The Director of Revenue Cycle provides leadership to the ongoing development, implementation and oversight of operations across the Revenue Cycle that Cook Children's Health Care System (CCHCS) serves.Leads the operational implementation and continued daily functions of Epic Revenue Cycle for Cook Children's Medical Center and Cook Children's Physician Network, with a primary responsibility for revenue integrity activities across denials and will be a resource to provide support and guidance by working closely with other departments on the following areas; charge and payment reconciliation, claims, coding, collections, reporting, RAC/government audits, internal revenue cycle audits, charge description master, utilization review, physician and nursing education. Accountable for the planning and successful transition of Revenue Cycle systems, organizational and operational development of staff within the applicable patient accounting applications. Partners with Patient Accounting, Patient Access, Compliance, Contracting, Clinical and Business Units to ensure that Revenue Cycle application and operational needs are performed efficient and cost effective while meeting the needs and goals of the organization.
Education: Bachelor's degree in nursing, healthcare or business required, Master's degree preferred.
Management: 5+ years' experience in a healthcare financial management or director level role;ability to demonstrate strong leadership within matrix teams.
Healthcare/Business: Expert knowledge of healthcare revenue cycle including; charge capture, billing, medical necessity criteria, utilization review, denials, CDM. Extensive knowledge of Patient Financial Services accounting systems and operations. Strong knowledge of ICD-10 coding, CPT coding, MS-DRG's, APC's, contracts and applicable rules and regulations affecting reimbursement for medical services. Detailed Clinical knowledge with strong physician and clinician level communication skills.
Epic: Prior experience with Epic Systems Revenue Cycle Solutions preferred.
Internal Number: 45763
About Cook Children's Health Care System
Cook Children's Health Care System is a not-for-profit, nationally recognized pediatric health care organization comprised of eight entities – a Medical Center, Physician Network, Home Health company, Northeast Hospital, Pediatric Surgery Center, Health Plan, Health Services Inc., and Health Foundation.Cook Children's Medical Center Based in Fort Worth, Texas, the integrated system has more than 60 primary and specialty care offices throughout North Texas. Its service region includes Denton, Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing nearly half the state.Cook Children's traces its roots back to 1918, but throughout its continual change and robust growth, it still embraces an inspiring promise – to improve the health of every child in its region through the prevention and treatment of illness, disease and injury. To live up to this promise, Cook Children's combines the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day.History – Cook Children's has a rich history of nearly a century of caring for children.Our Promise – Knowing that every child's ...life is sacred, it is the promise of Cook Children's to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.Companies – Based in Fort Worth, Texas, Cook Children's is a not-for-profit organization that is comprised of eight nationally recognized companies.Community Health Outreach – Cook Children's Community Health Outreach works together with over 150 partner organizations to improve the safety and health of at-risk children through education, disease and injury prevention and support.Clinical Research – Cook Children's is home to a skilled team of research-minded physicians, nurses and health care professionals and administrators who drive our commitment to excellent clinical care and the search for medical advances.Public Relations – Cook Children's Public Relations works with national and local media outlets, produces Cook Children's publications, coordinates special events and helps develop key relationships within the community.Contractor & Vendor Information – Cook Children's contractors and vendors must ensure their employees are knowledgeable about working with our organization.Sponsorship guidelines – Cook Children's sponsors a select number of events that are strongly aligned with its promise to improve the health of every child in the region through the prevention and treatment of illness, disease and injury.