Position Summary

The Vice President, Clinical Revenue Cycle has primary responsibility for the Institute’s revenue cycle including, coding, billing, cash collections, authorizations, financial clearance and patient financial counseling. The incumbent also has primary oversight of the design and implementation of controls and mechanisms to monitor for and maintain regulatory compliance.

The incumbent directs Clinical Revenue Cycle operations and management and acts as a key player in the managed care strategy for the organization. In addition, this role assumes responsibility for professional billing, hospital billing, all medical coding, Clinical Documentation Improvement (CDI), financial counseling, cash collections and application, contracting support for the hospital and clinical practice plan (CPP) pricing, Clinical Authorizations, Admissions, Insurance Eligibility and Financial Clearance of Patients

Organizational Overview

Roswell Park Comprehensive Cancer Center is America’s first cancer center founded in 1898 by Dr. Roswell Park. His revolutionary model of a “multidisciplinary approach” to cancer – with scientists and clinicians working in concert and collaboratively has become the standard by which all modern day comprehensive cancer centers are measured. Roswell Park Comprehensive Cancer Center was among the first centers to receive National Cancer Institute (NCI) designation in 1974 and is the only upstate New York facility to hold the NCI designation of “comprehensive cancer center”. Roswell Park Comprehensive Cancer Center was a founding member of the prestigious National Comprehensive Cancer Network. Many Roswell Park faculty serve on the NCCN panels that developed the Clinical Practice Guidelines in Oncology™ – the internationally recognized standards for clinical policy in oncology, and the most comprehensive, most frequently updated clinical practice guidelines available in any area of medicine.

Over its long history, Roswell Park Comprehensive Cancer Center has made fundamental contributions to reducing the cancer burden and has successfully maintained an exemplary leadership role in setting the national standards for cancer care, research and education. Roswell Park Comprehensive Cancer Center became a Public Benefit Corporation pursuant to legislation in 1999. Before that, Roswell Park was part of the New York State Department of Health. Becoming a Public Benefit Corporation has provided the benefit of administrative autonomy while maintaining substantial financial support from New York State.

As a Public Benefit Corporation, Roswell Park is a public employer and is covered by the Public Employees’ Fair Employment Act. As such, most Roswell Park employees have the right to union representation. Roswell Park employees in unionized positions are covered by collective bargaining agreements between the State of New York and one of several unions representing employees across the State.

Over the last decade, Roswell Park Comprehensive Cancer Center has undergone major growth, adding over 1,000 new jobs, initiating one of the nation’s first hospital facilities dedicated to Phase I cancer research studies, and setting itself apart as a leader in surgical robotics, vitamin D research, immunotherapy and vaccine therapy, personalized medicine, studies targeting tumor microenvironment and cancer prevention, and the development and testing of new agents and technology. Committing the infrastructure, intellectual capital and necessary resources to convert its scientific discoveries into products/applications, Roswell Park has established a number of biotech spin-off companies, and formed strategic partnerships with investigators and centers throughout the world.

The campus spans 28 acres in downtown Buffalo and consists of 15 buildings with about 2 million square feet of space. Roswell Park’s hospital building, completed in 1998, houses a comprehensive diagnostic and treatment center. In addition, the organization built a new medical research complex and renovated existing education and research space to support its future growth and expansion. The latest addition to the campus is the new 150,000 square foot Clinical Sciences Center.

Interested applicants can apply by referencing posting #19633 to https://roswellpark.wd5.myworkdayjobs.com/ExternalCareers

Ideal Experience:
Candidates for this role will possess:  
Master’s degree in Business Administration, Accounting or a related field and eight (8) years of full-time applicable experience including five (5) years in a supervisory, administrative, consultative, managerial or executive capacity; or
Bachelor’s degree in Business Administration, Accounting or a related field and ten (10) years of full-time applicable experience including five (5) years in a supervisory, administrative, consultative, managerial or executive capacity  
Extensive financial and revenue cycle systems experience.
Knowledge of word processing, spreadsheet and database software.
Knowledge of medical terminology and International Classification of Disease, Current Procedural Terminology and Health Care Finance Administration’s Common Procedural Coding System.
Knowledge of managed care contracting terms and systems.
Current knowledge and experience with third party billing procedures.
Ability to manage multiple priorities and projects.
Strong communication, organizational and interpersonal skills.
Ability to meet deadlines