomes.
- Regularly provides leadership with revenue cycle business development status including reports and metrics.
- Develops monitors and assesses business metrics in order to refine processes and improve efficiencies.
- Develops and fosters relationships and issue resolution with multiple counterparts and key stakeholders including clinicians (Chairmen Medical Directors Chiefs and individual Attending physicians) Administrative leadership other department's team members and peers across the organization to respond to Institutional goals for both inpatient and outpatient services to improve operational results related to revenue integrity operations improving net realization of revenue quality and cost.
- Oversees the development and management of the departmental budgets ensuring that financial and institutional goals are realized; exercises fiscal authority for all majorexpenditures; and ensures expenditures are within institutional guidelines.
- Communicates regularly consistently and effectivity with management and staff regarding all revenue cycle initiatives and keeps management and staff updated and trained on compliance issues.
- Sets performance targets and provides direction and support in meeting targets.
- Provides oversight for direct reports including staffing evaluation training andcontinued development.
- Strategically develops team members for succession and organizational success.
- In addition to the above job responsibilities, other duties may be assigned.
The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex, pregnancy, sexual orientation, veteran or military status, and family medical or genetic information.
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