Auditing, Billing, Business Plan, Centers for Medicare and Medicaid Services (CMS), Certified Coding Specialist (CCS), Charge Capture, Employee Assistance Plan, Finance, Financial Analysis, Flexible Spending Accounts, Healthcare, Healthcare Administration, Internet Statistics, Leadership, Life Insurance, Medical Billing, Medical Records, People Management, Performance Analysis, Performance Management, Policy Development, Process Improvement, Quality Assurance, Quality Management, Regulations, Reimbursement, Resource Management, Retirement Plan, Revenue Management, Service Delivery, Strategic Planning
Penn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider.
The Director, Revenue Integrity leads revenue capture operations for Penn Highlands Healthcare and supports multi-health system acute and ambulatory operations through oversight of charge capture, regulatory billing alignment, and related revenue integrity functions. This role partners closely with revenue-generating departments and providers to develop, implement, and reinforce charging and reimbursement practices while serving as a key resource for guidance on CDM management. The Director also identifies opportunities to improve processes, quality, productivity, and service delivery across the revenue cycle. This position is responsible for personnel and resource management, quality assurance, and oversight of Revenue Integrity staff, including Revenue Integrity Manager, analysts, charge capture, charge auditing, and Charge Description Master functions across acute and ambulatory settings. The role ensures work is performed accurately, efficiently, and in compliance with established policies, regulatory agencies, and payor requirements
QUALIFICATIONS:
- Education Bachelor's degree in business, healthcare administration, finance or related field, with 8 years of progressive healthcare revenue cycle experience; or an equivalent combination of education directly relevant experience. Advanced degrees in business, finance, healthcare administration or related field preferred.
- Required Experience/Skills Demonstrate knowledge of revenue integrity operations, CMS regulations, hospital and professional billing, medical records, service item processes, Charge description master functions.
- Strong leadership skills with the ability to influence outcomes, guide teams, and support changes across the healthcare system.
- Ability to develop long-range business plans, performance improvement strategies, and revenue integrity initiative that support organizational goals.
- Preferred Experience/Skills 10 years of progressive revenue cycle or revenue integrity experience, experience leading process improvement, standardization, and performance monitoring initiatives across revenue cycle or revenue integrity functions.
- Active CCS, CCS-P, HFMA, AAPC, AHIMA.
WHAT WE OFFER:
- Competitive Compensation
- Shift Differential
- Professional Development
- Supportive and Experienced Peers
BENEFITS:
- Medical, Dental, and Vision offered after completion of introductory period
- Paid Time Off
- 403(b) retirement plan with company match
- Company Paid Short & Long Term disability coverage
- Company Paid and Voluntary Life Insurance
- Flex Spending Account
- Employee Assistance Program (EAP)
- Health & Wellness Programs
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Penn Highlands Healthcare