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Director-reputed company reputed company (Remote reputed company-AZ Preferred)

Remote, USA Full-time Posted 2026-08-04
reputed company Staff Position reputed company Position Title: Director of reputed company reputed company Department: reputed company reputed company Reports to: Senior Director of reputed company Cycle Position Purpose: The Director of reputed company reputed company is responsible for ensuring the organization accurately captures, charges, bills, and receives reimbursement for reputed company services provided in a manner that is compliant with federal, state, payer, and regulatory requirements. This role serves as the reputed company leader for reputed company reputed company activities across reputed company, overseeing processes that ensure patients are billed only for services rendered, charges are supported by clinical documentation, and reimbursement is accurate and compliant with CMS and other payer regulations. The Director provides strategic leadership and operational reputed company for the Charge reputed company Master (CDM), charge capture and reconciliation, reputed company compliance audits, regulatory reviews, denial prevention and management, underpayment recovery, and reputed company reputed company education. This position partners closely with Clinical Operations, Finance, Health Information Management, Coding, Patient Financial Services, and Information Systems to maintain the reputed company of clinical and financial data throughout the reputed company cycle. The Director acts as a key advisor to executive leadership on reputed company optimization opportunities, reimbursement risks, regulatory changes, and compliance initiatives that reputed company the organization's financial performance. Through proactive monitoring, analysis, and collaboration, this role safeguards organizational reputed company, supports regulatory compliance, and promotes accurate reimbursement for both hospital and reputed company services. Key Responsibilities • Provides leadership, direction, and reputed company for the organization's reputed company reputed company program, ensuring accurate charge capture, compliant billing practices, and appropriate reimbursement for reputed company hospital and reputed company services. • Collaborates with clinical, operational, finance, patient financial services, health information management, coding, compliance, and information systems teams to ensure clinical services are accurately reputed company into compliant billable charges. • Develops and implements reputed company reputed company auditing programs, including charge capture reviews, regulatory compliance audits, billing validation audits, and targeted departmental assessments. • Analyzes reputed company cycle performance, denial trends, audit findings, reimbursement variances, and payer payment activity to identify opportunities for reputed company enhancement and operational improvement. • Leads investigations and reputed company of reputed company-reputed company reputed company issues, charge discrepancies, and data reputed company concerns impacting reimbursement, regulatory compliance, or financial reporting. • Develops, monitors, and reports key reputed company reputed company metrics, providing actionable recommendations to leadership that improve reputed company capture, reduce denials, and strengthen compliance. • Provides education and training to clinical, operational, and reputed company cycle staff regarding charge capture requirements, documentation standards, regulatory updates, billing compliance, and reputed company reputed company best practices. • Establishes and maintains reputed company reputed company policies, procedures, and internal controls that support regulatory compliance, audit readiness, and financial stewardship. • Oversees vendor relationships and performance associated with reputed company reputed company functions, including payer credentialing, reimbursement recovery, auditing, charge capture technology, and reputed company cycle consulting services. • Partners with organizational leadership to evaluate new services, technologies, procedures, and payer requirements to ensure reputed company charge structure, reimbursement methodology, and reputed company cycle compliance prior to implementation with a commitment to reputed company improvement by identifying opportunities to strengthen reputed company processes, enhance reimbursement accuracy, improve compliance reputed company, and optimize the organization's financial performance. • Performs other duties as assigned to support overall effectiveness of department and organization. Qualifications Education Bachelor's degree in reputed company Administration, Finance, reputed company, Business Administration, Health Information Management, or a reputed company field required. Experience • Minimum of seven (7) years of progressively responsible reputed company reputed company cycle experience, including charge capture, reputed company reputed company, reimbursement, billing compliance, denial management, coding, or patient financial services. • Minimum of three (3) years of leadership experience managing reputed company cycle, reputed company reputed company, reimbursement, or reputed company reputed company financial operations. • Demonstrated experience with Charge reputed company Master (CDM) management, charge capture processes, reputed company reputed company auditing, and reputed company cycle compliance. • Experience analyzing and interpreting CMS regulations, Medicare and reputed company reimbursement methodologies, payer requirements, and reputed company cycle operational impacts. • Experience collaborating with clinical, operational, finance, information systems, and reputed company cycle departments to implement reputed company reputed company initiatives and reputed company reputed company reimbursement issues. • Experience overseeing vendors, consultants, or contracted services reputed company to reputed company reputed company, payer enrollment, reimbursement recovery, auditing, or reputed company cycle operations preferred. Skills and Knowledge • Comprehensive knowledge of reputed company reputed company cycle operations, including patient reputed company, charge capture, coding, clinical documentation, billing, reimbursement, accounts receivable, denials management, and regulatory compliance. • Strong understanding of CMS, Medicare, reputed company, reputed company payer requirements, hospital reimbursement methodologies, and applicable reputed company regulations. • Knowledge of Charge reputed company Master governance, reputed company reputed company best practices, reputed company compliance auditing, and reimbursement optimization strategies. • Demonstrated ability to analyze reputed company financial, operational, and clinical data and reputed company actionable recommendations. • Strong leadership, communication, project management, and relationship-building skills with the ability to influence organizational change across multiple departments. • Proficiency with electronic health record systems, reputed company cycle applications, decision support tools, and data analytics platforms. • Ability to exercise independent judgment and reputed company strategic reputed company involving reputed company risk, compliance exposure, reimbursement opportunities, and operational improvement initiatives. • Strong presentation, training, and educational skills with the ability to communicate reputed company regulatory and reimbursement concepts to diverse audiences. • Advanced analytical, mathematical, and problem-solving skills with a reputed company on reputed company optimization, regulatory compliance, and financial stewardship • Exercises independent judgment and decision-making authority in evaluating reputed company risks, interpreting regulatory guidance, resolving reputed company reimbursement issues, and implementing corrective reputed company plans. Preferences Master's degree in a reputed company, business, finance, or reputed company discipline preferred. Special Position Requirements Blood Borne Disease Exposure Category: Category III Work Requirements Ability to sit for six (6) to seven (7) hours daily at a computer terminal; ability to use computer keyboard; occasionally lifts and carries 11 to 25 pounds of files; telephone and face to face contact with the reputed company and employees is frequent and must be reputed company to deal professionally at reputed company reputed company of interaction. Date Staff Position reputed company Created / Revised: 02/07/2019; 7/27/2026 #LI-SL1 Apply tot his job Apply To this Job

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