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Clinical Affairs Operations & Revenue Integrity Lead

$52.56k - $85.4k

UAB group

The CLINICAL AFFAIRS MANAGER serves as the operational and administrative partner to Clinical Affairs leadership and manages a defined portfolio spanning clinical initiatives, Epic charge integrity, documentation and health information processes, clinical systems workflows, and regulatory readiness. The position serves as the designated departmental Epic Charge Guardian for Optometry Clinical Services. In partnership with faculty, providers, clinic leadership, Epic teams, Guidehouse, Health Information Management, Information Technology, and other institutional partners, the Manager monitors the clinical-to-billing workflow, coordinates resolution of charge and documentation issues, and supports effective adoption and optimization of the electronic health record. Reporting to the Director, Clinic Operations, the Manager translates approved clinical and operational priorities into organized implementation plans, coordinated work, measurable follow-through, and sustainable standard processes. The role provides meaningful relief to Clinical Affairs leadership by assuming non-licensed administrative, project, compliance, and implementation responsibilities while preserving clinical judgment, scope-of-care decisions, and faculty leadership with the appropriate clinical authority.

RESPONSIBILITIES:

Clinical Affairs Operations and Leadership Support: Serves as the primary operational and administrative partner to Clinical Affairs leadership for assigned priorities, programs, committees, and initiatives. Coordinates implementation of approved clinical initiatives, quality programs, specialty services, provider workflow changes, and patient-care improvement efforts. Develops project plans, timelines, meeting materials, decision summaries, status reports, and implementation tools supporting Clinical Affairs priorities. Facilitates Clinical Affairs workgroups and operational task forces; tracks decisions, action items, responsible parties, dependencies, risks, and completion status. Coordinates the non-licensed operational components of faculty and provider initiatives while ensuring clinical judgment, scope-of-care decisions, and faculty oversight remain with authorized clinical leadership. Supports accreditation, regulatory, quality, patient-experience, and clinical readiness activities through document coordination, evidence collection, gap tracking, and implementation follow-through. Coordinates operational planning for new or revised clinical services, including stakeholder engagement, workflow documentation, readiness assessment, communication, and post-implementation monitoring. Serves as liaison among Clinical Affairs, Clinic Operations, academic programs, faculty, providers, Epic teams, Guidehouse, and institutional support departments. Epic Charge Guardian and Revenue Integrity: Serves as the designated departmental Epic Charge Guardian and subject matter resource for assigned charge capture workflows. Monitors charge-related workqueues, charge exceptions, reconciliation activity, charge lag, missing or delayed charges, duplicate-charge concerns, and other approved indicators. Coordinates timely research and resolution of charge and workflow discrepancies with providers, clinic teams, Epic support, Guidehouse, and revenue-cycle partners. Performs or coordinates routine encounter-to-charge reconciliation and documentation-to-charge reviews in accordance with approved policies and controls. Identifies recurring operational, documentation, training, or system issues that may contribute to inaccurate charge capture or revenue leakage. Maintains standardized escalation, follow-up, and reconciliation processes; communicates material financial, compliance, or workflow risks to the Director, Clinic Operations and appropriate leaders. Produces trend summaries and practical recommendations to strengthen charge accuracy, workflow reliability, and accountability across the clinical-to-billing process. Health Information and Documentation Integrity: Coordinates departmental processes that support accurate, complete, timely, and appropriately managed clinical records. Monitors assigned documentation deficiencies, chart completion activities, record-correction requests, scanning and indexing workflows, and related queues or reports. Partners with institutional Health Information Management, Compliance, Privacy, and Legal resources as appropriate to implement established requirements for record management, retention, correction, and release of information. Maintains departmental procedures, standard work, and education related to documentation and health information workflows. Identifies recurring documentation or record-integrity concerns and coordinates education, workflow correction, or escalation through established channels. Supports documentation audits, compliance reviews, accreditation preparation, corrective-action tracking, and sustained follow-through. Clinical Systems Governance and Optimization: Serves as an operational subject matter resource for assigned Epic and clinical information workflows. Coordinates intake, documentation, prioritization, testing, validation, communication, and follow-up for system and workflow issues within the assigned portfolio. Participates in testing. (Annual Salary: $52,555 - $85,400) Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, Public Health, Health Informatics, Clinical Services, or a closely related field. Five (5) years of progressively responsible experience in healthcare operations, clinical administration, health information management, revenue-cycle operations, clinical systems administration, project management, or a related area. Experience working with electronic health record systems and coordinating cross-functional operational initiatives. Work experience may substitute for education requirements in accordance with institutional policy, if applicable. Master's degree in Healthcare Administration, Business Administration, Public Health, Health Informatics, Health Information Management, Organizational Leadership, or a related field preferred. Experience supporting Clinical Affairs, faculty practice, provider operations, or academic healthcare programs. Epic implementation, optimization, ambulatory workflow, or charge-capture experience. Experience with revenue integrity, clinical documentation, health information, accreditation, compliance, or quality-improvement activities. Project Management, Lean, Six Sigma, Health Information Management, Compliance, Revenue Cycle, Epic, or related certification. Supervisory and Leadership Responsibilities May supervise assigned administrative, project, systems, compliance, or other support personnel. Leads cross-functional workgroups and projects, provides functional guidance to end users, and influences outcomes across organizational boundaries without relying solely on direct authority. Knowledge, Skills, and Abilities: Clinical Affairs administration and faculty/provider partnership Ambulatory clinic operations and clinical workflow analysis Epic or comparable EHR workflow and optimization principles Charge capture, revenue integrity, and clinical-to-billing processes Health information and clinical documentation integrity Accreditation, regulatory readiness, HIPAA, privacy, and healthcare compliance principles Project management, process improvement, and change implementation Meeting facilitation, action tracking, and cross-functional coordination Operational reporting, data interpretation, and concise executive communication Policy, procedure, workflow, and training-material development Relationship management, judgment, discretion, and problem solving Ability to distinguish matters requiring licensed clinical judgment from those appropriate for operational administration. UAB is an Equal Employment/Equal Educational Opportunity Institution dedicated to providing equal opportunities and equal access to all individuals regardless of race, color, religion, ethnic or national origin, sex (including pregnancy), genetic information, age, disability, and veteran's status. As required by Title IX, UAB prohibits sex discrimination in any education program or activity that it operates. Individuals may report concerns or questions to UAB's Assistant Vice President and Senior Title IX Coordinator. The Title IX notice of nondiscrimination is located at uab.edu/titleix. Primary Location University Job Category Professional & Managerial Organization 332000000 Optometry Clinical Services Employee Status Regular Shift Day/1st Shift Work Arrangement (final schedule to be determined by the department/hiring manager) Onsite #J-18808-Ljbffr UAB group

Vacancy posted 1 day ago
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