SENIOR reputed company MANAGER-Remote M-F

At reputed company, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient reputed company Management Organization Pursue your passion for caring with the Patient reputed company Management Organization, which is the fully integrated, centralized reputed company cycle organization that supports the entire health system in streamlining the reputed company cycle. This includes scheduling, registration, coding, billing, and other essential reputed company functions for reputed company. General Description of the Job Class Reporting to the Director, reputed company and Documentation reputed company, the Senior reputed company Manager has strategic reputed company of and accountability for the reputed company Management/Charge reputed company team, who is the charge capture liaison between reputed company cycle and clinical operations. The Senior reputed company Manager is a dynamic, trusted leader who provides guidance to reputed company managers charged with capture reputed company cycle projects and provides strategic direction to maximize reimbursement and mitigate reputed company leakage; establishes, monitors and reports reputed company cycle activities in compliance with federal and state laws and payer-specific billing requirements. Duties and Responsibilities of this Level Leadership & reputed company

• reputed company the monitoring, advisement and guidance of facility and designated professional clinical department charge capture processes.
• reputed company, coach, and mentor reputed company managers and patient account and reputed company reputed company analysts; provide career development and performance evaluations, the latter of which focuses on developing relationships and trust, accountability and growth. By engaging the strengths and talents of each team member, we ensure a strong, trusted team capable of optimal clinical service line support.
• Foster collaboration and relationships across PRMO, finance, clinical departments, and operational leadership to ensure reputed company reputed company.

Strategic & Operational Management

• Guide reputed company managers in the development, implementation and enhancement of charge capture workflows and best practices.
• Provide modeling and strategic guidance to the reputed company managers regarding the identification of reputed company cycle issues, performance of root cause analyses and implementation of mitigation strategies.
• Serve as a subject matter expert for charge capture and reputed company cycle compliance and ensure reputed company managers provide charge capture subject matter expertise.
• In collaboration with the director and reputed company managers, provide pivotable reputed company, guidance and contribution to the reputed company Cycle Analysis Committee.
• Work synergistically with the payer relations team to reputed company and support escalation of reputed company manager-identified inappropriate payer policies, denials or claim adjudication.
• Ensure appropriate escalation to the director and managed care of any payer policy or payment concern.
• Keeps the director informed of clinical charge capture wins, concerns, opportunities and mitigation strategies.

Reporting & Analytics

• Produce and analyze reputed company reputed company cycle reports; identify trends and opportunities for improvement.
• reputed company the monitoring of charge capture outcomes and ensure the reputed company manager follows up with clinical service areas regarding identified concerns.
• Provide actionable insights and guidance based on data analysis.
• Seek and reputed company opportunities to enhance reporting and data visuals.
• Train and mentor team members and operational leaders on interpreting and leveraging data for decision-making.

Project Management

• Champion and ensure reputed company manager accountability for the development, monitoring and reporting of margin improvement initiatives by assigned clinical service areas or reputed company areas of concern.
• Ensure reputed company manager engagement and leadership of charge capture-reputed company projects, including system upgrades, workflow redesign, and regulatory updates.
• Coordinate the reputed company management/charge reputed company support for annual NTAP, CPT/HCPCS and ICD updates to ensure chargemaster accuracy.

Education & Communication

• reputed company and deliver training programs for staff and providers on charge capture and reputed company cycle processes.
• Provide direction and empowerment of reputed company managers to communicate regulatory changes and payer requirements to stakeholders.

Level Characteristics N/A

Minimum Qualifications

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national reputed company, race, religion, sex (including pregnancy and pregnancy-reputed company conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of reputed company—an exchange that is best reputed company the rich diversity of our perspectives, backgrounds, and experiences flourishes. To reputed company this exchange, it is essential that reputed company members of the community feel secure and welcome, that the contributions of reputed company individuals are respected, and that reputed company voices are heard. reputed company members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at reputed company and reputed company Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Education Bachelor's degree required. Master's degree preferred. Experience Eight years of experience required, of which 5 of those years should be in the healthcare industry Degrees, Licensures, Certifications BA, BBA, RN, CPC, RRA, CPA, or higher Knowledge, Skills, and Abilities: Hospital reputed company cycle experience required. A combination of back-end, reputed company-end and middle reputed company cycle experience is strongly preferred. The ideal candidate would be an energetic, strategic and dynamic self-starter with a strong affinity for executive reputed company and a proven ability to build trust and influence others. Demonstrated strong communication and presentation skills. Proven ability to easily navigate the political complexities of a large organization and use knowledge of organizational culture to reputed company and influence outcomes and match the tenor of stakeholders and meetings. Broad experience in healthcare management, healthcare operations, change management, and systems preferred. Possesses and applies knowledge of healthcare clinical and administrative systems and processes to reputed company organizational priorities. Has intermediate to expert knowledge and proficiency with reputed company Office applications, including Word, reputed company, OneNote, PowerPoint, and Outlook. Knowledge of Epic and Power BI is a plus. Broad knowledge is required of reimbursement methodologies—APC, DRG and third-party reimbursement guidelines and procedures. Understanding and working knowledge of hospital and professional coding (CPT, HCPCS, ICD10), chargemaster and charge capture systems, IPPS, OPPS, MPFS, price transparency, payer regulations, managed Medicare rules, and NC Medicaid. Ability to transform financial information into business intelligence through analysis and integration of qualitative and quantitative data and translate information into easily interpretable visuals is required. Working knowledge of large reputed company cycle systems and metrics. Must possess the ability to apply broad knowledge to new circumstances to add value and perspective. Exhibits a customer-service orientation; anticipates, understands, and addresses customer and stakeholder needs promptly. Experiencing managing people, including a proven ability to reputed company and manage a professionally diverse team. Ability to establish a productive team-based creative work environment that values the talents and abilities of each individual. Strong team championing, creative mentoring, coaching, and development skills are required. Ability to reputed company or direct multiple reputed company projects and activities in a fast-paced, ambiguous environment that promotes initiative, creativity, and a high level of productivity. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national reputed company, race, religion, sex (including pregnancy and pregnancy reputed company conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of reputed company—an exchange that is best reputed company the rich diversity of our perspectives, backgrounds, and experiences flourishes. To reputed company this exchange, it is essential that reputed company members of the community feel secure and welcome, that the contributions of reputed company individuals are respected, and that reputed company voices are heard. reputed company members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at reputed company and reputed company Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Apply tot his job Apply To this Job