Manager, Mid-Revenue Cycle Clinician Optimization
Apply NowCompany: Advocate Aurora Health
Location: Milwaukee, WI 53215
Description:
Department:
13232 Revenue Cycle - Admin: Mid Rev Cycle Optimization
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Days, M-F, no weekends
Major Responsibilities:
Responsible for managing Mid-Revenue Cycle optimization, data, access, and equipment-related projects and deploying efficient solutions. Manages project timelines and develops plans to ensure projects are completed successfully within deadlines; facilitates project resource allocation and communicates status updates with impacted stakeholders.
Provides consultation on the development of KPIs and ensures accountability for improvement in Mid-Revenue Cycle processes. Maintains metrics for success with key operational leaders and makes data-driven recommendations that promote performance improvement and operational excellence.
Develops data tools, definitions, and reports that support Mid-Revenue Cycle Operations. Collaborates with Mid-Revenue Cycle leaders to evaluate performance improvement needs and provide guidance on appropriate and relevant solutions.
Documents the source of truth for Mid-Revenue Cycle KPIs and promotes data transparency, accuracy, relevancy, consistency, and timeliness across all reporting publications.
Identifies, monitors, and assesses Mid-Revenue Cycle system processes and requirements for assigned applications to ensure effectiveness, consistency, and standardization. Performs workflow analysis and maps Mid-Revenue Cycle critical business processes using industry standards and best practices.
Responsible for all EHR and EHR-interfaced operational functions, such as system logic maintenance, coding, and documentation management workflow designs, and EHR upgrades. Manages the system logic and work queue maintenance programs to regularly review for accuracy, appropriateness, and relevancy.
Participate in service request coordination program for communicating with IT on behalf of Mid-Revenue Cycle Operations. Partners with IT and third-party vendors to ensure all software and interfaces are current, functional, and to reduce potential delays.
Manages Mid-Revenue Cycle teammate equipment, system access, and remote work processes in alignment with organizational policy.
Collaborates with Revenue Cycle leaders, IT, Compliance, and Clinical Informatics to ensure that Mid-Revenue Cycle practices promote patient safety and support compliant reimbursement practices. Strengthens connections and builds relationships with key operational leaders and stakeholders.
Licensure, Registration, and/or Certification Required:
Relevant Mid-Revenue Cycle Certification.
Education Required:
Bachelor's degree or equivalent experience.
Experience Required:
5 years of experience in coding, health information management, or revenue cycle technology for a large complex health care system. Includes 2 years of supervisory or lead experience in coding, health information management, and/or healthcare technology/ project management.
Knowledge, Skills & Abilities Required:
Demonstrated knowledge of facility coding, professional coding, and HIM operational guidelines and workflows.
Advanced skills in financial and statistical analysis necessary to examine revenue cycle/reimbursement activities and detect/resolve any related issues.
Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage decisions, research-related restrictions, and ICD-10, CPT/HCPCS coding classification systems.
Proficient in Mid-Revenue Cycle Epic Modules and other Mid-Revenue Cycle systems.
Knowledge of database structure and reporting. Proficiency in organizing and analyzing data to identify relevant patterns and notable trends.
Expert in Microsoft 365 products, apps, and services, including Microsoft Teams, SharePoint, Word, Excel, PowerPoint, and Access.
Skilled in prioritizing needs based on business requirements while effectively managing resources and developing effective processes that positively impact the organization.
Ability to deal and work effectively with multiple departments and in matrix organizational structures.
Strong presentation and interpersonal skills. Ability to effectively communicate with all levels of teammates, leaders, and clinicians. Proven leadership ability to guide individuals and groups toward desired outcomes.
Ability to identify and solve problems creatively and to work within deadlines with a high attention to detail.
Physical Requirements and Working Conditions:
Exposed to normal office environment.
Job may require travel, therefore, may be exposed to road and weather hazards.
Must be able to lift up to 40 lbs. occasionally.
Sits the majority of the workday, but also may lift, reach, and bend throughout the day.
Operates all equipment necessary to perform the job.
DISCLAIMER
All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.
