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Manager, Finance - Revenue Integrity

The Manager Finance will accomplish department objectives by managing a multi-skilled team and developing positive working relationships with both colleagues and consultancies to support the financial and operational objectives of NM. The Manager Finance will be tasked with planning and overseeing completion of a full range of department activities. The Manager Finance will need to understand complex financial requirements/concepts in a fast paced environment.   Responsibilities Include: Meet departmental objectives by overseeing completion of the full range of department assignments. Establish department goals, forecast requirements, prepare/support management in preparation of department annual budget, schedule expenditures, analyze variances, and initiate appropriate corrective actions. Carry out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Review, edit, and enhance work prepared by members of the finance team. Prepare special reports by collecting, analyzing, and summarizing information and trends as needed. Deliver and communicate monthly results of operations to senior leadership, finance leadership and operational leadership as needed. Maintain quality service standards as well as analyzing and resolving quality and customer service problems, identifying trends, and recommending and implementing system improvements. Research and understand changes in the regulatory environment in order to determine appropriate treatment as needed. Demonstrate knowledge in computer applications such as knowledge in databases, spreadsheets and word processing applications in a high complexity environment. Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies. Protect operations by keeping financial and patient information confidential. Support the Northwestern Medicine finance operation as an integrated team leader.  Establishes revenue integrity strategic goals by gathering pertinent business, financial, service, and operations information, identifying and evaluating trends and options, defining objectives, making decisions and evaluating outcomes.  Reviews, edits and enhances models, reports, etc. prepared by others within the revenue integrity team. Maintains financial staff job results by training, counseling, developing personal growth opportunities, and disciplining employees; planning, monitoring, and appraising job results. This includes the enforcement of systems and policies as well as productivity standards. Fosters process improvements in improving quality and reducing labor hours. Oversees the governance with the regional pricing structure of the hospital's EAP and CASC (ambulatory surgical center) fee schedules in EPIC. Serves as liaison with clinical management in the departmental front-end charge capture tools for accuracy. Manages the revenue integrity team in performing periodic audits on chargemaster data elements. Requires maintaining technical knowledge to support organization with questions related to charge capture and complex regulatory billing issues (e.g. Provider-Based status rules, OPPS, CCI, MUE). AA/EOE. Required: Bachelor degree or equivalent relevant experience 5+ years progressive relevant experience in finance or related field Excellent oral and written communication, analytical and collaboration skills High level of precision and attention to detail Ability to summarize complex issues into key elements Leadership and flexibility managing relationships in large corporate environment Knowledge of Microsoft Office Suite. Requires high attention to detail, strong communication, collaboration, and analytical skills Advanced understanding of CPT, HCPCS, ICD-10, and third party billing requirements Extensive knowledge and experience with Medicare/Medicaid regulations Experience in a fast paced, dynamic environment EPIC Certification in Resolute Hospital Billing Intermediate knowledge of SQL and relational database Advanced knowledge in Microsoft Office Suite   Preferred: EPIC Certification in Clarity Reporting RHIA preferred or related health care credential (e.g. Radiology technician, RN) #LI-MS1 0042395
Salary Range: NA
Minimum Qualification
5 - 7 years

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