Description:
The Revenue Integrity & Health Information Management Enterprise Services (RIHIMES) Team strives to achieve the highest customer satisfaction level by providing a well-documented, accurate, timely medical care record for continuing patient care, research, teaching, reimbursement, and community service. Its primary purpose is to serve our patients by facilitating treatment, research, reimbursement, and education based on a well-documented medical record. Revenue Integrity (RI) program and services at UCD implement a methodology to efficiently manage revenue and align staff, projects, processes, and technology to accurately assure optimal reimbursement for clinical services rendered at the University of California, Davis Health.
Minimum Qualifications
- Bachelor's degree in a related field and/or a combination of experience, education and/or training.
- 5-7 years’ experience in related field. Preferably in Revenue Cycle / Revenue Integrity management.
- Excellent ability to collaborate with senior management and executive-level staff, to develop and implement objectives, goals, budgets, strategic plans, policies, and priorities, and to measure and evaluate operations in conjunction with them
- The position requires expert level healthcare billing knowledge, expert management skills, expert analytical abilities and expert understanding of hospital and professional fee billing systems, operations, and reimbursement methodologies.
- Expert Healthcare billing knowledge includes but is not limited to all State and Federal program guidelines for hospital and professional programs of Medicare, Medi-Cal, CCS, Healthy Families, Campus, County Indigent programs. In addition, it includes a working knowledge and understanding of all managed care billing and reimbursement methodologies and the system requirements for each.
- Understanding of systems structures and best approach to design, integrate, use and support to reach maximum results with greatest efficiency. Ability to analyze and project billing impact of system changes
- Ability to analyze and interpret standards including CMS, OHS, Title 22, UCDHS policies and procedures to ensure coding/charging is in compliance.
- Knowledge of business, management principles and budget control.
- Ability to interpret statistical data and compile reports for management.
- Excellent interpersonal and communication skills. Ability to express ideas assertively, clearly and concisely both orally and in writing. Ability to build strong working relationships across all levels of management, staff, faculty and outside entities.
- Strong leadership and management skills to provide planning, coordination and direction to departmental staff.
- Ability to develop and implement new proposals and programs. Ability to streamline processes in order to more effectively and efficiently oversee coding and charging activities in the Health System.
- Ability to be highly organized and delegate assignments to staff effectively.
- Knowledge of priority setting strategies, strong problem-solving abilities and an adeptness at initiating actions for effective conflict resolution.
- Ability to exercise exemplary tact and diplomacy when dealing with high level internal and external executives, faculty and outside entities.
- Proven ability to transition between projects and multi-task while managing multiple short term and long-range projects.
- Excellent presentation skills and prior experience in creating and presenting complex information to diverse audiences including clinicians, executives and executive staff.
- Must be able to manage both confidential and routine matters with discretion.
- Must be knowledgeable of Institutional goals, principles and practices of management. Must be able to function effectively and collaboratively within the dynamics of a complex academic medical center
- Excellent communications skills to convey complex information clearly and concisely to all levels of staff and management, with the ability to motivate, influence, and persuade others, and cultivate a strong commitment to efficiency, functionality, and quality customer service.
- Thorough knowledge of healthcare information technology, medical terminology, and of all relevant clinical information systems, with a strong understanding of the application of computational tools to enhance and improve clinical practice.