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Senior Revenue Cycle Advisor (Charge Integrity)

Company: Vanderbilt University Medical Center
Location: Nashville
Posted on: January 16, 2022

Job Description:

Senior Revenue Cycle Advisor (Charge Integrity)

  • 2114674Job Medical Coding and BillingPrimary Location TN-Nashville-Vanderbilt Health One Hundred Oaks (OHO)Organization Charge Integrity 108743Shift First Shift
    Senior Revenue Cycle Advisor (Charge Integrity)

    JOB SUMMARY:
    Evaluates revenue cycle performance operations, independently. Ensures appropriate reimbursement of professional and technical services for multiple areas.


    KEY RESPONSIBILITIES:
    • Designs, plans, and implements billing procedures and systems for new services to ensure effective billing operations.
    • Manages performance of billing function with respect to established operating standards.
    • Facilitates necessary training and oversight to ensure competency with respect to billing compliance and regulatory matters.
    • Engages in continuous process improvement initiatives to ensure a high-quality and cost efficient billing and collection operation.
    • The responsibilities listed are a general overview of the position and additional duties may be assigned.


      TECHNICAL CAPABILITIES:

      REVENUE CYCLE (ADVANCED):- Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.

      PROBLEM SOLVING (ADVANCED):- Uses critical thinking and process improvement i.e. coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues.

      PROCESS IMPROVEMENT (ADVANCED):- Identifies, analyzes and improves upon existing business processes for optimization and to meet standards of quality.

      CORE ACCOUNTABILITIES:
      • Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams.
      • Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems; may take a new perspective on existing solution.
      • Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas.
      • Team Interaction: Acts as a go-to resource for colleagues with less experience; may lead small project teams.View how Vanderbilt Health employees celebrate the difference they make every day:Discover Vanderbilt University Medical Center:Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity - of culture, thinking, learning and leading - is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.VUMC Recent AccomplishmentsBecause we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:
        • US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children's Hospital at Vanderbilt named as one of the Best Children's Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.
          • Healthcare's Most Wired: Among the nation's 100 "most-wired" hospitals and health systems for its efforts in innovative medical technology.
            • Becker's Hospital Review: named as one of the "100 Great Hospitals in America", in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.
              • The Leapfrog Group: One of only 10 children's hospitals in the to be named at Leapfrog Top Hospital.
                • American Association for the Advancement of Science: The School of Medicine has 112 elected fellows
                  • Magnet Recognition Program: Received our third consecutive Magnet designations.
                    • National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement
                      • Human Rights Campaign Healthcare Equality Index: 6th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.
                        Bachelor's Degree (or equivalent experience) and 4 years relevant experience

                        Licensure, Certification, and/or Registration (LCR):
                        • Physical Requirements/Strengths needed & Physical Demands:
                          • Sedentary category requiring exertion up to 10 lbs. of force occasionally and uses negligible amounts of force to move objects. Sedentary work involves sitting most of the time.
                            Movement
                            • Occasional: Standing: Remaining on one's feet without moving.
                            • Occasional: Walking: Moving about on foot.
                            • Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
                            • Occasional: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
                            • Occasional: Push/Pull: Exerting force to move objects away from or toward.
                            • Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
                            • Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.
                            • Occasional: Reaching below shoulders: Extending arms in any direction below shoulders.
                            • Occasional: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
                            • Occasional: Bimanual Dexterity: Requiring the use of both hands.
                            • Frequent: Sitting: Remaining in seated position
                            • Frequent: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.


                              Sensory
                              • Continuous: Communication: Expressing or exchanging written/verbal/electronic information.
                              • Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information
                              • Continuous: Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision.
                                INDTB

Keywords: Vanderbilt University Medical Center, Nashville , Senior Revenue Cycle Advisor (Charge Integrity), Other , Nashville, Tennessee

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