Director Revenue Cycle Informatics & Education
- Job Ref:
- 68725
- Talent Area:
- Leadership Management
- Job Shift:
- 1st - Day
- Job Type:
- Full-Time
- Posted Date:
- March 25, 2025
At Houston Methodist, the Director Revenue Cycle Informatics, Innovation and Education position is responsible for developing and executing a strategic roadmap for continuous improvements in the revenue cycle. This roadmap will be developed from information and data analytics that identify inefficiencies in processes and systems. Once areas of opportunities are identified, this position coordinates and collaborates with Revenue Cycle Leaders and Subject Matter Experts, Information Technology and Houston Methodist's internal Robotic Processing Automation/Innovation team to improve outcomes. An outcome of this department is effective training programs that result in understanding the continuum of the revenue cycle, including systems and workflow, from scheduling to account resolution. The Director Revenue Cycle Informatics, Innovation and Education position maintains accountability for the level of performance, results, quality, and compliance among Revenue Cycle departments, supporting the accuracy, completeness, and quality.
The Director position responsibilities include overseeing the activities of the department staff, ensuring quality, productivity, functional excellence and efficiency to accomplish strategic and operational objectives. In addition, this position is accountable for employee engagement, adequate staffing levels, budget development and compliance, staffing decisions such as hiring and terminating employment, coaching and counseling employees on work-related performance, and developing and implementing policies and procedures to ensure a safe and effective work environment. This position also ensures training, monitoring and operations initiatives are implemented which secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations.
Requirements:
- Directs, develops and implements strategic and operational/high level projects and processes either through independent/highly autonomous work or through the facilitation of work teams to enable the effective and efficient completion of objectives.
- Oversees management of and ensures development for staff to meet overall objectives in terms of quality, service and cost effectiveness. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem. Directs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees.
- Meets or exceeds threshold goal for department turnover and/or system metrics on employee engagement indicators.
- Provides leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes.
- Identifies opportunities and takes action to build strategic relationships between one's area and other areas, teams, departments, and units to achieve business goals. Drives the promotion of teamwork within and between departments; participates and/or leads and facilitates department process improvements as needed.
- Collaborates with management to determine annual goals, establishing training and educational programs for revenue cycle staff at all facilities. Advises all facilities regarding improvements in revenue cycle performance to assure compliance, appropriate reimbursement, and stellar customer service.
- Partner with Revenue Cycle leaders to support enterprise-wide revenue cycle goals and initiatives, bridging the gap between technical and operational teams.
SERVICE ESSENTIAL FUNCTIONS
- Oversees department operations, designated projects, schedules and activities as needed to ensure that goals or objectives are accomplished within the prescribed time frame. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.
- Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the department.
- Engages closely with the Revenue Cycle operations teams to understand business needs, workflows, and KPIs. Collaborates with the Information Technology teams to translate these requirements into functional specifications.
- Designs and implements tools that collect, manage and analyze revenue cycle data with the goal of improving revenue cycle outcomes and day-to-day processes (i.e, accelerate processes, reduce loss, increase revenue, increase efficiency).
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Ensures a safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines. Responsible for staff maintenance of credentials and competencies, per accrediting/ licensing agency and/or department guidelines as applicable.
- Employs a proactive approach in the optimization of safe outcomes and information systems by monitoring and improving the department workflow and enhancing operations, using peer-to-peer accountability and identifying solutions via collaboration. Implements process improvements utilizing tools such as lean principles. Role models situational awareness, using teachable moments to improve safety.
- Responsible for employee compliance to policies and procedures and performs associated actions upon non-compliance (i.e., licensure/certification compliance, focal point review requirements, disaster plan, in-services, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).
- Applies knowledge of regulatory requirements for patient privacy, record management and coding, billing and claims generation; and integrates compliance requirements into all training.
- Leads data analytics throughout the revenue cycle to identify areas of opportunity. Areas of opportunity will be identified as a process, system or innovation opportunity. Use analytics outcomes to develop new solutions that improve operational outcomes.
