Mid-Revenue Cycle Optimization Program Manager (Remote)

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
The Mid-Revenue Cycle Optimization Program Manager is responsible for overseeing the integrity of the integrated applications and workflows for the mid-revenue cycle to ensure optimal performance. This work includes driving and guiding optimization activities to completion, overseeing implementation of workflow processes and technology to meet standards resulting in improved performance. The Mid-Revenue Cycle Optimization Program Manager's project scope will span across the enterprise requiring collaboration with the School of Medicine Directors of Finance and Administration, SHC, Stanford Medicine-Partners, and Tri-Valley Hospital and Ambulatory Directors, IT, as well as various SHC Revenue Cycle Leadership. The incumbent reviews, assesses, and designs workflows, as well as makes system functionality recommendations for the entire mid-revenue cycle, which includes CDI, coding, revenue integrity, charge description master, and funds flow and to enable optimization of up/down stream impacts. Additionally, the Mid-Revenue Cycle Optimization Program Manager ensures that all existing and new workflows follow government, payer, and internal charge capture policies for both technical (facility) and professional policies. Other responsibilities include continuous collaborative learning and mentoring of indirect reports.

Locations
Stanford Health Care

What you will do

• Directs individuals and/or teams that lead performance improvement through lean methodology and tools for the mid-revenue cycle.
• Manages improvement activities through engagement of teams, subject-matter experts, and stakeholders.
• Manages and/or facilitates complex rapid improvement events for value stream analysis, standard work, improved flow, pull, waste reduction, error proofing, workplace organization, and other objectives. Identifies best counter-measures and solutions needed to address root causes.
• Assists Director in oversight of system integrity as it relates to Charge Router/Review WQ & rule structure, as well as oversight of EAP set-up, split-billing structure, and POS build.
• Delivers training and provides mentoring support in root cause analysis, discovery workshops, and data interpretation.
• Provides training, leadership, subject-matter expertise, and delivery of continuous improvement practices to staff and the organization.
• Effectively creates a culture of accountability, communication, problem-solving, and resource/data effective decision-making, while keeping aligned with revenue cycle best practices.
• Ensures appropriate project management is utilized.
• Establishes baseline data for project improvement, as well as implement measures for monitoring and continues improvement. Captures ROI for all improvement initiatives.
• Leads and facilitates process improvement teams and directs timely completion of multiple projects, Kaizen events, and consultative activity that support strategic goals for Revenue Integrity.
• Applies multiple performance improvement methodologies and tools to projects as needed
• Interprets the mid-revenue cycle initiatives and aligns improvement efforts with the strategic goals of the organization and department.
• Promotes a culture of performance excellence, quality, high-reliability, and staff engagement.
• Presents information to diverse audiences with clarity and impact. Adjusts approach to match the audience and situation.
• Possesses expert leadership skills and maturity in managing difficult situations and conducting crucial conversations.
• Assists the Director with clinical activations that impact the mid-revenue cycle.
• Drives meaningful and impactful change to key KPIs.
• Performs other related duties as needed or assigned.

Education Qualifications

• Bachelor's degree in Business Administration, Public Administration, or a work-related discipline.

Experience Qualifications

• Five (5) years of progressively responsible and directly related mid-revenue cycle work experience.

Required Knowledge, Skills and Abilities

• Knowledge of health care industry trends related to the patient experience
• Knowledge of Revenue Cycle industry trends and best practices
• Knowledge of the patient, family, and caregiver path through the health system and how to identify key pain points stemming from revenue cycle workflow
• Knowledge (proficient) of the Epic system as well as operational aspect with an emphasis in the mid revenue cycle workflows (charge capture, coding, CDI, billing, and claims.
• Knowledge and experience in facilitating multi-disciplinary teams to determine solutions to recurring challenges
• Ability to maintain confidentiality of sensitive verbal and written information
• Ability to analyze operational and procedural problems and develop, recommend, and evaluate proposed solutions
• Ability to communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, conflict resolution, change management, consulting and advising, as well as prepare clear, comprehensive written and oral reports and materials
• Ability to prioritize and drive to results with a high emphasis on quality & integrity
• Ability to work as part of a team
• Solid proficiency and skill with process improvement and root cause analysis
• Ability to collaborate and build consensus with stakeholders
• Highly self-motivated, directed, and change-oriented skills
• Demonstrated strong customer orientation skills
• Ability to engage actively in complex discussions, often on challenging and/or controversial subjects
• Ability to handle confrontation with appropriate grace, professionalism, cordiality, and firmness
• Ability to manage/resolve disputes appropriately
• Strong project management skills
• Experience and skilled in leadership/management

Licenses and Certifications

• EPICC - EPIC Certification
• COC or
• CPC-H or
• CCS - Certified Coding Specialist or
• CPC and/or CCSP - Certified Professional Coder or
• RHIT - Registered Health Information Technician or
• RHIA - Registered Health Information Administrator preferred or
• HB/PB Resolute within 1 Year

Physical Demands and Work Conditions
Blood Borne Pathogens

• Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family's perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

#LI-RL1

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.