UW Medicine is comprised of UW Medical Center (UWMC), Harborview Medical Center (HMC), Northwest Medical Center (NWH), Valley Medical Center (VMC), Airlift Northwest, UW School of Medicine (SOM), UW Physicians (UWP), and UW Neighborhood Clinics (UWNC). Our people are the most important asset in our pursuit of achieving excellence in education, research, and improving the health of the public. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, and natural beautyThe Senior Director of Revenue Integrity is a key member of the UW Medicine Enterprise Revenue Cycle (ERC) team. This role reports to the Administrator, Enterprise Revenue Cycle/Assistant Vice President of Medical Affairs. ERC is accountable for Revenue Cycle functions at UWMC, HMC, NWH, and close collaboration with UWP. The UW Medicine Revenue Integrity Department develops and coordinates operations and programs that oversee a wide range of revenue capture and integrity areas.The primary purpose of this role is to oversee Revenue Integrity teams with the goal to enhance effectiveness of patient net revenue realization and minimize revenue leakage across the system. This involves complete capture of patient revenue in every area that generates charges, ERH management in relation to charging mechanisms and triggers, ensuring clean handoffs between ERC and clinical departments, Strategic Pricing, denials management, and clinical operations relations. POSITION RESPONSIBILITIES:Regulatory and Compliance Analysis and EducationCDM and Charge CapturePricing ReviewSpecial ProjectsSupervision, oversight, and direction to Directors, extended team, special projects analysts, and consultants as necessary to support Revenue Integrity functionsREQUIREMENTS:Bachelor's Degree in Business, Finance Healthcare, or a related field AND ten (10) years of leadership experience in a complex academic, research, healthcare or governmental setting, or an equivalent combination of education and work experience.Demonstrated working knowledge of all processes surrounding Revenue Cycle Operations in a healthcare environment, including both hospital and physician settings.Demonstrated proficiency with APC/APG reimbursement, CMS rules and regulations, coding, billing, and compliance.Proficiency with financial, billing and reimbursement data & analytics.Excellent communication and interpersonal skills, both verbally and in writing, with employees, medical staff, board members and external parties; strong presentation skills.An equivalent combination of education and experience may substitute for stated requirements.DESIRED:Advanced degree in business, finance or a healthcare related field (strongly preferred).Registered Nurse (RN), Registered Health Information Administrator (RHIA), Registered, Health Information Technician (RHIT), Certified Coding Specialist (CCS) and/or Certified Professional Coder (CPC).Experience with CDM/Charge Capture management in hospital setting or consulting role.A skilled communicator with an ability to create a collaborative work environment with multiple stakeholders across non-co-located entities is highly preferred.CONDITIONS OF EMPLOYMENT:UW Medicine Enterprise Revenue Cycle manages a significant volume of business and operations across multiple locations. Work priorities shift in response to fluctuating demands. Full time schedules are assumed to be at least 40 hours, however, incumbents are expected to remain flexible to accommodate the unit's goals and mission, and to work beyond their normal schedule when necessary. While this role will primarily be based in an office environment, there will be exposure to clinical areas and operations. Ability to provide transportation to travel as required to accomplish the goals of the unit.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.