VP, Revenue Cycle - #1 Hospital in CA

Overview

Job Summary: Key Job Responsibilities
The Vice President, Revenue Cycle plans and directs all aspects of Health Information Governance and Privacy, Coding Services, Clinical Documentation Integrity, Revenue Integrity, Charge Capture and Compliance for the Cedars-Sinai Health System and designated affiliates. Aligned with compliance and governing regulations, this position ensures most appropriate and optimal revenue, diagnosis, procedure, and quality information capture across all patient encounters.

This executive leader has operational oversight of Coding – Professional and Facility, HIM – Information Governance and Privacy, Clinical Documentation Integrity (CDI), Revenue Integrity, Charge Master (CDM), Coding Quality Audit units and leads Cedars Sinai's pricing strategies, provider coding education programs, documentation integrity and related payer denial prevention, contract/payor compliance activities, privacy monitoring any associated reporting, clinical information capture and release and external user system access.

The Vice President works closely with the health system's revenue cycle, finance, technology and clinical teams, and is accountable for effectively setting health system policy within scope of responsibility, organizing efficient work processes; demonstrating leadership skills to select, motivate, develop, evaluate, recognize and retain competent and caring personnel; and demonstrating interpersonal skills to work effectively with all levels of the organization.

Responsibilities

• Provide strategic direction for Health Information Governance and Privacy, Coding Services, Clinical Documentation Integrity, Revenue Integrity, Charge Capture, and Compliance.
• Oversee professional and facility coding, HIM information governance and privacy, CDI, CDM, coding quality audits, pricing strategies, education programs, payer denial prevention, and contract/payor compliance activities.
• Ensure accurate and comprehensive capture of revenue, diagnosis, procedure, and quality data across patient encounters.
• Collaborate with revenue cycle, finance, technology, and clinical teams to establish and enforce system-wide policies and efficient work processes.
• Lead and develop teams; foster a culture of performance, accountability, and continuous improvement.

Qualifications

• Educational Requirements: Bachelor’s Degree in Health Information Management or related healthcare field; Master’s Degree in Business, healthcare administration or related field.
• Licenses: Registered Health Information Administrator (RHIA) or HFMA-CRCR.
• Experience: 10 years progressive healthcare revenue cycle management experience; 5 years leading middle/upper-level management teams; 5 years EPIC system experience including financial (billing – HB/PB) and clinical documentation (EHR) functionalities; 5 years Coding/Nomenclature experience.
• Physical Demands: Stand dynamically to perform a function and move to perform another; stand statically in one place to perform a function without changing location; sit at a desk or table with some walking, standing, bending, stooping, or carrying of light objects; perform continuous operation of a personal computer for four hours or more; use hands and fingers to handle and manipulate objects and/or operate equipment.

About Us

Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars-Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.

About the Team

Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most.

Req ID : 6757

Working Title : VP, Revenue Cycle - #1 Hospital in CA

Department : CSRC VP CRO

Business Entity : Cedars-Sinai Medical Center

Job Category : Executive Management

Job Specialty : Executive Management

Overtime Status : EXEMPT

Primary Shift : Day

Shift Duration : 8 hour

Base Pay : $153.85 - $177.88