Coding and Clinical Documentation Improvement Manager

Sheikh Shakhbout Medical City

Required:

Bachelor in Accounting, Finance, Business Administration or Healthcare.

Desired:

Master's in Business Administration or Healthcare

One or more Certifications required:

1. CDIP-From AHIMA

2. CCDS- from ACDIS

3. Any coding certificate as approved from AHIMA (e.g.: CCS) or AAPC (e.g.: CPC).

Required:

Desired:

Healthcare Certifications preferred (CHFP, CHAM, CHRI, and/or CMPE)

Lean Six Sigma Certification

7-10 years

RCM 1. At least 3 years experience in coding/CDI function

2. At least 3 years experience in RCM function

3-5Years (Proven track record of supervisory/managerial experience)

Required:

5+ years of healthcare provider experience with Revenue Cycle domain expertise Demonstrated ability to deliver operational results and solid process improvement experience.

Extensive knowledge of healthcare revenue cycle systems.

Ability to coordinate and monitor audits when necessary.

Experience with hospital financial and patient accounting systems, such as Cerner;

Superior critical thinking, analytical and problem-solving skills;

Ability to lead cross-functional teams in Discovery and Development;

Ability and track record in creating a collaborative work environment between Hospital business office employees and on-site PM Advocates to enhance business operations, productivity and effectiveness;

Desired:

Project Management experience and 10 years of Revenue Cycle Experience if lieu of degree

Provides strategic direction for Revenue Cycle processes, including Patient Access, charge master description, revenue cycle reporting, charge capture process, denial management and related functions through quality data, policies, and efficient procedures.

Maintains competency and knowledge of current standards of practice, trends, and developments in related scope of job role or practice.

Participates in ongoing quality improvement activities.

Maintains compliance with organization's policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards.

Identifies opportunities for process improvement, and implements them by engaging stakeholders throughout the organization.

Drives for changes in work products and processes that will improve functional area efficiencies and effectiveness.

Coordinate, motivate and follow up with all stakeholders & resources to ensure project progresses is on schedule and goals and requirements are met;

Identify, access and resolve complex business problems/issues/risks and facilitate issue resolution and risk mitigation.

Works with SEHA leadership to assist, define, and document high level program target dates and projects across a 1-3-year roadmap.

Guides the project teams through the design, build, and implementation phases of the Revenue Cycle organizational improvements.

Develop work-plan as defined by assessment process and benchmark activities

Determine / develop business results metrics, modeling current / future business processes, gathering business requirements and identifying the organizational changes required to successfully realize the benefits of the solution

Target revenue recovery efforts throughout the reporting areas by analyzing problems and implementing solutions

Monitor receivables efficiencies establish goals and measure performance

Manage and maintain business relationship with Hospital Management / Revenue Cycle business partners to maximize continued gain-sharing operation

Partner with Information Technology and Hospital Revenue Cycle/Financial Operations management for reporting purposes and opportunities awareness

Initiate projects focused on improving work flows specific to financial outcomes for increase revenue realization

Analyze Hospital financial reports for opportunities and recommend/ implement key indicators and best practice for enhancements, process improvement or resolutions for increased results

Coordination/ Liaison with hospital business partner and steering committee as well as apply innovative solutions to increase cash and decrease cost.

Expertise in monitoring efficiencies with Dashboard reporting

Leads and manages Revenue Cycle projects, working with key stakeholders.

Coordinates and implements revenue cycle initiatives, including identifying and assembling resources when necessary.

Complies with organizational and regulatory policies for handling confidential information.

Maintains revenue cycle KPI's within established industry standards and instills accountability and ownership at the appropriate level.