Director of Revenue Integrity

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    "requisitionDescription": "<div><p style=\"margin-left:0in;\" data-pasted=\"true\"><strong>Position Summary</strong></p><p>Beacon Behavioral Health is establishing a dedicated revenue integrity function and is seeking an experienced leader to build and direct it. Reporting to the SVP of Revenue Cycle Management, the Director of Revenue Integrity is responsible for ensuring that the services Beacon provides are accurately documented, correctly coded, and appropriately billed across all hospitals and IOP clinics.</p><p>This is a high-visibility leadership role with a clear set of goals: improve charge capture, reduce preventable denials, and strengthen coding compliance. The Director will achieve these results in close partnership with Beacon&#39;s physicians and clinical teams, serving as a trusted coding resource and educator. The successful candidate will optimize our technology, design programs, and shape how revenue integrity operates at Beacon for years to come.</p><p style=\"margin-left:0in;\"><strong>Essential Duties</strong></p><ul style=\"margin-left: 13px;\"><li>Direct Beacon&#39;s coding compliance program across all hospitals and IOP clinics, ensuring accurate CPT, HCPCS, and ICD-10 coding in accordance with CMS, OIG, Medicaid, and commercial payer requirements.</li><li>Develop and lead the charge capture program to ensure that all billable services are captured and billed, and to identify and resolve sources of revenue leakage.</li><li>Reduce coding and documentation related denials by analyzing root causes and implementing preventive measures earlier in the revenue cycle.</li><li>Serve as a coding resource and partner to providers, delivering practical education that improves clinical documentation.</li><li>Collaborate with providers to optimize EMR chart templates, streamlining documentation while maintaining compliance and supporting the level of service billed.</li><li>Manage and optimize coding and charge capture technology to maximize compliance and charge capture support.</li><li>Establish and monitor revenue integrity metrics, including charge capture accuracy, charge lag, coding accuracy, denial rates, and net collection rate.</li><li>Maintain coding policies, audit schedules, and ongoing monitoring, keeping them current with annual code updates and changes in payer policy.</li><li>Partner with Revenue Cycle, Compliance, and Credentialing, and lead the organization&#39;s response to payer and regulatory audits.</li><li>Recruit, supervise, and develop the revenue integrity team, fostering a culture of accuracy, accountability, and continuous improvement.</li></ul><p style=\"margin-left:0in;\"><strong>Qualifications and Skills</strong></p><ul style=\"margin-left: 13px;\"><li>Substantial healthcare experience in revenue cycle, coding, and/or clinical documentation, with progressive leadership responsibility; behavioral health experience preferred.</li><li>Active coding certification is strongly preferred (CPC, CCS, CCS-P, COC, RHIA, or RHIT); a compliance or auditing credential (CPMA, CHC) is a plus.</li><li>Bachelor&#39;s degree or equivalent combination of education and experience is required.</li><li>Thorough knowledge of CPT, HCPCS, and ICD-10 coding, charge capture, and coding compliance requirements.</li><li>Demonstrated ability to build effective working relationships with physicians and to deliver coding and documentation education.</li><li>Proven success with charge capture or denial-reduction initiatives.</li><li>Experience evaluating or implementing coding and charge capture technology.</li><li>Strong written and verbal communication skills, with the ability to influence across clinical and administrative teams.</li><li>Strong analytical skills and data fluency; proficiency in Microsoft Office (Word, Excel, PowerPoint).</li></ul><p style=\"margin-left:0in;\">Only candidates selected for interviews will be contacted. Preemployment screenings and verification of credentials (if applicable) are required before the start date. Beacon uses E-Verify to confirm employment eligibility for all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit&nbsp;<a href=\"http://www.dhs.gov/E-verify\">www.dhs.gov/E-verify</a>.</p><p>Beacon is an Equal Opportunity Employer.</p></div>\n",
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