Job Summary
The Director of Revenue Management directs all UCSF Health revenue integrity strategy and initiatives across hospital and professional billing environments. The Director oversees the Revenue Integrity (RI) team and has enterprise responsibility for Charge Description Master (CDM) governance, pricing, accurate and compliant charge capture, documentation alignment, revenue monitoring, and proactive identification and mitigation of denial risk.
Responsibilities include the structure and maintenance of the CDM and professional fee schedules; development, implementation, and oversight of policies and processes related to compliant charging and coding practices; pricing strategy, analysis, and modeling; and proactive monitoring of gross revenue performance and revenue risk.
The Director collaborates extensively with clinical departments, Health Information Management, Patient Financial Services, Compliance, Internal Audit, Health Plan Strategy, Finance, and Information Technology teams to ensure revenue integrity requirements are embedded into operational and technical workflows. This includes partnership with IT and Epic application teams to optimize system design, automation, testing, and validation of charge capture and billing workflows to ensure accuracy, efficiency, and safeguarding of revenue.
The Director interacts with executives, other directors, internal and external auditors, compliance leadership, operational leaders, physicians and their staff, and UC system counterparts. External contacts include state and federal agencies, regulatory bodies, vendors, and external auditors.
The Director contributes to short- and long-range planning for revenue cycle strategies, processes, tools, and systems; establishes departmental goals, budgets, and staffing plans; and develops policies that affect revenue integrity and revenue cycle functions across UCSF Health. Errors in judgment or failure to achieve objectives may result in significant financial loss, compliance risk, or operational disruption.
The final salary and offer components are subject to additional approvals based on UC policy.
Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
The salary range for this position is $144,200 - $350,000 (Annual Rate).
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Required Qualifications
Bachelor's degree in relevant field such as, Business, Management, or Health Administration; or equivalent experience
Ten (10) years of experience in hospital and professional revenue cycle leadership, charge description master maintenance, clinical charge capture, coding, government/third-party reimbursement, or similar healthcare experience
Possession of 1 or more of the following certifications:
CPAM \u2013 Certified Professional in Ambulatory Management (MGMA)
CHRI \u2013 Certified Healthcare Revenue Integrity (AAPC)
CHC \u2013 Certified in Healthcare Compliance (HCCA)
CPC \u2013 Certified Professional Coder (AAPC)
CCS \u2013 Certified Coding Specialist (AHIMA)
Experience in managing and/or developing charge description master, fee schedules, and charge capture processes, policies, and/or procedures
Practical experience using hospital information systems, Epic preferred, and computer proficiency with PC applications (e.g. Microsoft Office)
Practical experience and knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and Revenue codes
In-depth knowledge of overall revenue cycle processes, specifically revenue integrity, including industry trends
Demonstrated leadership experience in a healthcare setting, preferable within a medical facility or health system
Knowledge of applicable laws, regulations, requirements, standards and practices pertaining to patient confidentiality and information management
Demonstrated analytical and decision-making skills
Demonstrated professional interpersonal and communication skills
Excellent organizational, time management, and project management skills; ability to manage multiple, competing priorities
Detail-oriented, good organizational skills, and ability to be self-directed
Ability to present to and interact with all levels of hospital management and physician leaders
Ability to plan, document, direct, monitor and coordinate workflows
Preferred Qualifications