Cardiac Center Business Manager

SHIFT:

Day (United States of America)

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A Brief Overview
Reporting to the Senior Director of the Cardiac Center Service Line, this role will lead aspects of the financial oversight – specifically as it pertains to revenue integrity, opportunities for increased revenue, processes to minimize 3rd party denials, underpayments, partial payments, and reduction of accounts receivable. The major responsibility will be to work with the clinical teams and the CHOP Finance teams to integrate effective measures to maximize revenue in all Cardiac Center Hospital Revenue Producing Cost Centers including but not limited to, inpatient units, Cardiac ORs, Cardiac Cath Lab, Cardiac Imaging and OP Cardiology. The role will have a matrix dotted line reporting to the Cardiac Senior Nursing Director. This role will provide guidance and input on training and compliance needs, and serve as a central resource for all department staff. Will supervise Cardiac Center personnel associated directly with hospital inpatient and ambulatory procedure billing, inventory control, and related revenue producing functions. The role requires a combination of cardiac related clinical knowledge and financial acumen.

What you will do

• Revenue Management for the Service Line
• Provide direction and leadership to clinical and support teams to maximize revenue throughout the Cardiac Center
• Continually review processes to ensure opportunities are maximized including:
• o Work with revenue and internal auditing team to developing processes to ensure clinical documentation supports the level of care being billed for and is in compliance with CHOP and required government and 3rd party standards
• o Develop systems for pre-identifying patients in the CICU who may be approaching needing lower levels of care and not yet transferred. Institute communication strategies with clinical leaders for awareness and if clinically appropriate potential transfer opportunities.
• o Ensure systems are in place for continuous capture of all procedure supplies for COIC cases.
• o Work with Clinical Operations and Care Coordination Teams to ensure maximum capture of potential care needed pre-admission or procedure – to minimize denials and improve integrity of Single Case Agreements
• o Provide support and guidance for documentation needed for 3rd Party Appeals to the CHOP Revenue and 3rd Party Contracting Team as needed.
• Financial Management Operations for the Service Line
• Serve as liaison to Operations and our strategic partners.
• Work with operations and clinical teams to continually focus on throughput and length of stay issues to minimize revenue losses associated with delays in care and/or discharge.
• Oversee key projects focused on operations improvements directed at improved revenue realization. Lead committees and teams in specific parts of the Cardiac Center as required.
• Educate clinical personnel and support personnel related to revenue optimization, financial stewardship and policies/procedures related to revenue capture.
• Provide monthly updates on Core activity to leadership.
• Oversee the creation of reports related to all revenue loss including denials of payment, reduced payment, opportunities to improve operations and potential impact on net revenue.
• Provide administrative leadership and support.
• Provide administrative leadership and oversight to faculty and staff.
• Function as the expert for all aspects of the financial administration infrastructure supporting financial administration queries/issues.
• Provide assistance in the recruitment and onboarding of new staff.
• Provide routine updates to the Cardiac Center Executive Committee as requested.
• Financial Management/Financi