Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Since 1888, our health system has operated primarily in Santa Barbara, CA and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multisite Urgent Care system.
Santa Barbara Cottage Hospital is seeking a Director of Revenue Integrity to partner with both Clinical and Revenue Cycle leaders to maximize revenue by minimizing rejections, serving as an expert in all aspects of CDM and fee schedule formulations and collaborating with all service lines for change capture. You will ensure regulatory compliance and provide training and education to revenue cycle team members. We’ll rely on you to evaluate all alerts pertaining to regulatory changes, vendors and codes, as well as any other changes that affect billing, coding and charging.
You will also validate and update chargemaster price and billing elements by receiving feedback from charge audits, group contracting, external audits and CDM reviews. Other duties include developing opportunities associated with charge capture and the maximization of revenue, proactively trending revenue patterns by service line and interfacing with revenue integrity teams to analyze billing/charge capture procedures, identify problems and provide education to departments as needed.
Bachelor’s degree in accounting, finance, nursing or related field
One or more of the following certifications: CPC, CPC-P, CPC-H, RHIT, RHIA, CCS, RN or certification in auditing or healthcare compliance
Knowledge of billing requirements related to charges and associated claim forms
Knowledge of cost accounting concepts, principles and computer applications
Knowledge of hospital and professional fee coding systems, including ICD-9/10-CM, CPT or HCPCS
Knowledge of the content, structure and maintenance of chargemaster and fee schedules
At least 7 years of progressive experience in revenue cycle areas, consisting of 5 years of broad-based financial management, 5 years of chargemaster, billing and reimbursement concept experience and 3 years of outpatient coding experience
Experience in healthcare financial analysis or cost accounting
5 years of management or supervisory experience
About Cottage Health Ranked #10 for Best Places to Work in Health Care 2019 by Fortune & Great Place to Work, our not-for-profit health system has been providing advanced medical care for patients throughout California for over 125 years. Today, our nationally recognized services provide families with the patient-centered care they deserve. Cottage Health has been widely recognized for our dedication to our staff, providing a work environment full of encouragement, innovation, collaboration and respect. That’s why we offer competitive compensation and benefits that include above-market salaries, premium medical coverage, pension plans, tax savings accounts, rental and relocation assistance and mortgage assistance.
About Our Location
Have you ever considered living in one of the most beautiful cities in California? Santa Barbara is ideally located on the Central Coast just north of Los Angeles, between the Pacific Ocean and the Santa Ynez Mountains. The climate is as beautiful as the scenery, with amazing sunshine all year long. Santa Barbara is known for its small beach town feel, but also provides all the amenities you would expect from a much larger city. Nestled between the ocean and the mountains, Santa Barbara offers breathtaking vistas, beautiful flowers, an abundance of Spanish Colonial architecture and a mild climate. Once you come home to Santa Barbara, it’s hard to imagine living anywhere else.