NSPG Director, Revenue Cycle Operations

Peabody, MA | Finance/Accounting/Billing-Management

Overview

About Us

North Shore Physicians Group (NSPG), the largest multispecialty group north of Boston, has a singular focus: the patient. We are more than 320 physicians, nurses and health professionals working as one to provide exceptional care. And we are a national leader in improving care delivery, patient health and satisfaction.

Through our partnership with North Shore Medical Center and our affiliation with Massachusetts General Hospital and Partners HealthCare, we offer such advances as EMRs, shared medical appointments, online access and remote patient monitoring. Our success is built on team-based practices, collaborative environments and the importance of work-life balance. Bring your exceptional skills to our innovative practices and join us in driving medicine forward.

General Overview

Under the direction of the NSMC Executive Director for Finance, the NSPG Director, Revenue Cycle Operations has line responsibility for the management and oversight of all local charge capture processes at NSPG Practices. This role also provides senior level analytic and project management support for a wide range of multidisciplinary and Revenue-related projects, and serves as the primary point of contact for Administrative Directors, Practice Management, and Practice providers on all revenue-related issues.

This position is focused on ongoing monitoring and improvement of the practice-level coding and charge capture. Primary duties including the provision of:
- Analysis of coding, error queue data;
- Reporting and feedback to Administrative Directors/Practice Management and Providers on revenue-related issues;
- Benchmarking across practices and industry standards;
- Coordinating with other members of finance and revenue cycle including, but not limited to:
o Billing Compliance
o Professional and Hospital Coding
o Professional Billing Management and Staff
o Budget and Compensation Analytic Management and Staff

Principal Duties and Responsibilities

- Directly supervises the NSPG Coding and Charge Entry Analysts.
- Acts as local key liaison/point of contact between and across front-end practice management and providers and other NSPG Finance areas.
- Primarily responsible for NSPG revenue enhancement and maintenance activities, coordinating with other revenue cycle functions of coding, billing, compliance, denial management, financial reporting.
- Creates, distributes, explains, discusses a variety of revenue analysis and education material with NSPG Senior Leadership, Medical Directors, Finance management. As an individual contributor, serves on project teams, maps workflows, drafts policies and procedures, analyzes data, and presents results to senior management.
- Develops ideas and initiatives to enhance revenue cycle performance. Determines entity specific revenue enhancement strategic plans and submits annual revenue enhancement budget for operational improvements.
- Reviews error queue, claim rejection, and denial trends. Makes recommendations for improvement and oversees operational changes. Coordinates payer specific issues as required.
- Assist in new coding and pharmaceutical initiatives through coordination, deployment and reporting on efficacy. This includes participation in the Pharmaceutical and Therapeutics Committee and Quality Council meetings.
- Drafts and presents results to CFO/Executive Director, Finance and other Senior NSPG and PHS Managers. Prepares presentations for CFO/Executive Director, Finance on revenue-related topics.
- Special projects as assigned.




Qualifications

Bachelor's degree required. Master's degree in Finance, Business, Health Care, or related field preferred.

Five years experience in supervisory or managerial position.

Skills, Abilities, and Competencies

Excellent teamwork and collaboration skills. Candidate must have proven ability to build relationships and work well with staff at various levels of the organization, work in a matrix environment, and influence change by persuasion.

Excellent oral and written communication skills, including project minutes, status reports, recommendations, and training materials.

Strong oral and written presentation skills.

Excellent analytical skills. Ability to separate isolated issues from trends and properly diagnose problems.

Demonstrated ability to implement process change.

Strong attention to detail.

Ability to work independently, set goals, and prioritize tasks.

Ability to juggle numerous tasks at one time and willingness to be flexible about work assignments. Able to manage in a deadline driven environment as well as handle open-ended assignments.

A leader by example.


It is the policy of North Shore Medical Center and North Shore Physicians Group to affirmatively implement equal opportunity to all qualified candidates and existing employees without regard to race, religion, color, national origin, sex, age, ancestry, disability, Veterans of the Vietnam Era status; or any other basis that would be in violation of any applicable ordinance or law. All aspects of employment including recruitment, selection, hiring, training, transfer, promotion, termination, compensation and benefits.

Why North Shore Physicians Group?

You’ll practice at the leading edge of patient-focused medicine in one of New England’s most scenic and historic locations. And you’ll make a difference every single day. Make your move to NSPG. We’re one team, with one focus. Join us.


With NSPG you’ll experience:

Excellent quality of life

The North Shore area offers:

  • Communities with varied and rich histories and convenient access to museums, art, restaurants and shops.
  • Natural beauty, handsome architecture and vivid history — only 15 miles north of Boston.
  • 30 miles of gorgeous rocky coastline with breathtaking beaches and harbors.
  • World-class sailing and close proximity to the mountains and picturesque New England.
  • Easy access to a multitude of universities, colleges, and public and private schools.

Clinical excellence

  • Our practices are certified Level 3 NCQA Patient-Centered Medical Homes.
  • For the fifth year in a row, North Shore Medical Center has been ranked a top regional hospital in Boston and Massachusetts by U.S. News & World Report.
  • Our affiliate, Massachusetts General Hospital, is one of U.S. News & World Report’s top three Honor Roll hospitals in America.
  • NSPG and NSMC use the Epic EMR that integrates patient care through the Partners HealthCare System, including Massachusetts General Hospital and Brigham and Women’s Hospital.

Career advancement

  • Grow, learn and develop new practice innovations.
  • Continue your medical education.
  • Make academic connections and explore teaching opportunities.
  • Explore leadership opportunities.
  • Develop clinical and administrative career ladders.

A supportive practice environment

  • Collaborative professionals.
  • Patient-centered care model.
  • Leadership that listens and values your contributions and ideas.
  • Autonomy and respect for your skills and expertise.
  • Excellent salary and benefits.

 

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