This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.
Pay Range
$50.05 - $75.10
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Benefits and more
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
13232 Revenue Cycle - Admin: Mid Rev Cycle Optimization
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Days, M-F, no weekends
Major Responsibilities:
Responsible for managing Mid-Revenue Cycle optimization, data, access, and equipment-related projects and deploying efficient solutions. Manages project timelines and develops plans to ensure projects are completed successfully within deadlines; facilitates project resource allocation and communicates status updates with impacted stakeholders.
Provides consultation on the development of KPIs and ensures accountability for improvement in Mid-Revenue Cycle processes. Maintains metrics for success with key operational leaders and makes data-driven recommendations that promote performance improvement and operational excellence.
Develops data tools, definitions, and reports that support Mid-Revenue Cycle Operations. Collaborates with Mid-Revenue Cycle leaders to evaluate performance improvement needs and provide guidance on appropriate and relevant solutions.
Documents the source of truth for Mid-Revenue Cycle KPIs and promotes data transparency, accuracy, relevancy, consistency, and timeliness across all reporting publications.
Identifies, monitors, and assesses Mid-Revenue Cycle system processes and requirements for assigned applications to ensure effectiveness, consistency, and standardization. Performs workflow analysis and maps Mid-Revenue Cycle critical business processes using industry standards and best practices.
Responsible for all EHR and EHR-interfaced operational functions, such as system logic maintenance, coding, and documentation management workflow designs, and EHR upgrades. Manages the system logic and work queue maintenance programs to regularly review for accuracy, appropriateness, and relevancy.
Participate in service request coordination program for communicating with IT on behalf of Mid-Revenue Cycle Operations. Partners with IT and third-party vendors to ensure all software and interfaces are current, functional, and to reduce potential delays.
Manages Mid-Revenue Cycle teammate equipment, system access, and remote work processes in alignment with organizational policy.
Collaborates with Revenue Cycle leaders, IT, Compliance, and Clinical Informatics to ensure that Mid-Revenue Cycle practices promote patient safety and support compliant reimbursement practices. Strengthens connections and builds relationships with key operational leaders and stakeholders.
Licensure, Registration, and/or Certification Required:
Relevant Mid-Revenue Cycle Certification.
Education Required:
Bachelor's degree or equivalent experience.
Experience Required:
5 years of experience in coding, health information management, or revenue cycle technology for a large complex health care system. Includes 2 years of supervisory or lead experience in coding, health information management, and/or healthcare technology/ project management.
Knowledge, Skills & Abilities Required:
Demonstrated knowledge of facility coding, professional coding, and HIM operational guidelines and workflows.
Advanced skills in financial and statistical analysis necessary to examine revenue cycle/reimbursement activities and detect/resolve any related issues.
Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage decisions, research-related restrictions, and ICD-10, CPT/HCPCS coding classification systems.
Proficient in Mid-Revenue Cycle Epic Modules and other Mid-Revenue Cycle systems.
Knowledge of database structure and reporting. Proficiency in organizing and analyzing data to identify relevant patterns and notable trends.
Expert in Microsoft 365 products, apps, and services, including Microsoft Teams, SharePoint, Word, Excel, PowerPoint, and Access.
Skilled in prioritizing needs based on business requirements while effectively managing resources and developing effective processes that positively impact the organization.
Ability to deal and work effectively with multiple departments and in matrix organizational structures.
Strong presentation and interpersonal skills. Ability to effectively communicate with all levels of teammates, leaders, and clinicians. Proven leadership ability to guide individuals and groups toward desired outcomes.
Ability to identify and solve problems creatively and to work within deadlines with a high attention to detail.
Physical Requirements and Working Conditions:
Exposed to normal office environment.
Job may require travel, therefore, may be exposed to road and weather hazards.
Must be able to lift up to 40 lbs. occasionally.
Sits the majority of the workday, but also may lift, reach, and bend throughout the day.
Operates all equipment necessary to perform the job.
DISCLAIMER
All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.
This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.
Pay Range
$50.05 - $75.10
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
- Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.