Mosaic Life Care

Founded in 1982 and headquartered in St. Joseph, Missouri, Mosaic Life Care is a physician-led health system dedicated to its mission of improving the health of individuals and com

MHS - Revenue Cycle Leadership - Director Revenue Integrity

Location

United States

Posted

1 day ago

Salary

0

Seniority

Lead

No structured requirement data.

Job Description

MHS - Revenue Cycle Leadership - Director Revenue Integrity

Mosaic Life Care

Role Description Under the direction of the Vice President of Revenue Cycle, the Director of Revenue Integrity oversees the Revenue Integrity Department. The Director is responsible for supporting the enhancement and maintenance of properly functioning revenue capture processes at Mosaic Life Care. - Works across the organization, collaborating with Managed Care, Finance, Technology Services, and clinical teams to ensure accurate, timely, and compliant revenue posting and reimbursement. - Provides guidance and oversight for: - Charge description master integrity - Patient account charge audits - Regulatory audits and appeals - Underpayment recovery - Denials management for hospital and physician clinic services - Supports and manages the technical charge capture systems, processes, and workflows of revenue-generating departments to ensure timely and accurate recording of revenue, in accordance with all applicable governmental and institutional standards, bylaws, rules, and regulations. - Provides information to charge capture teams and operational directors/managers related to mechanisms of charge triggers, controls and reconciliation, and coding purposes of compliant billing and charging procedures. - Responsible for developing and implementing price setting methodology and procedures. - Aims to maximize operational efficiency by supporting staff functions and promoting the integrity of the revenue charge capture system. - Identifies opportunities to work with leaders in other organizational areas to ensure regulatory compliance, increase care coordination, and improve communication among departments. - Directs the overall functions of assigned areas across the continuum to support quality, cost, and satisfaction outcomes. - Assures department is appropriately staffed and provides performance feedback. - Assures appropriate management of Revenue Integrity and all other utilization functions. - Interacts with leadership and front-line caregivers across the organization to accomplish department goals and assures that department objectives align with Mosaic's Mission/Vision/Values and Strategic Priorities. - Responsible for designing and leading integrated (enterprise) Revenue Integrity services. - Direct reports include: Revenue Integrity Manager and underpayments team. Qualifications - Experience in revenue cycle management. - Strong leadership and management skills. - Excellent communication and collaboration abilities. - Knowledge of regulatory compliance and billing procedures. Requirements - Bachelor's degree in a related field; Master's degree preferred. - Minimum of 5 years of experience in revenue integrity or related areas. - Proven track record of successful project management. - Ability to analyze complex data and develop actionable strategies. Benefits - Competitive salary and performance-based incentives. - Comprehensive health benefits. - Retirement savings plan with employer match. - Opportunities for professional development and advancement.

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