System Director, Revenue Integrity
Company: Norton Healthcare
Location: Louisville
Posted on: May 7, 2025
Job Description:
Location: Louisville, KentuckyJob ID: 138624Work Type: Regular
Full-TimeShift: DaysFacility Group: Norton System Services Job
Description ResponsibilitiesThe System Director, Revenue Integrity,
is responsible for ensuring the integrity of the hospital and
physician practice revenue cycle, assuring documentation reflecting
registration, clinical service delivery, charging, coding, billing
and remittance are accurate, complete, comprehensive and in
compliance with regulatory and payor requirements. Key
Responsibilities:
- Directs ongoing programs for education of physicians and
ancillary staff regarding documentation and regulatory compliance.
Monitors CMS regulatory environment and integrates these
requirements into facility/practice processes.
- Provides support to Patient Financial Services to ensure
accurate billing and payment compliance. Assists in compliance
issues and reviews billing edit issues including APC grouper edits,
Emdeon and LMRP reviews. Serves as a member of the Billing and
Documentation Committee for both the hospital and physicians to
ensure compliance.
- Provides support and education to Norton Healthcare coders to
improve accurate coding for appropriate reimbursement. This will
include Hospital, Physician Services and Norton Cancer Institute.
Plans the coding audits to assess compliance with applicable coding
guidelines.
- Monitors the CDM to ensure proper charge capture and
reimbursement. Interacts with various clinical and support
departments and systems influencing charge propriety. Maintains
mechanisms to ensure accurate charge capture.
- Performs financial analysis of revenue and reimbursement
performance. Functions as an integral link between clinical and
financial departments. Provides support to evaluate future service
line development regarding reimbursement potential.
QualificationsRequired:
- Five years management in a healthcare setting
- Bachelor DegreeDesired:
- One year working with Epic
- Master Degree
- Certified Coding Specialist OR Certified Professional
CoderScreening requirements:
- Background check
- License & education verification
- Employment reference verification
- Drug Screen Norton Healthcare offers a competitive benefit
package, including:
- Paid vacation, sick days and holidays
- Paid parental leave
- 403b/401k retirement plan
- View more:
- Medical, Dental, and Vision Insurance Discover meaningful
career opportunities atNorton Healthcare Careers - Together, We
Will.Norton Healthcare is a leader in serving adult and pediatric
patients from throughout Greater Louisville, Southern Indiana, the
commonwealth of Kentucky and beyond. The not-for-profit hospital
and health care system is Louisville's third largest employer, with
more than 17,000 employees.All qualified applicants will receive
consideration for employment without regard to race, color,
religion, sex, sexual orientation, gender identity, national
origin, disability, or status as a protected
veteran.PI909fbf37aa6e-37820-37353407
Keywords: Norton Healthcare, Louisville , System Director, Revenue Integrity, Executive , Louisville, Kentucky
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