Director Revenue Cycle Automation & Surveillance

Automation & AI Strategy Deployment

Develop in partnership with revenue cycle leaders, a comprehensive automation & AI strategy that aligns with revenue cycle & enterprise priorities. Translate strategies into tactics with defined objectives, scope, resources, & timing. Partner with cross-functional stakeholders in Revenue Cycle, IT, Digital Enablement Hub (DEH), Analytics, Transformation Consulting, and other areas across the organization to explore, design & execute solutions that achieve goals.

Process Standardization & Optimization

Responsible for the design and continuous evaluation of functions and workflows, to organize work based on production action, to achieve optimal efficiency. Collaborate with leaders & team members across RC to identify opportunities for process improvement and implement changes. Responsible for coordination with IT leaders & team members to identify, design, test, implement, and monitor changes to the Epic HB and PB systems. Maintain & optimize performance management tools which provide operational leaders insight into productivity and quality performance trends.

Surveillance & Prevention

• Develop & maintain clear documentation of revenue cycle’s matrixed approach for surveillance; this will allow revenue cycle team members & leaders to always see what is being surveilled, who is participating in the surveillance, & the cadence for surveillance.
• Determine which metrics should be regularly surveilled; this will include both leading indicator & outcome metrics.
• Track the performance of key revenue cycle metrics over time.
• Identify variance to baseline &/or expected performance.
• Investigate & root cause analyze negative trends, issues, or outliers.
• Partner with operational & consultative team members & leaders to identify the action(s) needed to improve performance.
• Create & lead a denial management infrastructure with constant focus on identifying root causes and developing prevention initiatives.
• Maximize use of Epic reporting & benchmarking capabilities (e.g., Epic Pulse).
• Utilize AI & other analytical technology to supplement human surveillance activities.

General

Network with peers & communities across the industry to stay abreast of new technology capabilities & use cases & to collaborate on areas of mutual interest.