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The University of Kansas Health System · 2 days ago

Director, Revenue Assurance and Auditing

Westwood, KS

Full-time

Onsite

Director/Executive

8+ years exp

The University of Kansas Health System is seeking a Director of Revenue Assurance and Auditing to oversee regulatory compliance across billing, coding, and documentation. This role involves managing revenue assurance functions and collaborating with senior leadership to align strategies with the organization's mission.

Clinical TrialsEducationEmergency MedicineHealth Care

Growth Opportunities

Responsibilities

Identifies and articulates the strategic direction for the Revenue Assurance and Audit team and collaborates with direct reports to drive alignment

Responsible for support, leadership and guidance to Revenue Assurance and Audit team

Responsible for hiring, disciplinary actions and performance evaluations for staff

Responsible for building out succession plan for the Revenue Assurance and Audit team in collaboration with Senior Director

Tracks relevant changes in performance, market trends, health care delivery systems, legislative and industry initiatives impacting execution of team goals or informing course correction of goals

Collaborates with peer leadership and the Enterprise Compliance and Audit Services as well as Revenue Cycle and Managed Care Contracting leaders to design the strategic plan and KPIs for the Revenue Assurance and Audit organization

Maximizes existing talent by providing counsel, leadership, guidance, and direction and assisting in the development of an organizational culture appropriate to support the University of Kansas Health System mission

Strategically partner with clinical teams and stakeholders beyond revenue assurance and auditing to cultivate key performance behaviors and operational improvements to mitigate risk to revenue

Educates hospital and ambulatory departments and physicians regarding documentation and billing requirements, charging methodology, and various other areas of compliance

Direct internal audit programs focused on coding, billing and documentation accuracy

Leads the revenue assurance audit team, promoting an efficient and results orientated auditing program

Develops risk-based annual audit and monitoring plan that includes areas of risk

Drives financial planning, monitoring and execution to support a cost-effective Revenue Assurance and Audit team

Participates in the development of the operational budget for the Revenue Assurance and Audit function

Quantitatively and qualitatively analyzes team performance using metrics related to team leadership and Revenue Assurance and Audit operational success; translates performance analyses into performance improvement initiatives

Defines and holds Revenue Assurance and Audit team accountable to Key Performance Indicators

Monitors the departments’ success by evaluating key financial, budgetary, and other metrics related to Revenue Billing Assurance and Audit team effectiveness

Oversees efforts to promote timely compliance with regulatory agencies

Provides direction and oversight across TUKHS’s billing assurance auditing and monitoring methodology and workflows

Reviews and approves revenue assurance, billing compliance, audit and monitoring attributes for new methodologies, innovative tools and deliverables and responsible for developing and maintaining a risk tolerance for noncompliance

Tracks revenue issues and trends for auditing and root cause remediation for errors and reporting purposes

Identifies services that are at risk and trends that may show are not being charged compliantly

Review charges and claims to ensure accurate, compliant billing as it relates claims logic, CPT, HCPCS, revenue codes, etc

Meets or exceeds standards of compliance for all accreditation and regulatory bodies, commissions, etc. in relation to Revenue Assurance and Audit team functions

Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department

These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required

Qualification

Healthcare billing assuranceAuditing clinical recordsRegulatory complianceLeadership experienceEpic applicationsData analysisFinancial analysisHealthcare Rev. CycleRelationship managementCommunication skillsMentoring