Revenue Cycle Director jobs in Virginia

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Facility Revenue Integrity Director with Parallon you can be a part of an organization that is devoted to giving back!

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Parallon family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Facility Revenue Integrity Director to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

The Revenue Integrity Director of a Parallon Business Performance Group Shared Services Center (SSC) is accountable for ensuring the integrity of the revenue for the facilities they serve. The Revenue Integrity Director has the responsibility to manage the department in an efficient, standardized and cost effective manner that is consistent with the mission and values of Parallon Business Performance Group. The Revenue Integrity Director is responsible for setting the tone for the department and to ensure all RI staff understands that regulatory compliance takes precedence over all other initiatives. The Revenue Integrity Director is responsible for the daily operations of all functions and oversight of the RI team members and serves as a liaison between the Revenue Integrity Department of the SSC and the facilities they serve. As the leader of the department, this person will serve as a key promoter of the SSC, which strives to meet and exceed the needs of its customers. Supervise staff and organize the structure of the program and coordinate the transition process for staff to become affiliated with the SSC. Establish and maintain relationships with all customers, including: SSC executive staff, RI staff, hospital executive management teams, department directors and others. Consult with hospitals concerning daily operations and general management of their charging processes. This position will involve ensuring that standard approved educational programs are followed, allocating and assigning duties to employees, and monitoring the activities and operations to ensure all regulatory guidelines and established goals are met within required deadlines. Additional responsibilities include conducting onsite visits to facilities, assessing workflows and operations, drafting plans for process improvement and carrying out the implementation and follow up of improvements. Other responsibilities as assigned and/or needed.

What you will do in this role:

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  Primary oversight responsibility to ensure Revenue Integrity is following functional standards as outlined in the RI functional standards guidebook.
• Monitor and communicate any changes regarding CMS Notifications, Local Coverage Decisions (LCD) NCD (National Coverage Determinations and HCA Government Regs to Revenue Integrity staff.
• Maintain up-to-date knowledge of regulatory changes impacting charging practices.
• Establish and maintain relationships with all customers, including: SSC executive management team, hospital executive management, department directors, Revenue Integrity staff and others as needed or required.
• Assess current front/back office operations, design and implement process improvements and conduct follow up review and measurement of changes.
• Consult with management concerning daily operations and general management of the operations.
• Ensure standard and approved educational programs are used to education RI staff and ancillary department, allocate and assign duties to employees, and monitor the activities and operations of assigned facilities, along with staff.
• Perform on-site analysis of processes and Revenue Cycle Management as well as conducting follow up analysis of post-implementation operations for acquisitions.
• Draft summary reports and make presentations to SSC Management Team, Division, Facility Leadership Teams and other staff during and post transition for acquisitions.
• 
  Review and make operational recommendations prior to, during and post transition for acquisitions.
• 
  Interpret and analyze AR Reports, such as, Bill 45, Bill 49, DET Reports across all facilities etc.
• Work diligently with SSC staff and Compliance to ensure integrity of revenue is maintained.
• Adhere to all current Compliance requirements.
• Maintain strictest confidentiality to ensure that privileged and/or proprietary information is adequately safeguarded against disclosure.
• 
  Establish controls and review mechanisms for SSC policies and procedures.
• Develop specific objectives, budgets, and performance standards for each area of responsibility.
• Identify and implement process improvements to lower costs and improve service to facility customers.
• Assume a lead role for innovation, knowledge sharing and leading practices identification within the SSC and among peer group.
• Perform staff reviews and prepare performance documents for director reports.
• Practice and adhere to the “Code of Conduct” philosophy and “mission and Value Statement”.
• 
  Other duties as assigned.

What qualifications you will need:

• 
  Bachelor’s Degree in Business or related field required. If a desired applicant does not have a Bachelor's Degree the requirement can be waived IF they are currently in a Bachelor Degree program.
• Minimum 5 years healthcare management experience with three of these years in the related area for the position. Relevant education may substitute experience requirement with SSC Executive approval.
• Previous clinical coding experience preferred.

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers, and their communities.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Facility Revenue Integrity Director opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.