The Sr. Revenue Cycle Advisor position for the VUMC Department of Charge Integrity will work directly with the Manager of Charge Integrity. The position will be responsible for performing routine and special project analysis to assure the accuracy and completeness of charges captured for insurance and patient billing of inpatient and outpatient hospital services.
This position requires a Bachelor’s degree with emphasis in Business Administration, Accounting, Healthcare Administration, Nursing, Health Information Management or other related healthcare concentration area with a minimum of 4 years of relevant experience. Experience may be substituted for education.
Required Experience and Skills
Experience with lab services or a lab background
Coding knowledge highly preferred
Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting).
Knowledge of regulatory publications, how to access and interpret.
Working knowledge of medical terminology.
Solid communication, analytical and problem-solving skills.
Preferred Experience and Skills
Candidates with advanced business or healthcare related degrees and professional work experience in revenue cycle operations and/or clinical operations, particularly Clinical Lab
Knowledge of government and commercial payer requirements to ensure accurate and compliant charging and billing of hospital inpatient, outpatient, surgical and ancillary services.
Knowledge of CPT, HCPCs, and revenue codes.
Knowledge of APC, fee for service, and DRG payment methodologies.
Experience in utilizing computerized data analysis techniques/tools to identify charge capture issues.
Working knowledge of VUMC or other major academic medical center clinical operations and related charge capture processes.
Coding experience in a hospital inpatient and outpatient setting and professional certification as a RHIA, RHIT, or CCS.
Proficient User of Business Objects, EPIC or Cerner
Located in Nashville, TN, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. It is a place where your diversity — of culture, thinking, learning and leading — is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.
Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.
Internal Number: 1907742
About Vanderbilt Health
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period.Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As th...e largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.