Direct all aspects of the revenue cycle, including billing, coding, reimbursement, and collections, to optimize the timely and accurate payment of revenue. Develop scalable systems and procedures to support organizational growth while ensuring adherence to healthcare regulations such as HIPAA, billing, and coding standards. Create and track key performance indicators (KPIs) to evaluate revenue cycle efficiency, identify areas for enhancement, and drive operational excellence. Perform trend analyses on revenue and KPIs to generate detailed reports for management's strategic decision-making.
Work collaboratively with payor partners to ensure continuous dialogue and partnership around contractual implementation, fee schedule changes, data exchange, among others. Stay informed about changes in healthcare regulations and ensure all revenue cycle activities comply with these standards to mitigate the risk of audits and penalties. Build and lead a high-performing team of billing and revenue cycle professionals.