Director of Revenue Cycle
|Location:||Southeastern Regional Medical Center|
|Shift Hours / Days:|
|Hours / Pay Period:|
|Job Function:||Management and Leadership|
CANCER TREATMENT CENTERS OF AMERICA (CTCA)
Cancer Treatment Centers of America (CTCA) is a national network of regional, destination hospitals specializing in complex and advanced-stage cancer care. The CTCA model integrates state-of-the-art treatments and technologies with nutrition, naturopathic medicine, mind-body medicine, oncology rehabilitation and spiritual support. CTCA employs over 3,000 talented Stakeholders (employees) who create, deliver and continually improve the Mother Standard of Care® based upon what cancer patients need and value. CTCA Stakeholders form the backbone of the CTCA experience; and their energy, and passion, creates a home of hope and healing to cancer patients across America.
CTCA's newest hospital is located in Newnan, Georgia which is located in the Metro Atlanta region. It is a 226,000-square-foot, all digital facility focused exclusively on treating cancer. It includes 50 beds, ICU rooms, surgical suites, state-of-the-art radiation and infusion therapy departments, outpatient clinic rehabilitation and physical therapy department and onsite residential accommodations for outpatients and their families. We are currently seeking dedicated Stakeholders to help us fulfill our Mission and provide the Mother Standard of Care® to patients in the Southeast.
The Director of Revenue Cycle Management is responsible for the leadership of hospital-wide initiatives and processes that are designed to support the capture, management, and collection of patient service revenue within the hospital. This begins with the ongoing maintenance and creation of the Charge Description Masters (CDMs). The Director will ultimately ensure smooth work flows, proper documentation, and compliance with both coding regulations and pricing policies as they all pertain to the Chargemaster. Building on the Chargemaster as the foundation for the revenue cycle, the Director will also be responsible for understanding and overseeing the various CDM interfaces across the clinical and billing systems from a finance perspective. This means the Director will work with IT and clinical leadership to ensure there is appropriate revenue capture and continuity upstream from the Chargemaster. Then, going beyond the CDM and its interfaces, the Director will establish processes and lead initiatives designed to address third-party payor reimbursement resulting from coding and documentation errors.
Serves as a leader within the Finance team participating in additional Finance projects including, but not limited to, the creation and review of pricing methodologies, price optimization, revenue generation, new service innovation and implementation, and other related tactical and strategic initiatives.
Ensure 100% charge entry and capture for each revenue generating department:
Oversee the Health Information Management department
Oversee financial aspect of New Service development and implementation
Monitor and ensure Physician claims management and revenue generation:
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