[Hiring] Associate Director, Compliance & Revenue Integrity @Cedars-Sinai

Role Description

The Associate Director of Compliance and Revenue Integrity (CRI) is responsible for ensuring the integrity of revenues captured and billed across all entities of the health system. This will be accomplished through:

• Review and assurance of accurate charging
• Strategic price setting
• Use of robust denial avoidance techniques
• Oversight of compliant revenue management practices of clinical and department operations clients

Key responsibilities include:

• Ensuring knowledge and understanding of trends and forces shaping the health care Revenue Cycle and emerging regulatory issues
• Reviewing and researching regulatory documentation for revenue integrity compliance
• Ensuring compliance with state and federal laws, accreditation, and regulatory agency standards
• Maintaining staff compliance with Cedars Sinai Health System policies and procedures
• Monitoring goals and benchmarks for productivity and quality standards
• Identifying potential improvements for compliant revenue management education and productivity
• Providing coordination and subject matter expertise across areas of responsibility
• Acting as a liaison between Cedars Sinai Revenue Cycle (CSRC), Finance, and clinical departments
• Planning, organizing, and implementing process and business improvements on designated strategic initiatives
• Developing, maintaining, and enhancing the CDM in compliance with Cedars Sinai Health System policy
• Establishing denial avoidance feedback loops and improving operational processes
• Participating or leading workgroups and committees for revenue optimization and denial mitigation
• Making recommendations for improvements to support optimal revenue capture
• Ensuring compliant charging practices through consistent review of charge-master services and codes

Qualifications

• Bachelor's degree in business administration, health, or a related major required
• Master's degree preferred
• A minimum of 5 years of progressive healthcare experience required
• EPIC Certifications in HB and PB preferred
• Coding or Compliance Certificate (AHIMA, AAPC, HCCA) preferred

Benefits

• Outstanding employee benefits including health and dental insurance
• Vacation
• 403(b) retirement plan