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   Current UPMC employees must apply in HR Direct

Director, Operations

  • Job ID: 265252158
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: University of Pittsburgh Physicians
  • Department: 64071 POP00 Health Information Mngt
  • Location: 3600 Forbes Ave, Pittsburgh PA 15213
  • Union Position: No
  • Salary Range: $32.46 to $55.43 / hour

Description

 

Purpose:
This individual is responsible for strategic decision-making, policy development, and policy implementation for the business unit. The Director, Operations will work collaboratively with the Division Chiefs, other physicians, clinicians, and manage to develop and implement strategic plans focused on the growth and development of clinical and academic programs. Accountable for the operation's performance (service, quality, and financial) of the business unit. Ensure compliance with all state, federal and regulatory agencies. Serve as the coordinator in utilization and report generation from the EPIC system. Create and manage the operating and capital budgets.

Responsibilities:

 

  • Supervise coding and charge entry staff (where applicable). Work with staff to improve revenue process within the BU and solve problems and identify resources related to insurance coverage and reimbursement issues for all BU community based BU.
  • Create a culture of service excellence focused on defining, understanding and consistently satisfying the requirements of both internal and external customers.
  • Serve on all committees as assigned. Provide leadership, oversight and direction for assigned special project activities.
  • Implement, monitor and evaluate all quality initiatives to ensure positive patient outcomes. Oversee patient access and patient satisfaction initiatives. Facilitate processes to improve patient satisfaction. Ensure continuity of care for patients evaluated and treated by physicians, including timely communication with patients and referring physicians.
  • Assist managers and division chiefs to develop and implement action plans to improve service levels and exceed customer expectations.
  • Develop operating and capital budgets for BU may include, but not limited to, PSD, School of Medicine and hospital. Ensure that BU meets budget goals. Assist with the supervision and oversight of the BU budgets (i.e., clinical practice plan, hospital, School of Medicine, and research). Assist the Administrator by maintaining financial records/reports used to monitor and analyze performance against goals.
  • Responsible for the charge lag process ensuring the business unit (BU) professional fees are entered into the EPIC systems within established timeframes. Serve as a BU resource in developing strategies to maximize reimbursement and disseminate regulatory information pertaining to changes in reimbursement and/or coding while ensuring regulatory compliance.
  • Manage the human resources functions for the BU including recruitment, performance evaluations, and corrective action regarding staff within the BU which may include, but not limited to, PSD, School of Medicine and hospital. Mentor office managers and staff.
  • May assist with accredited fellowship program to ensure compliance with required training components and may act as liaison with GME department.
  • Create and implement business and program development plans that support and advance the BU and hospital strategic initiatives. Assist faculty and coach staff to establish and achieve programmatic goals.
  • Oversee all contracts and lease agreements for BU. Provide direction and support to the BU management staff for clinical purchasing (pharmaceuticals, laboratory supplies, med-surgical supplies, equipment, etc.) Work with Facilities and Materials Management and appropriate vendors to ensure that practices are provided with cost-effective and high quality products and supplies. May act as liaison to outside vendors.
  • Act as a consultant to physicians in developing new strategic business opportunities and develop new outreach sites for BU. Provide assistance when opening BU in the community, identify market strategies, growth opportunities and oversee quality and efficiency of outpatient office locations. Ensure BU is in compliance with UPMC policies and procedures and with the requirements of any applicable regulatory agencies or accrediting bodies (i.e. JCAHO, PA Department of Health, Medicaid).
  • Work closely with Clinical, Administration and Information Services staff in identifying opportunities for improving cost and quality of care through in-depth process and cost of care analysis, forming recommendations to drive significant operational changes.
  • Coordinate all EPIC activity including training for staff, as required. Create necessary reports in EPIC, specifically those to evaluate physician productivity. Conduct quarterly physician productivity meetings.
  • Assist in establishing and implementing policy related to BU including, but not limited to, professional licensure, registration and/or certification; risk management; clinical operations and clinical compliance; and staff and patient safety. Identify educational needs of all BU outpatient office staff who provide treatment and care to inpatients as well as outpatients of the physicians. Assist in meeting in educational requirement of staff.
  • Assists Senior Director of HIM with establishing, implementing and maintaining CMI, UPP and PSD Medical Records policies, procedures and guidelines and ensuring compliance at each individual practice.
  • Provides support to Senior Director of HIM for all internal activities regarding health data retention/retrieval, health statistics, legal requirement applications, classification and indexing, quality assurance and health information systems. And repre
  • Assists with preparing the PSD practices for implementation of the electronic health record. This consists of auditing current documentation styles, and ensuring that standardized processes and forms are. , Evaluate each practices current needs and pr
  • Assists with practice transitions and physical moves, including but not limited to: ordering of proper HIPAA forms; design/layout of medical record areas; working with vendors to purchase/move shelving; working with vendors to move medical records; inde
  • Assists Senior Director of HIM in the orientation and training of all Medical records staff and students in HIM department.
  • Conducts issue-driven and/or general HIM and HIPPAAudits throughout PSD locations for compliance with all legal and regulatory issues including HIPAA, general medical records issues (record storage, release of information, etc.) documentation, ask once c
  • Assists Senior Director of HIM with implementing standard policies regarding medical transcription; performing cost benefit analysis; and identification of methods for reducing transcription costs for PSD. Assists the operational management with the tr
  • In the absence of the Privacy Officer, investigate HIPAA and red flag complaints, complete reports and letters as required and provide feedback as appropriate
  • Keep the Senior Director well informed of any backlogs, conflicts, complaints, operational concerns, or equipment failure. Contribute information regarding the status of various projects, accomplishments for each functional area, and develop goals and o
  • Performs other duties, activities and special projects as are necessary and required. Maintain professional skills and refine expertise through appropriate education/development activities and professional associations.
  • Assists Senior Director of HIM with policies/procedures/training/computer access and reimbursement processing for Release of Information Vendor.
  • Monitors processes necessary to ensure proper procedures and compliance with the in-error policy for EpicCare processes relating to transcription and/or data quality errors in the eRecord systems.
  • Supervise coordinate and monitor the activities of the departmental HIM manager, HIM Processing coordinator, and eRecord + abstractors staff (approximately 20 employees). Coordinate and manage the outsourced processes associated with transcription, rele
  • Attends assigned committee meetings and UPMC Health System meetings as required/assigned.

Qualifications

  • Bachelor's Degree in Health Care Administration, Business Administration, Finance, Accounting or related field / 5 years of experience OR
  • Bachelor's Degree in Health Care Administration, Business Administration, Finance, Accounting or related field / FMR Program Graduate / 3 years of experience OR
  • Master's Degree in Health Care Administration, Business Administration, Finance, Accounting or related field / 3 years of experience OR
  • Master's Degree in Health Care Administration, Business Administration, Finance, Accounting or related field / Fellowship Program Graduate / 3 years of experience
  • Advanced knowledge of applicable federal, state, and local laws as they pertain to physician BU management, preferred.
  • Knowledge of revenue cycle, physician billing, and contracts, preferred.
  • RHIA certification, preferred


Licensure, Certifications, and Clearances:

 

  • Act 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life &emdash; because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct