Position Summary :
The Hospital CFO is both accountable and responsible for all aspects of the revenue cycle and the hospital financial management for the assigned hospital(s). The position reports to the Hospital's Chief Executive Officer.
KEY RESPONSIBILITIES :
The hospital CFO is accountable for ensuring all aspects of a fully optimized revenue cycle operation within the hospital setting including an advisory role to ensure financial statements are accurate and explained. The role is accountable for meeting HSA "Key Financial Metrics," and working to appropriately address metric variances.
- Accountable for overall revenue cycle, revenue integrity / quality, and ensuring all billing compliance and government regulations are followed.
- Accountable for appropriate and accurate daily charge capture by department, daily department revenue reconciliations, fixing rejected charges, and minimizing late charges.
- Accountable for oversight of denial management including edit worklists, root cause analysis, recommendations for process / system enhancements, and overall coaching and leading staff.
- To advise and collaborate with centralized financial reporting to explain variances and determine mitigating actions.
- The role oversees and is responsible for leading internal hospital departments and ensuring staffing levels are optimized across revenue cycle and may include Patient Access (Registration, Patient Financial Services, Referrals and Authorizations), Case Management (CM), Health Information Services (HIM) and Coding, Clinical Documentation Excellence (CDE), Local Finance, and other areas as assigned.
Accountable for the following revenue cycle and financial components (subject to change by area) :
Patient Access. Responsible for the following :Patient Registration.
Insurance verification and approvals.Ensuring appropriate Referrals.Ensuring accurate Authorizations.Copay collections.Working related edits and denials.Case Management. Responsible for the following :
Concurrent case management duties.
Discharge services.Responsible for working with third party payers with respect to all level-of-care and length-of-stay issues.Denial Management and follow up.Working related edits and denials.Health Information Management and Coding. Responsible for the following :All medical records, transcription and coding.
Monitoring and enforcement of completion of records by physicians.Monitoring and enforcement of coding by clinical departments.Oversee coding operations.Working related edits and denials.Revenue Cycle Operations / Revenue Integrity and Charging. Responsible for the following :Responsible for daily charge review for tracking hospital performance
Ensure daily charge reconciliation by department.Escalation and issue managementChargemaster coordination with central officeLate charge variancesHSA Financial MetricsWorking related edits and denials.Payer Auditing. Responsible for the following :Responsible for defending the hospitals' interests on all third-party payer audits.
Tracking and reporting payer audit issues.Working related edits and denials.Financial Responsibilities. Responsible for the following :Review annual net revenue budgets for hospital(s). Explain variances.
Review accuracy of financial statements and balance sheets.Review and explain all deductions from revenue and bad debt.Review integrity of net revenue monthly for all hospitals.Adhoc financial analysis as required.All other duties and responsibilities as assigned from time to time, including additional areas of oversight depending on hospital needs.Education / Experience / Licensure / Technical / Other :
Education : Bachelor's degree in relevant filed required, Master's preferred.Experience (Type & Length) : Minimum of ten years' experience in healthcare, with significant experience in hospital revenue cycle functions.Hardware / Software : Meditech, MS Office (Excel, Word, PPT), Access, SQL, and / or other query / analytic tools.