Revenue Cycle - Project Manager

Job Summary

Optimizes healthcare financial performance by leading initiatives to improve billing, coding, and collections. Manages project lifecycles from strategy to implementation, aiming to reduce denials, accelerate cash flow, and ensure regulatory compliance.

Responsibilities

• Project Leadership: Develops and executes project plans, schedules, and deliverables for revenue cycle initiatives.
• Performance Optimization: Analyzes revenue cycle metrics to identify bottlenecks, reducing denial rates and accelerating cash flow.
• Process Improvement: Evaluates, documents, and improves workflows for registration, coding, billing, and collections.
• Collaboration & Communication: Liaises between IT, clinical staff, finance, and external vendors to drive operational efficiencies.
• Risk Management: Identifies project risks and develops mitigation strategies to ensure on-time and in-scope delivery.
• Compliance: Ensures all workflows meet HIPAA and other relevant regulatory standards.

Knowledge, Skills & Abilities

Patient Group Knowledge (Only applies to positions with direct patient contact)

The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients.

Competency Statement

Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist.

Common Duties and Responsibilities

(Essential duties common to all positions)

1. Maintain and document all applicable required education.

2. Demonstrate positive customer service and co-worker relations.

3. Comply with the company's attendance policy.

4. Participate in the continuous, quality improvement activities of the department and institution.

5. Perform work in a cost effective manner.

6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations.

7. Perform work in alignment with the overall mission and strategic plan of the organization.

8. Follow organizational and departmental policies and procedures, as applicable.

9. Perform related duties as assigned.

Education

• Bachelor's Degree (Required) Bachelor's degree in business, Health Administration, or a Related Field • Experience: 3+ years of experience in healthcare revenue cycle management, billing, or consulting. • Technical Skills: Proficiency with Electronic Health Records (EHR) systems and data analysis tools. • Competencies: Strong leadership, analytical, and problem-solving skills, with the ability to manage complex, multi-functional projects.

Credentials

Work Schedule: Days

Status: Full Time Regular 1.0

Location: General Hospital

Location of Job: US:WV:Charleston

Talent Acquisition Specialist: Tamara B. Young tammy.young@vandaliahealth.org