University of Rochester

University of Rochester logo

Job Information

University of Rochester Physician Support Spec - 232776 in Rochester, New York

Physician Support Spec Job ID 232776

Location Strong Memorial Hospital Full/Part Time Full-Time Favorite Job Regular/Temporary Regular Opening

Full Time 40 hours Grade 009 Medicine SMH Gastrointestinal

Schedule

8 AM-4:30 PM

Responsibilities

POSITION SUMMARY:

Oversee revenue integrity analysts and development of staff. Coordinates elements of project activity and schedules and identifies required resources to meet project objectives. Coordinates planned programs involving close and extensive communication with all levels of supervision and management to achieve goals. Leads processes ensuring that Revenue Integrity’s role meets Hospital and PB goals and KPIs (key performance indicators/metrics) in most efficient, cost effective, appropriate and compliant manner. Evaluates the charge capture, charge entry, charge review resolution process for the hospital(s) in conjunction with the SMH/HH hospital revenue integrity manager and Director Revenue Integrity HB and PB. Develop Plan of Action, coordinate with IT, Departments, test design and execute procedure changes to improve departmental operations and increase revenue, reduce costs. This position’s responsibility encompasses managing revenue integrity; charge capture, charging of URMC services throughout the entirety of the medical center (all UR Medicine locations HB and PB– inpatient and outpatient, long term care, hospital clinics, office, etc.).

DUTIES AND RESPONSIBILITIES:

Under general direction with considerable latitude of independent judgment, initiative and discretion, recognizing that Revenue Integrity is vital to ensure the continued financial viability of the University of Rochester Medical Center.

PRINCIPAL DUTIES & RESPONSIBILITIES

(30%) LEADERSHIP & MANAGEMENT

  • Supervision and Direction Exercised: Oversee staff and manages personnel-related matters, such as interviewing, hiring, training, time reporting, development, engagement, performance evaluations, attendance and the corrective action and disciplinary process. Assures compliance with FLSA and interprets University policy for staff. Holds staff meetings.

  • Directs daily revenue integrity charge capture function relative to URMC inpatient, provider office, and all outpatient areas for HB and PB. Facilitates recommendations to SMH Leadership, MFG/SMH/HH Leadership, Revenue Cycle Managers, and Finance.

  • Researches, develops, implements and trains staff on the use of Epic Resolute and non-Epic applications to maximize revenue and increase operational efficiencies for charge capture and revenue. Monitor and report on key performance indicators (KPIs) to leadership. Engage with clinical leaders, program administrators, clinical chiefs and chairs to ensure KPIs are met and recommendations for process improvement and education needs. Collaborate with clinical leaders, program administrators, clinical chiefs and chairs to ensure charge capture and documentation standards are in place.

  • Provides oversight and ongoing assessment of analysts working with departments in conjunction with Director of Revenue Integrity. Develop guidebooks, policies and procedures.

    (25%) TECHNICAL LEADERSHIP

  • Keep up to date of rapidly changing technological and regulatory aspect related to CPTs, compliance, charge capture and the electronic medical record, and provide leadership in these areas to Revenue Integrity leadership, URMC finance and billing office leadership and staff.

  • Oversee the partnership of revenue Integrity staff with Eparc builders for their in-depth analysis of charges and CDMS to ensure accurate charging of procedures and maintaining revenue neutrality for HB and PB.

  • Monitors compliance with revenue integrity initiatives during Epic go live and on an ongoing basis in the future.

  • Directs overall pricing strategy for Strong Memorial, Highland and regional affiliated hospitals. Includes initiatives to improve price transparency,

  • Oversee, purpose and implements annual price increase and maintaining pricing consistency between hospitals as well as HB and PB Chargemaster.

  • Contacts outside resources (vendors, consultants, equivalent positions in other colleges or universities, etc.) to exchange or gather pertinent information.

  • Assist in identifying gaps in EPIC reporting and mapping through interaction with builders. Identifying gaps in current processes and potential build issues.

  • Develops charge baselines by department and charge code for use during Epic go live and on an ongoing basis in the future. Directs staff analysts in maintaining and updating baselines.

  • Develops and maintains dashboards for revenue integrity for distribution to senior leadership and department administrators.

  • Collaborates with Patient Financial Services on revenue cycle initiatives including but not limited to reducing charging delays/errors, establishing charges for new hospital programs and improving revenue collection.

    (25%) TRAINING & EDUCATION

  • Directs initiative to educate departments on procedures, tools, benchmarks, reports, etc. regarding revenue integrity and charge reconciliation.

  • Responsible for creation of internal policies and procedures and education thereof.

  • Performs other duties as assigned by Operations and Finance Director for Hospital Revenue Cycle and Director Patient Accounts.

    (20%) PROCESS IMPROVEMENT

  • Investigates technologies to improve operational efficiencies, and implements new procedures to enhance efficiencies. These include but are not limited to Charge Review edit reports, analysis of revenue integrity reports, epic charge router and department specific workflows.

  • Takes Leadership on assigned and unassigned projects with latitude for independent judgment which involves researching, analyzing, planning and implementation and or education.

  • Participates in systems design activity to assure the system design and departmental operating procedures are synchronized, and to assure client offices and systems designers fully understand system data flow and the requirements to maintain data integrity.

  • Assists in the implementation of major systems changes, including departmental procedural changes.

  • Provide leadership in developing standard HB and PB KPIs, enterprise wide reporting and baselines used for EPIC go live and revenue integrity. Implement and administer reporting structure of analysts and charging information for URMC.

  • Consults with management and supervisory personnel in clinical and billing departments to carry out analyses of procedures and work, and in the implementation of approved recommendations.

    REQUIREMENTS:

    Bachelor degree in Health Information Management, Healthcare Administration, Business, or related field, with 5 years related work experience including management level experience. High level knowledge and experience with CPT/HCPCS. Requires demonstrated leadership abilities, highly organized, excellent communication skills, and presentation skills. Experience and skilled with excel, Pivot Tables and power point, and Microsoft outlook suite. Flexible and adaptable, ability to work with ambiguity and in a changing/evolving environment. Continuous learner, self-guided. Strong teamwork/collaboration. Master’s degree preferred.

    How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

DirectEmployers