Associate Vice President, Charge Capture and Coding Operations
Associate Vice President, Charge Capture and Coding Operations
Position Summary:
UTHealth Houston is seekeing an Associate Vice President (AVP), Charge Capture and Coding Operations. The AVP will exercises fiduciary and managerial responsibility for all aspects of Charge Capture and Coding Operations in a prudent and ethical manner. The AVP will be responsible for providing strategic leadership and oversight of organization-wide initiatives and processes designed to support the Revenue Charge Capture, Coding and front-end Billing Operations for UT physicians at all locations in an effort to reach 100% charge capture. Additional responsibilities will include various revenue cycle initiatives and associated operational support.
Position Key Accountabilities:
- Serves as the executive leader and subject matter expert for all coding, charge capture (including interfaced transactions) processes for the practice plan into UTHealth's practice management system to ensure timely processing of professional fee charges.
- Identifies, analyzes, evaluates, solves, and anticipates complex problems related to charge capture and coding operations. Applies advanced analytical thinking skills to solve complex problems, recommend improvements, garner consensus, and make informed decisions that align with organizational goals.
- Sets strategic patient/customer-oriented priorities and goals to achieve the highest possible patient and customer satisfaction outcomes.
- Identifies, implements, measures, optimizes, and creates improvements in the revenue charge capture coding process and front-end billing functions across the clinical enterprise to optimize revenue capture.
- Monitors regulatory environment, anticipates changes, collaborates with Billing Compliance and Managed Care Contracting to ensure governmental regulations and payer requirements are being implemented and maintained.
- Develops, implements, and monitors productivity standards for coding and charge capture. In addition, performs analyses along the charge capture process as well as payer denials and manages an action plan for performance improvement in an effort to improve revenue, reduce charge lag and payer denials.
- Participates in the development, implementation and maintenance of new features and functionalities in the practice management's charge capture and coding processes with a keen understanding of their downstream effect.
- Act as the lead for Revenue Cycle in implementing automated systems and processes for the charge capture and coding process (CodeRyte, charge interfaces, etc.).
- Responsible for various revenue cycle initiatives and associated operational support and developing a staffing model that includes workload assessment.
- Accountable for fostering collaborative relationships with all customers of the revenue cycle.
- Manages Human Resources activities for direct reports in regards to: recruiting and selection; hiring and termination, training, development, mentoring, counseling, performance evaluations, and salary planning.
- Responsible for the design, execution and effectiveness of a system of internal controls which provides reasonable assurance that operations are effective and efficient, assets are safeguarded; financial information is reliable and compliant with applicable laws, regulations, policies and procedures.
- Performs other duties as assigned.
Certification/Skills:
- Strong leadership, analytical and communication (oral and written) skills.
- Ability to objectively examines situations from various perspectives, enabling effective problem solving and sound decision-making while anticipating obstacles to address organizational challenges and achieve objectives.
- Proficiency in various practice management systems, including EPIC and Athena (GECB), MS Office products as well as various claim scrubber technologies preferred.
- RHIA - Registered Health Information Administrator preferred
- Certified Coding Specialist - Physician-based (CCS-P) preferred
- EPIC - EPIC Certification EPIC Access and Revenue Cycle Readiness (ARCR) preferred
Minimum Education:
Bachelor's Degree in Accounting, Business Administration or related required May substitute required education with equivalent years of experience beyond the minimum experience requirement.
Minimum Experience:
9 years of related progressive leadership experience in a large multi-specialty practice environment required
Physical Requirements:
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive:
Security Sensitive: This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
If you are looking for a great healthcare career in Houston, visit http://go.uth.edu/careers!
University of Texas Health Science Center at Houston (UTHealth)
Established in 1972 by The University of Texas System Board of Regents, The University of Texas Health Science Center at Houston (UTHealth) is Houston’s Health University and Texas’ resource for health care education, innovation, scientific discovery and excellence in patient care. The most comprehensive academic health center in the UT System and the U.S. Gulf Coast region, UTHealth Houston is home to schools of biomedical informatics, biomedical sciences, dentistry, nursing and public health and the John P. and Kathrine G. McGovern Medical School. UTHealth Houston includes The University of Texas Harris County Psychiatric Center, as well as the growing clinical practices UT Physicians, UT Dentists and UT Health Services. The university’s primary teaching hospitals are Memorial Hermann-Texas Medical Center, Children’s Memorial Hermann Hospital and Harris Health Lyndon B. Johnson Hospital.
UTHealth Benefits
UTHealth Houston offers a comprehensive and competitive benefits package. For more information on our benefits programs please refer to the UTHealth Houston Office of Benefits Website.
Equal Employment Opportunity Statement
UTHealth Houston is committed to providing equal opportunity in all employment-related activities without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, genetic information, gender identity or expression, veteran status or any other basis prohibited by law or university policy. Reasonable accommodation, based on disability or religious observances, will be considered in accordance with applicable law and UTHealth Houston policy. The University maintains affirmative action programs with respect to women, minorities, individuals with disabilities, and eligible veterans in accordance with applicable law.
UTHealth Houston has adopted a policy consistent with CMS regulations to protect our patients and university community from exposure to COVID-19. This policy affects all employees, residents, fellows, students, contractors, new hires, visiting scholars program participants, adjunct faculty, and volunteers who work, train, or collaborate at the John S. Dunn Behavioral Science Center.
In addition, all UTHealth Houston employees who are assigned to work at a location that is subject to the affiliated partner’s hospital, clinical offices, or agency are required to abide by UTHealth’s Houston rules and regulations, as well as the affiliate’s rules and regulations, including COVID-19 vaccination and safety requirements.
Work location is based on the needs of the department and may be adjusted.
