New York, NY, 10176, USA
5 days ago
Senior Director, Finance and Revenue Cycle Operations - Anesthesiology
**Job Description** Reporting to the Vice Chair, Administration, the Senior Director assures that the financial and operational goals and objectives of the Department and its Faculty Practice operations are achieved. Develops and implements fiscal and operational policies and procedures, prepares and monitors the revenue budget, and manages finance and revenue cycle operations of the Department. Serves as the Department’s revenue cycle point of contact for all activities from charge capture IT design (including conversion to CBO) through reimbursement adjudication and collection. **Qualifications** + Graduate degree in Business or Healthcare Administration. + 7-10 years of experience in health administration including a minimum of 3 years preferred leadership in a health care setting. Non-Bargaining Unit, Z01 - Anesthesiology Adm Leadership - ISM, Icahn School of Medicine **Responsibilities** + Provides administrative direction and coordination in the formulation, interpretation and implementation of current policies, procedures and programs of the Department. + Establishes goals and objectives that are consistent with Health System policies and federal, state and local regulations. + Collaborates with the department leadership to develop short term and long range plans. + Provides oversight of subordinate staff to ensure compliance with all policies, procedures and operations. + Recommends reviews and implements policies, procedures and processes to assure all relevant Faculty and Staff are educated and meeting standards for compliance, medical record documentation and operational processes of the Faculty Practice. + Encourages collaboration among divisions to effectively coordinate and implement operational activities; facilitates and encourages effective communications across functional areas. + Resolves problems and improves services by maintaining cooperative working relationships and professional communications with colleagues, patients, external contacts and regulatory agencies. + Works with senior Institutional and Department leaders to design, implement and analyze opportunities to optimize revenue cycle operations, payer contracting and operational pathways. + Monitors billing vendor and onsite vendor staff to ensure that preauthorization, collections, accounts receivable, edits and denial targets meet key performance indicators, physician and patient satisfaction. + Advises on policies and procedures that affect workflows, staying informed of changes from regulatory agencies and insurance plan policy revisions that affect revenue cycle management. + Reviews internal controls to ensure proper billing of services within established timeframes and guidelines. Develops production schedules to produce timely, compliant and fully reimbursable patient care services in the Anesthesiology, Critical Care and Pain Medicine arenas. + Monitors billing vendor, onsite vendor staff, and Health System operations to ensure that preauthorization, collections, accounts receivable, edits and denial targets meet key performance indicators, physician and patient satisfaction. Performs budgetary and variance analyses and modeling to forecast financial status and resource needs. + Works with Heath System and external resources to optimize operational and financial processes while assuring compliance and coding integrity. + Evaluates, plans and researches reimbursement analysis for the successful launch of new clinical services, international and global pricing initiatives, and payer contracting to improve patient care, reduce costs and increase revenues. + Monitors research-related clinical revenue production processes to quote procedure fees and assure compliance with granting agency requirements. + Assures provision of education for all relevant Faculty/Staff on Health System, payer and external agency compliance standards. Audits and analyzes medical record documentation for designing and standardizing Faculty/CRNA onboarding education and ensuring that compliance standards are met. + In concert with the Dept. Senior IT Director, plans, implements and monitors new IT related functions and systems for optimizing revenue cycle activities and following up on Epic design enhancement and maintenance tickets. + Provides prompt and responsive communications for all billing related inquiries from Finance, physicians, patients, Patient Representatives, and governmental authorities. + Oversees staff and processes for facilitating Faculty/CRNA health plan credentialing and enrollment. + Works with Faculty colleagues to analyze and update annual CPT/ASA crosswalk files for IT systems and attends regular Epic Anesthesia Record Design team meetings. + Designs, implements and monitors HIPAA-compliant pathways for processing non-Epic clinical billing streams from community-based partners. + Plans budget needs by analyzing short and long-term program plans. + Collaborates with the Vice Chair, Administration to complete and monitor the annual revenue budgetusing projections of case volume trends and payer contract terms. + Monitor clinical and research revenue and expenditures; perform budgetary and variance analyses and modeling to forecast future financial needs/resources + Chairs department committees and participates in Health System forums as assigned. + Conducts research and analysis of documentation and billing for new clinical modalities in order to improve patient services, reduce costs and increase revenues. + Resolves problems and improves services by maintaining cooperative working relationships with colleagues, internal and external contacts and regulatory agencies. + Monitors billing vendor and onsite vendor staff to ensure that preauthorization, collections, accounts receivable, edits and denial targets meet key performance indicators, physician and patient satisfaction. + Ensure the accurate and timely completion or review of monthly comparative statements, all related analyses and prepares reports and presentation materials for senior management. **About Us** **Strength Through Diversity** The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by: + Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential. + Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination. + Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers. At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally. Explore more about this opportunity and how you can help us write a new chapter in our history! **“About the Mount Sinai Health System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.” **EOE Minorities/Women/Disabled/Veterans** **Compensation Statement** Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $204117.21 - $279007 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
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