Director, Revenue Integrity Edits, & Charge Capture Operations

Job Description UW Medicine’s Revenue Integrity Department has an outstanding opportunity for a Director of Revenue Integrity Edits, & Charge Capture Operations. Work Schedule

100% FTE

Day Shift Department Description UW Medicine Enterprise Revenue Cycle (ERC) is accountable for Revenue Cycle functions at UWMC ML, UWMC NW, HMC, and close collaboration with FPPS. UW Medicine ERC Revenue Integrity (RI) develops and coordinates operations and programs that oversee a wide range of revenue capture and integrity areas. Primary Job Responsibilities Lead and support enterprise-wide revenue integrity and charge capture initiatives to improve financial performance and compliance Serve as a management-level representative on Finance, Ambulatory Care Division, and Compliance committees Partner with medical, nursing, ambulatory, compliance, and revenue cycle leadership to identify process gaps, redesign workflows, and resolve charge capture issues Maintain strong, service-oriented relationships with executive sponsors, stakeholders, and project teams, providing regular status updates and reporting Oversee facility and professional charge capture processes across 376 service lines, including reconciliation of charges from Epic/EpicCare Monitor revenue, utilization, Epic workflows, and charging data to identify trends, risks, and improvement opportunities Analyze missing charges, late charges, denials, write-offs, and code/charge discrepancies; recommend and implement corrective actions Ensure compliance with federal and state billing regulations and coding guidelines Direct operational changes as needed to achieve compliant and accurate charge capture Provide leadership for the design, implementation, and maintenance of ordering and charging tools. Identify opportunities for automation and system optimization within Epic, EpicCare, and related reporting tools Research and resolve issues within Epic work queues (Charge Review, Charge Router, Revenue Guardian, Error Pool) Recommend and enhance reporting (BOE/SSRS) to support leading practice revenue cycle performance monitoring Provide direct managerial and administrative oversight of Revenue Integrity staff, including mentoring, performance management, and goal setting Lead weekly Revenue Integrity meetings to review regulatory updates, assign work, and track follow-up actions Requirements Bachelor’s Degree (BA or BS) in business, finance, healthcare, or a related field 10+ years of related leadership experience in a complex academic, research, healthcare or governmental setting, revenue cycle management/revenue integrity, or an equivalent combination of education and work experience Coding credentials CCS, COC, RHIT or RHIA from AAPC, or AHIMA – if not credentialed, must be credentialed within one year of hire date Understanding of hospital billing or reimbursement and charge capture operations Excellent project management, problem solving, and analytical skills Demonstrated proficiency standard Project Management principles and tools Demonstrated working knowledge of considerations and processes surrounding Revenue Cycle Operations in a healthcare environment, including both hospital and physician settings Understanding of CMS and Medicaid regulations and ability to interpret healthcare guidelines and regulations Proficiency with financial, billing and reimbursement data & analytics Excellent communication and interpersonal skills, both verbally and in writing, with employees, medical staff, board members, and external parties; strong presentation skills Detail-oriented and independently motivated Demonstrates knowledge and proficiency of standard Microsoft Suite including Teams, Word, Excel, Visio, Outlook, and Power Point Experience with large EHR implementation projects or hospital integration projects Desired Advanced degree in business, finance, or a healthcare related field Familiarity with multiple Epic systems modules Continuous Quality Improvement training and experience leading quality improvement teams A skilled communicator with an ability to create a collaborative work environment with multiple stakeholders across non-co-located entities is highly preferred. Experience with the hospital financial system, the A/R system, hospital ancillary systems (e.g., Radiology, Laboratory) and the data within such systems Compensation, Benefits and Position Details Pay Range Minimum: $126,000.00 annual Pay Range Maximum: $198,000.00 annual Other Compensation: Benefits: For information about benefits for this position. Shift: First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent): 100.00% Union/Bargaining Unit: Not Applicable Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law. #J-18808-Ljbffr Dormont Manufacturing Co