Director Revenue Recognition - 40hrs

Responsibilities: Revenue Analysis & Reporting-40%Prepares monthly, quarterly, and annual revenue analysis and reporting across all hospital and specialty group departments Ensures revenue recognized for CCMC and CCSG through the month-end close process is in accordance with contracted terms for services rendered Demonstrates technical knowledge of generally accepted revenue recognition standards specific to the hospital industry Analyzes incoming payment information and communications from payers, physicians, and patients in conjunction with applicable contract terms, reimbursement schedules, government regulations, and internal policies Identifies and investigates revenue variances; prepares written analysis and presents findings to leadership as needed Monitors payer contract performance and identifies opportunities for revenue optimization or recovery Develops productive relationships across Finance departments, including Revenue Cycle, Financial Operations, Financial Reporting, and Contract Management Budgeting & Forecasting Supports the annual revenue budget process, including preparation of supporting schedules and documentation Provides regular updates to revenue forecasts, incorporating changes in payer mix, utilization trends, contract terms, and regulatory developments Supports new business initiatives with revenue expectations and scenario modeling Reimbursement & Compliance-20%Supports reimbursement analysis and regulatory compliance monitoring Ensures all actions are consistent with applicable government regulations, contractual terms, and internal policies and procedures Maintains current knowledge of changes to CMS regulations, state Medicaid policy, and managed care reimbursement methodologies State & Federal Reporting Requirements-20% Completes the following requirements in a timely manner: Coordinates information for the external preparation of the CMS Annual Cost Report Connecticut Hospital Association Surveys Children's Hospital Association SurveysDSH SurveyOHS Annual Filing and OHS 12 Month FilingCHGME Grant: Initial ApplicationFTE Documentation Reconciliation Application Audit Support-10%Directs the preparation of support materials related to DSH audits and other audit requirements as needed Coordinates with internal departments and external auditors to ensure timely and accurate responses to audit inquiries Performs Other Duties as Assigned.

Qualifications: Education and/or Experience Required

Education: Bachelor’s degree from accredited college or university

Experience: 5 years’ experience in Healthcare Revenue Cycle or Healthcare Finance departments License and/or Certification Required None.

Knowledge, Skills and Abilities: KnowledgeICD-10, CPT coding, and medical terminology Insurance regulations and reimbursement policies, including managed care, Medicare, and Medicaid Generally accepted revenue recognition standards specific to the hospital industry State and Federal reporting requirements applicable to healthcare financeCMS cost report methodology and DSH program requirements Healthcare financial management principles, including budgeting and forecasting Microsoft Word and Excel; experience with healthcare financial systems preferred SkillsStrong analytical and financial modeling skills with a high degree of accuracy and attention to detail Proficiency in data analysis, variance reporting, and revenue reconciliation Excellent written and verbal communication skills, including the ability to present financial data clearly to varied audiences Strong organizational and project management skills with the ability to manage multiple deadlines simultaneously Ability to develop and maintain effective working relationships across departments AbilitiesAbility to interpret and apply complex regulatory requirements, payer contracts, and internal policies Ability to work independently under general supervision while exercising sound judgment Ability to identify problems, analyze root causes, and recommend practical solutions Ability to adapt to changing priorities in a dynamic healthcare environment Commitment to maintaining strict confidentiality of all financial and patient-related information

About Us: Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well-being as one team. Connecticut Children’s offers a comprehensive compensation and benefits package for eligible team members, including medical, dental and vision insurance, hospital paid life and disability coverage, paid time off and leave programs, education and training assistance, a retirement savings plan with hospital match, and an employment assistance program. Eligibility for certain benefits is based on scheduled hours worked. All team members are eligible to participate in the retirement savings plan, regardless of scheduled hours worked. Additional benefit information is available here.