Manager - Coding/Reimbursement - Revenue Cycle
Manager - Coding/Reimbursement - Revenue Cycle
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
We are currently accepting applications from candidates residing in these states: AL CO FL GA ID KS KY ME MI NC SC VA VT
Salary: $78000 to $117000 annual
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and wellbeing programs competitive compensation generous retirement offerings programs that invest in your career development and so much more so you can live fully at and away from work including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications skills relevant experience and/or training
Premium pay such as shift on call and more based on a teammates job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical dental vision life and Short and LongTerm Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Job Summary
Monitors and oversees the day to day operations within the department. Accountable for the charge capture and claim resolution portion of the revenue cycle. The Manager must have thorough knowledge of ICD CPT and HCPCS coding principles.
Essential Functions
- Coaches and develops of supervisory team members.
- Works with leadership team to address provider needs and ensures communication is helpful effective and consistent.
- Ensures adherence to all departmental policies.
- Develops implements and monitors quality assurance reviews.
- Assesses implements and continuously monitors workflow and volumes to ensure workload is balanced among team members.
- Assesses and reacts to workflow changes related to departmental growth.
- Ensures effective communication with both internal and external customers.
- Develops implements and monitors a comprehensive training program to include career ladder development. Addresses departmental training needs based on team member performance and quality reviews.
- Conducts quality assurance reviews as needed. Provides education as a result of these reviews.
- Stays abreast and communicates coding changes (i.e. new codes new technology payor requirements).
- Monitors key performance indicators (KPIs) to include but not limited to denials AR Trends edit volumes and charge lag.
- Participates in strategic planning and design in coding regulatory and system changes that impact coding reimbursement and compliance.
- Oversight of medical necessity work queues to address CCI LCD NCD MUE etc. edits prior to claims submission.
- Reviews denials for medical necessity to facilitate department review as needed add modifiers and make adjustments per payer policy
Physical Requirements
Works in a fastpaced office/hospital environment. Work consistently requires sitting and some walking standing stretching and bending. Some travel may be required.
Education Experience and Certifications
Bachelors degree or 8 years related experience required. 13 years supervisory experience preferred. CPC or coding credential required. Demonstrates professional presence and effective presentation skills.
Required Experience:
Manager
Employment Type
Full-Time
