Fred Hutchinson Cancer Research Center & Seattle Cancer Care Alliance

Director Revenue Cycle Management

Job ID
20728
Type
Regular Full-Time
Company
Seattle Cancer Care Alliance
Location
US-WA-Seattle

Overview

The Seattle Cancer Care Alliance (SCCA), located in Seattle, Washington, is part of a dynamic collaboration among three organizations known nationally and internationally for their patient care and research: Fred Hutchinson Cancer Research Center, University of Washington, and Seattle Children's. Over the past 25 years, these institutions have worked together to support their mission of adult and pediatric oncology patient care services, research and education.

 

The Director of Revenue Cycle provides leadership and guidance in the critical areas supporting Seattle Cancer Care Alliance (SCCA) Revenue Cycle, including budgeting, resource development and allocation, policy formation, technology and vendor evaluation, service line growth, delivery, and support. This includes Health Information Management (HIM), Financial Counseling, Insurance Authorizations, Revenue Integrity, Coding, Patient Accounting, and Research Billing. This role will have accountability for ensuring compliance with all applicable state and federal laws as well as requirements around billing, coding, and collections for hospital services as it relates to governmental programs, private pay, commercial pay, and special programs.

 

The Director of Revenue Cycle will also coordinate with other leaders across the enterprise to ensure optimal workflows for patient care and revenue capture while building cross-departmental teams to drive innovative solutions to Revenue Cycle related problems. They will collaborate with medical leaders, peer, and colleagues at the Seattle Cancer Care Alliance (SCCA) as well as our partner institutions (FHCRC, UW Medicine and Seattle Children’s) to assure the provision of high quality, patient and family-centered care in an environment that facilitates clinical research.

Responsibilities

  • Provides strategic leadership and guidance at the senior level in all areas of the organization's Revenue Cycle functions. SCCA's Revenue Cycle function includes Health Information Management, Financial Counseling, Insurance verification, Revenue Integrity, Coding, Patient Accounting, and Research Billing.
  • Responsible for development and implementation of key strategies for achieving innovative Revenue Cycle solutions and both short and long-term goals, objectives, and outcomes. Evaluates and modifies processes as needed based on changes within SCCA and the external marketplace. Measures the quality of services performed with a strong focus on patient and consumer engagement.
  • Provides leadership for planning, developing, and implementing Revenue Cycle related or impacted technology. Strong collaboration with IT and clinical leadership for technology training and go-lives. Actively research the latest technological trends that SCCA may utilize to protect patient information and allow for efficient operations.
  • Responsible for managing all Revenue Cycle third-party vendors. This includes developing and administering RFPs (requests for proposals), vendor selection and contract execution. Collaborates and supports vendor and business partners in the design, early proof of concepts, and piloting of innovation initiatives.
  • Research highly complex issues, formulating alternatives, analyzing risks and benefits and determines strategies for successful response to financial indicators and trends affecting operations, collections and/or cash flow. Oversees cross-institutional initiatives and executive-level projects, fostering strategic partnerships in carrying out enterprise-wide ventures responsible for ensuring efficient and compliant processes.
  • Collaborates with Compliance, Legal and IT Security departments to implement policies, safeguards and practices that protect patient's privacy and the security of SCCA's health information. Supports the overall lifecycle of the medical record. Assumes responsibility for the standardization of all forms going into the medical record and the processes by which that data is accessed or created (i.e. dictation, electronic forms completion, etc.).
  • Demonstrates understanding of Hospital Medical Staff Bylaws, CMS standards, HIPAA, the OIG, the State of Washington regulations, and any other state or federal rule, regulation, or agency as they pertain to all Revenue Cycle functions. Ensures compliance with all hospital requirements and regulatory agencies such as CMS and the Joint Commission. Initiates corrective action as needed

Management/Leadership

  • Develops Revenue Cycle leaders, demonstrates good leadership by example, and creates growth opportunities for Revenue Cycle leadership team.
  • Creates a work environment that appreciates and effectively leverages diversity of thought & skills.
  • Communicates honestly and courageously; transparently shares own positions & needs. Brings tough issues to the surface, even when uncomfortable
  • Demonstrates inclusive behaviors in their daily leadership style and through active collaboration.
  • Sets direction and expectations clearly for direct reports.
  • Measures and documents performance; recognizes the unique contribution each caregiver offers.
  • Actively works to recruit, hire, and retain high performers; constantly looking for talent to add to the organization; creates a challenging and rewarding work environment

Qualifications

Required:

  • Bachelor's degree and 10 years of relative experience required, as well as 5 years in a leadership role
  • Possess strong understanding of various reimbursement methodologies with expert knowledge of all payer billing requirements in the facility and physician environments
  • Knowledge of medical records and medical terminology including ability to interpret and apply Medicare guidelines, compliance/HIPAA processes, regulations, and internal controls
  • Strong executive presence, including communication skills that enable appreciation of others' perspectives and the ability to offer compelling insights and recommendations
  • Government payer experience including knowledge of local medical review policies, CMS policies and requirements, and ambulatory payment classifications
  • Knowledge of the content, structure and maintenance of the Charge master and fee schedule
  • Prior experience creating and monitoring departmental budgets
  • Ability to translate business strategy/industry dynamics into complex financial analysis and interpretations with a high degree of accuracy to influence strategic direction
  • Understanding of the present and future of the healthcare industry
  • Ability to work independently, manage multiple projects and meet deadlines
  • Prepares presentations and correspondence to senior management
  • Outstanding directing abilities and a demonstrated track record of leadership and performance

Preferred:

  • Master's Degree in Healthcare Administration or related field
  • Industry related certification (HFMA, AAHAM, AHIMA etc.)

 

SCCA has a mandatory COVID-19 vaccination policy, and there are no exceptions for any employee who is patient-facing and/or requires access to SCCA facilities.

Exceptions exist only for employees whose positions are fully remote, with no required access to campus. As a condition of employment, newly hired employees requiring access to campus must provide proof of vaccination before their first day of employment.

Our Commitment to Diversity

We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to our Employee Services Center at hrops@fredhutch.org or by calling 206-667-4700.

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