Director, EHR Revenue Cycle Applications

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

30 Corporate Woods, Brighton, New York, United States of America, 14623

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

900080 ISD Clinicals

Work Shift:

UR - Day (United States of America)

Range:

UR URG 118

Compensation Range:

$141,000.00 - $211,600.00

Responsibilities:

Directs and supervises staff and resources to ensure efficient and effective clinical and revenue-cycle operations. Leads a cross-functional team responsible for the development, implementation and maintenance of revenue-cycle modules fully integrated with eRecord (Epic) EHR.

Ensures system functionality is designed and optimized to:

• Enable accurate charge capture, coding compliance and charge-master management
• Streamline claims generation, electronic remittance processing and payer interfacing
• Facilitate timely accounts receivable follow-up, denials management and appeals tracking
• Deliver real-time revenue integrity dashboards, financial reporting and analytics to identify under-payments or trend spikes

Guided by core principles of patient safety, data security and operational excellence, partners with clinical, revenue-cycle and finance stakeholders to align technology solutions with end-to-end business processes. Oversees execution of strategic plans across application teams to empower our healthcare, education and research partners with digital tools that drive efficiencies, maximize reimbursement, create value and strengthen our competitive advantage.

ESSENTIAL FUNCTIONS

• Acts as an accountable leader for designated Revenue Cycle application teams. Provides system expertise and technical support to the application team necessary for incident resolution, new implementations, optimizations or maintenance projects or activities. Determines and outlines potential feasibility and profitability of a project(s), enhancement, growth and expansion opportunities, and other activities and presents recommendations. Makes moderate to significant improvements in systems, processes or products to enhance performance of level Revenue Cycle area.
  • Oversees: Resolute Hospital Billing, Resolute Professional Billing and Charging team
  • Responsible for leading the Revenue Cycle Advisory Council in IT Governance
  • IT partner for Billing Directors and CFO’s
• Creates and fosters relationships with relevant clinical, technical, and operational teams. Communicates with stakeholders within and outside of own area and may include external communications external to the department. Influences others on policies, practices, and procedures within area of expertise.
• Manages a team in support of execution technology operations and projects across URochester Medicine, including affiliates across the region. Leads career development efforts for team. Provides coaching/mentoring to standardize best practices across all team activities. Acts as a champion for continuous improvement as demonstrated by personal example. Establishes clear goals, opportunities, and career trajectories for team members. Allocates and assigns personnel and technical resources to meet enterprise needs. Maintains hiring, firing, promotion, performance, and reward authority. Partners with other IT Leaders as part of the health system IT leadership team.
• Keeps abreast of industry standards, practices and new technologies to enhance key stakeholder satisfaction with Information Technology and Revenue Cycle Services. Collaborates with team on new policy, interpretation, updates, and setting new department-wide initiatives. Makes recommendations on employee engagement, motivation, retention, and growth of staff.
• Manages one or more elements of an operating or capital program budget. Plans, manages, and participates in relevant capital and operating budgeting processes.   Maintains an ongoing awareness of project resources in relation to budget plan parameters and rate of spend for use in decision making and influence in assigned area and across IT.
• Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

• Bachelor's degree and 10 years of related experience required
• Or equivalent combination of education and experience
• 3 years of experience with Epic application preferred
• Experience in an academic medical center or health-system preferred

KNOWLEDGE, SKILLS AND ABILITIES

• Strong verbal and written communication skills with the ability to create clear, concise and prompt communications required
• Strong follow-through skills with ability to manage multiple initiatives simultaneously required
• Exhibits managerial courage. Willing to take calculated risks and to speak up for the best interests of the team required
• Ability to communicate effectively at all levels of the organization including with executives, physicians, and nurses, with the ability to discuss technical information in a meaningful way with persons of varying levels of expertise preferred
• Ability to demonstrate objectivity, sensitivity, and a balanced perspective regarding employee concerns and organizational issues preferred

LICENSES AND CERTIFICATIONS

• EPIC - EPIC Certification upon hire required

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.