Lead Revenue Cycle Advisor (PB/HB Billing & Claims preferred; EPIC exp required)

Discover Vanderbilt Health : With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region. Organization: PB Billing and Claims Job Summary: Provides leadership in evaluating revenue cycle performance operations. Ensures appropriate reimbursement of professional and technical services for multiple areas. . KEY RESPONSIBILITIES Performs analysis of charges generated from ancillary subsystems to the insurance claim and/or patient statement to verify the accuracy of charges, and of charges that correlate with documented medical/nursing interventions. Identifies, verifies, and resolves deficiencies or discrepancies in nursing and/or physician documentation that affects billing and notifies the originator of the incorrect documentation to allow for proactive improvements related to charge capture. Assists with quality audits. Demonstrates and applies the various reimbursement methodologies (DRGs and