About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is a nationally recognized, private, not-for-profit health care organization founded and based in Raleigh, N.C. The largest health system in Wake County, WakeMed exists to improve the health and well-being of our community by providing outstanding, compassionate, patient- and family-centered care to all. The 919-bed system comprises a network of facilities throughout the Triangle area, delivering health and wellness services that bring added value to the communities we serve. WakeMed is a leader in cardiac and vascular care, women's and children's services, emergency medicine and trauma care, physical rehabilitation, orthopaedics and neurosciences. Specialty facilities include the WakeMed Heart Center, Children's Hospital, Women's Pavilion and Birthplace, Rehabilitation Hospital, Adult and Children's Emergency Departments and a Level 1 Trauma Center. WakeMed's team of more than 9,400 employees, 2,000 volunteers, 1,300 affiliated physicians, and the more than 300 physicians employed by WakeMed Physician Practices use the most advanced technologies along with the best minds and the biggest hearts to ensure the finest quality in health care and community health. For more information, visit www.wakemed.org.
As an Equal Opportunity Employer, WakeMed provides an inclusive work environment that promotes the valuing of differences, respect for people and cooperativeness among our diverse workforce. WakeMed does not discriminate against any employee or applicant in any terms or conditions of employment. All applicants/employees are considered for employment, transfer, promotion or training without regard to race, religion, color, gender, gender identity/expression, genetics, sexual orientation, age, pregnancy, national origin, disability or veteran status.
Position Information: The Revenue Integrity Director defines and carries out the strategy for maximizing gross revenue capture across the WakeMed Health and Hospitals enterprise. The Director serves as the chief liaison between revenue cycle and clinical departments. The Director also ensures the availability and interpretation of reporting and analytics necessary for the clinical and revenue cycle departments to drive financial improvement. Within the Revenue Integrity department, the Director oversees the following functions: charge capture, revenue reconciliation, Charge Description Master (CDM) maintenance, strategic pricing, payment validation, denial management and avoidable write-off prevention, and reporting and analytics. Maintains knowledge of third party regulations for all payors, including governmental and commercial payors. Develops strong working relationship in order to maximize reimbursement potential through effective problem resolution. Prepares revenue analyses for executive staff that identify areas for improved reimbursement opportunities. Supervises and trains staff to improve system reimbursement. #LI-post
Experience Requirements: 7 Years Accounting/Finance - Financial Management - Healthcare Or Accounting/Finance - Revenue Cycle Or Healthcare Or Healthcare Administration Or Health Information Management Required
Education Required: Bachelor's Degree Accounting Or Finance Or Healthcare Management Or Related Field Required - And Master's Degree Business Administration Or Healthcare Management Preferred
Licensure/Certification Requirements: Registered Health Information Administrator Or Registered Nurse Or Registered Health Information Technician Or Certified Healthcare Financial Professional Or Certified Revenue Cycle Representative Or Certified Coding Specialist Required
At WakeMed Health & Hospitals, we are guided by a simple – yet powerful mission: to improve the health and well-being of our community by providing outstanding and compassionate care to all.To deliver on this mission, WakeMed employs the “best minds and the biggest hearts” in the business. Our team includes over 8,500 experienced registered nurses, technologists, medical professionals, support staff, and a medical staff of more than 1,200 physicians and advanced practice providers who are dedicated to putting patients first.When it comes to culture and benefits, we recognize that when we take good care of our employees, our employees can take even better care of our patients. We proudly offer competitive salaries that reflect background, experience and special skills. Our benefits programs are designed to give you and your family the support you need for today while planning for a successful tomorrow. We promote diversity in the ...workplace, provide equal employment opportunity for all qualified applicants, and we participate in E-verify.We think it’s pretty simple – we care for our employees and our employees care for the community.