Executive Director, Billing Compliance

MINIMUM QUALIFICATIONS:

Bachelor’s degree and 10 years' management experience in a healthcare related field. A minimum of 10 years’ experience in healthcare coding, billing, and third party reimbursement required.

At least one of the following certifications (or other equivalent certification):

• Registered Health Information Administrator (RHIA), or Registered Health Information Management (RHIT) Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P) through the American Health Information Management Association (AHIMA) 
• Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC)

PREFERRED QUALIFICATIONS:

MD, DO, Advanced Practice Nurse, Physician Assistant, or RN. Master’s Degree.

• Experience in auditing, professional, technical, and inpatient facility coding and billing.
• Experience in delivering metrics, outcomes, and meaningful reports involving billing, coding, and documentation issues.
• Physician education and building partnerships throughout the UT System enterprise.
• Certification in Health Care Compliance (CHC) through the Health Care Compliance Association (HCCA) preferred.

KNOWLEDGE / SKILLS / ABILITIES:

• It is critical to have in depth experience with professional, outpatient facility and inpatient facility coding, from a coding, billing and compliance perspective.
• Exceptional written, verbal, analytical, organizational, problem solving, and presentational skills. 
• Demonstrated leadership and management skills. 
• Ability to work with all levels of management and in a team environment. 
• Continuous daily self-education to stay abreast of the regulatory changes from the Centers for Medicare and Medicaid Services (CMS), TMHP, and other payors. 
• Responsible for being current and knowledgeable of billing, coding, documentation guidelines.
• Knowledgeable in EMRs (EPIC preferrable) and auditing software solutions (MD Audit and ComplyTrack preferrable).
• Ability to create and monitor metrics, trend issues, create dashboards, and produce relevant reports for leadership, physicians, department chairs, and other parties is required.
• Proficiency in Microsoft Excel and Powerpoint.

EQUAL EMPLOYMENT OPPORTUNITY:

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.