Interim SVP Revenue Cycle Compliance
Confidential/597046
Seasoned leader with a proven track record in developing and implementing compliance monitoring and data analytics programs across large-scale healthcare systems. Expert in designing and executing strategies for coding compliance, risk-based reviews, and regulatory adherence.
CERTIFICATIONS AND LICENSES
Certification:
- Registered Health Information Administrator (RHIA)
- American Health Information Management Association (AHIMA)
- Colorado Health Information Management Association (CHIMA)
- Health Information Management Strategy
- Stakeholder Engagement & Relations
- Financial Management & P&L Oversight
- Clinical Documentation Quality Assurance
- Coding Compliance & Accuracy
- Leadership & Team Management
- Regulatory Compliance & Auditing
- Healthcare IT Systems Proficiency
- Revenue Cycle Compliance
WORK HISTORY AND ACCOMPLISHMENTS
System Director, Acute Revenue Cycle Compliance
1000+ Licensed Bed Hospital.
- 10+ years of Revenue Cycle Compliance execuitve experience in Hospital area.
- Conducted HCC/Coding Risk Adjustment Reviews for Medicare Advantage plans and capitated entities, reinforcing coding compliance.
- Enhanced cross-functional collaboration with various internal and external stakeholders, including HIM, revenue cycle vendors (Conifer/Optum 360), CDI, and senior leadership, to maintain continuous proactive risk-based auditing.
- Enhanced revenue opportunities and mitigated risks by improving performance of outsourced revenue cycle vendor.
- Led the Request for Proposal (RFP) process to conduct a comprehensive nationwide search, selecting acute coding compliance vendors for partnership and remote audit execution, optimizing compliance and audit effectiveness.
- Led onsite and remote inpatient coding reviews, ensuring adherence to best practices and compliance standards.
- Increased client engagement and revenue through strategic promotion and marketing efforts.
EDUCATION
Bachelor of Science in Health Records Administration
Temple University, Philadelphia, PA
Compensation Requirements
Rates will vary based on location and housing availability. Very reasonable for the market.