Director of Revenue Management

General Information

Job Name Director of Revenue Management Department 8530090 - Revenue Management SFHEA Position type Full Time Workplace Fully On-Site Primary Location San Francisco, CA, United States Job ID CONV_87597BR

Description & Requirements

Job Description

The Director of Revenue Management directs all UCSF Health revenue integrity strategy and initiatives across hospital and professional billing environments. The Director oversees the Revenue Integrity (RI) team and has enterprise responsibility for Charge Description Master (CDM) governance, pricing, accurate and compliant charge capture, documentation alignment, revenue monitoring, and proactive identification and mitigation of denial risk.

Responsibilities include the structure and maintenance of the CDM and professional fee schedules; development, implementation, and oversight of policies and processes related to compliant charging and coding practices; pricing strategy, analysis, and modeling; and proactive monitoring of gross revenue performance and revenue risk.

The Director collaborates extensively with clinical departments, Health Information Management, Patient Financial Services, Compliance, Internal Audit, Health Plan Strategy, Finance, and Information Technology teams to ensure revenue integrity requirements are embedded into operational and technical workflows. This includes partnership with IT and Epic application teams to optimize system design, automation, testing, and validation of charge capture and billing workflows to ensure accuracy, efficiency, and safeguarding of revenue.

The Director interacts with executives, other directors, internal and external auditors, compliance leadership, operational leaders, physicians and their staff, and UC system counterparts. External contacts include state and federal agencies, regulatory bodies, vendors, and external auditors.

The Director contributes to short- and long-range planning for revenue cycle strategies, processes, tools, and systems; establishes departmental goals, budgets, and staffing plans; and develops policies that affect revenue integrity and revenue cycle functions across UCSF Health. Errors in judgment or failure to achieve objectives may result in significant financial loss, compliance risk, or operational disruption.

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

The salary range for this position is $148,700 - $360,900 (Annual Rate).

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Department Description The Revenue Management Department takes a multidisciplinary approach in the revenue cycle to aid in properly capturing charges and ensuring accurate billing for clinical services rendered to patients across the enterprise. The department incorporates compliance and privacy practices, leverages automation and technology, and applies effective processes and internal controls that continually result in root cause correction and process improvements. Qualifications Required Qualifications: - Bachelor’s degree in relevant field such as, Business, Management, or Health Administration; or equivalent experience - Ten (10) years of experience in hospital and professional revenue cycle leadership, charge description master maintenance, clinical charge capture, coding, government/third-party reimbursement, or similar healthcare experience - Possession of 1 or more of the following certifications:- CPAM – Certified Professional in Ambulatory Management (MGMA) - CHRI – Certified Healthcare Revenue Integrity (AAPC) - CHC – Certified in Healthcare Compliance (HCCA) - CPC – Certified Professional Coder (AAPC) - CCS – Certified Coding Specialist (AHIMA) - Experience in managing and/or developing charge description master, fee schedules, and charge capture processes, policies, and/or procedures - Practical experience using hospital information systems, Epic preferred, and computer proficiency with PC applications (e.g. Microsoft Office) - Practical experience and knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and Revenue codes In-depth knowledge of overall revenue cycle processes, specifically revenue integrity, including industry trends - Demonstrated leadership experience in a healthcare setting, preferable within a medical facility or health system - Knowledge of applicable laws, regulations, requirements, standards and practices pertaining to patient confidentiality and information management - Demonstrated analytical and decision-making skills - Demonstrated professional interpersonal and communication skills - Excellent organizational, time management, and project management skills; ability to manage multiple, competing priorities - Detail-oriented, good organizational skills, and ability to be self-directed - Ability to present to and interact with all levels of hospital management and physician leaders - Ability to plan, document, direct, monitor and coordinate workflows Preferred Qualifications: - Master’s degree in related health care or business area and/or equivalent experience/training About UCSF The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as https://www.ucsf.edu/about/mission-and-values . In addition to , UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available https://diversity.ucsf.edu/ . Join us to find a rewarding career contributing to improving healthcare worldwide. EEO Statement The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

Additional Details

Job Code REVENUE CYCLE HC MGR 2 (006580) Assignment Category Career IAP Level Tier A Plan (target potential payout of 10%, maximum of 15%) Job Family Finance Campus 1 Berkeley Campus 2 Berkeley Campus 3 Berkeley Percentage (%) 100 Shift Length 8 hours Shift Type Day Bargaining Unit 99 Additional Shift Details Monday - Friday, 8 a.m. - 5 p.m.

Salary : $148,700 - $360,900