GENERAL SUMMARY: Under minimal supervision from the Manager, Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue Integrity Principal Specialist is responsible for the most complex clinical departments and practices and acts with a high degree of autonomy focusing on revenue cycle integrity. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills. The Revenue Integrity Principal Specialist applies a variety of continuous improvement and process improvement initiatives working with individuals and teams from project conception to implementation of process improvement initiatives. Project work may include technical analyses or may require facilitation of a large multi-disciplinary group of administrators and/or medical personnel. Works collaboratively with leadership to increase efficiencies, reduce variability, reduce errors/defects, and involve all appropriate personnel. Prepares reports and recommendations for management and coordinates implementation whenever possible. This individual provides needed continuous improvement training and education and works closely with other RI personnel to meet education needs at all levels throughout the institution. Performs analyses related to area of technical expertise and may train other Management Services staff members in these areas. Serves as a technical consultant to other HFHS departments. May supervise work of Revenue Integrity Senior Specialists and Revenue Integrity Specialists as well as other staff within the Revenue Integrity Department. Reporting to the Manager, Revenue Integrity, Revenue Integrity Principal Specialist has an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation.

EDUCATION/EXPERIENCE REQUIRED:

• Bachelor's Degree required. A degree in nursing (BSN) or RN, business administration (w/ quality/operations improvement emphasis), healthcare administration (w/ quality/operations improvement emphasis), organizational development, or similar field is preferred.

• Master's degree a plus.

• Four (4) years clinical experience or three to five (3-5) years of experience in revenue cycle processes.

• Hospital billing and healthcare finance background strongly encouraged preferred.

• Knowledge of Medicare, Medicaid, Blue Cross and other third party payers billing and reimbursement regulations/policies, preferred.

CERTIFICATIONS/LICENSURES REQUIRED:

• Coding Credential (CPC, COC, CCA, CCS, RHIT) or Clinical Credential (RN, NP, PA) preferred.

• Certification in some or all of the following: Lean, Six Sigma or equivalent industry training and experience preferred.

Additional Information

• Organization: Corporate Services

• Department: Revenue Integrity

• Shift: Day Job

• Union Code: Not Applicable

  Additional Details

  This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more athenryford.com.

Benefits

Whether it's offering a new medical option, helping you make healthier lifestyle choices or making the employee enrollment selection experience easier, it's all about choice. Henry Ford Health has a new approach for its employee benefits program - My Choice Rewards. My Choice Rewards is a program as diverse as the people it serves. There are dozens of options for all of our employees including compensation, benefits, work/life balance and learning - options that enhance your career and add value to your personal life. As an employee you are provided access to Retirement Programs, an Employee Assistance Program (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.