- Serves as a subject matter expert in revenue cycle informatics, providing hands-on support and training to users to enhance their process and system proficiency.
- Ensures that users are proficient in utilizing the technology tools to maximize their effectiveness and efficiency in performing operational processes.
FINANCE ESSENTIAL FUNCTIONS
- Develops and manages department operational and capital budgets, approvals, and ongoing maintenance of the department(s), ensuring operation in a cost-effective manner. Proactively identifies and plans for capital needs related to current equipment and future department projects. Ensures staffing plans and schedules meet department needs that reflect understanding of the importance of cost-effectiveness.
- Creates department strategies to achieve financial target and staffing needs, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.
- Coordinates with revenue cycle departments to optimize efficiencies in processes, reduce expenses through automation, and improve operations by preventing revenue leakage.
- Identifies adverse trends and unusual data patterns. Generates reports and dashboards to provide actionable insights to operational leaders and other key stakeholders.
- Monitors outcomes and evaluate user adoption of current and newly implemented technology and functionality.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Identifies and implements innovative solutions for practice or workflow changes to improve department, entity or system operations by leading unit projects and/or other department/ system-directed activities. Proactively leads task forces and committees. May represent HM at assigned community or professional organization meetings.
- Drives change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures. Partners effectively with stakeholders as appropriate.
- Ensures own career discussions occur with appropriate management. Completes and updates My Development Plan (MDP) on an ongoing basis. Conducts conversations with staff on their development and MDP.
- Provides oversight and direction for design of courses, creation of assessments and audit tools, and central documentation of projected and completed training.
- Acts as a change agent in the identification, development, planning and implementation of revenue cycle informatics strategies to support end users and to improve outcomes.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Qualifications:
- Bachelor's degree
- Master's degree in computer information systems, Healthcare Administration preferred
WORK EXPERIENCE
- Ten years of experience in a hospital setting, of which five years must have been in a people management role
- Experience in training, setting up training programs or demonstrated experience with communication, quality and performance improvement
- EPIC - Certification (EPIC) -- EPIC Certification in Hospital Billing (HB) within 4 months
KNOWLEDGE, SKILLS, AND ABILITIES
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially about activities impacting patient or employee safety or security
- Demonstrates the ability to interact with others in a way that gives them confidence in one's intentions and those of the organization
- Ability to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one's own behavior to accommodate tasks, situations and individuals involved
- Demonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skills
- Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences
- Extensive knowledge of regulatory and accreditation agency requirements that impact department; stays abreast of industry changes
- Demonstrates highly effective communication skills-strong written communications and platform presentation abilities
- Ability to work effectively in a fast-paced environment
- Demonstrates flexibility and adaptability in the workplace
- Capable of leading teams/facilitating groups, building consensus and garnering highest confidence in professionalism and work product by senior leadership
- Ability to work under pressure and balance many competing priorities; highly responsive and solution/action oriented
- Proficiency in spreadsheet, word processing, and presentation software
- Maintains a positive and supportive attitude and demeanor
- Professional handling of exposure to confidential/sensitive information
- Ability to design and present effective education programs
- Demonstrates creativity and programming skills
- Skill in planning, organizing, and delegating functional activities
- Skill in coaching, counseling, and developing the skills of others
- Proven leadership experience managing large teams and revenue cycle information
- Strong expertise in Epic modules (Hospital Billing, HIM/Coding, Grand Central, Professional Billing)
- Advanced experience in analytics and the use of analytical computing tools (i.e., Excel, Microsoft Access, Tableau, etc.)
- Knowledge of revenue cycle workflows, regulatory requirements, and healthcare operations
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform No
- Scrubs No
- Business professional Yes
- Other (department approved) Yes
ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
- On Call* Yes
TRAVEL**
**Travel specifications may vary by department**
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area Yes
Company Profile:
Houston Methodist is one of the nation’s leading health systems and academic medical centers. Houston Methodist consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care.
Houston Methodist is an Equal Opportunity Employer.
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