Job Description

Warbird Consulting Partners actively seeks qualified candidates for an exciting position as Interim Senior Director, Revenue Integrity for a large integrated healthcare system in southwest. The Interim Senior Director of Revenue Integrity is responsible for developing strategies to ensure efficient and compliant revenue processes. Areas of responsibility include charge capture, charge maintenance (CDM), CDM pricing strategy, charge edits, clinical denials, RAC audits, revenue cycle regulatory monitoring and multidisciplinary clinical, operational and financial revenue practice teams. This role Identifies and partners with departments to reduce revenue leakage through impact studies, revenue reviews and industry best practices.

Warbird engages talent and expertise across all of our practice areas and assembles experienced teams to solve a wide range of complex, pressing accounting and finance issues. Our consultants typically have 15-25 years plus of industry experience and know firsthand the daily challenges our clients encounter. We fit our consultants’ skills to the needs of our clients to ensure a successful experience for all. If you’re ready to take on the challenge, then let us help you advance your career in consulting.

Duration: ~ 6 months

Location: Remote/Hybrid

Scope: Supervises a team of 50 consisting of Managers, Supervisors, Team Leads and Individual Contributors

ESSENTIAL DUTIES AND RESPONSIBILITIES

Job Requirements

QUALIFICATIONS

• A Bachelor’s degree in health care administration, finance, health information management, business or clinical degree (RN, pharmacist), or related field is required. A Master’s level degree is preferred
• Fifteen (15) years of progressive responsibility in healthcare with at least Ten (10) years of increasing executive level responsibility for multispecialty departments and multiple locations managing complex revenue cycle operations. Master’s Degree could satisfy 2 years of experience requirement.
• Highly prefer prior coding (HIM or Pro fee/Physician coding) experience, along with Charge Capture knowledge.
• Candidate must have extensive revenue cycle experience with advanced knowledge of revenue cycle, state and federal requirements (i.e., charging, billing, price transparency) and a thorough understanding of the front, middle and back-end revenue cycle practices.
• Healthcare Compliance Certification from HCCA is preferred
• Extensive knowledge in the field of revenue integrity practices and requires a clear and creative individual that ensures the methodologies employed sustain cash flow for the system while adhering to compliance of payer and regulatory regulations required to serve as subject matter expert.
• Ability to build strong partnerships across the organization with Managed Care, Finance, ITDS, operations and clinical leadership to ensure strategies are executed while keeping the patient clinical and financial record aligned. 
• Understanding of coding classification systems, such as ICD-10-CM, ICD-9-CM, MS-DRG, CPT-4, APR-DRG, and HCC strongly preferred
• Extensive knowledge of facilitating engagement related strategies to create high performing teams, and a work culture aligned with the system mission, vision, and values.
• Competency in developing efficient and effective solutions to complex business challenges
• Ability to influence key stakeholders at various organizational levels
• Excellent interpersonal, organizational, presentation, verbal and written communication skills.
• Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required.

E-Verify - Warbird participates in the Electronic Employment Eligibility Verification Program. Warbird is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, religion or other legally protected status. INDS