Revenue Cycle Operations Manager

2 weeks ago


Charlotte, North Carolina, United States Atrium Health Full time
Overview

Position Summary

The Revenue Cycle Operations Manager is responsible for overseeing the daily functions within the department. This role is crucial for ensuring accurate charge capture and effective claim resolution throughout the revenue cycle. A comprehensive understanding of ICD, CPT, and HCPCS coding standards is essential for success in this position.

Key Responsibilities

- Lead and mentor supervisory team members to enhance their skills and performance.

- Collaborate with leadership to address provider requirements and ensure clear, effective communication.

- Uphold compliance with all departmental policies and procedures.

- Design, implement, and evaluate quality assurance processes.

- Analyze and adjust workflows to maintain balanced workloads among team members.

- Respond proactively to changes in workflow due to departmental expansion.

- Foster effective communication with both internal and external stakeholders.

- Create and oversee a comprehensive training program that includes career development opportunities. Identify training needs based on performance evaluations and quality assessments.

- Conduct quality assurance evaluations as necessary and provide educational feedback based on findings.

- Stay informed about coding updates, including new codes, technological advancements, and payer requirements.

- Monitor key performance indicators (KPIs) such as denial rates, accounts receivable trends, edit volumes, and charge lag.

- Engage in strategic planning and design initiatives related to coding, regulatory compliance, and system modifications that influence coding and reimbursement processes.

Physical Requirements

This position operates in a dynamic office or healthcare environment, requiring prolonged periods of sitting, along with some walking, standing, stretching, and bending. Occasional travel may be necessary.

Qualifications

- A Bachelor's degree or equivalent experience (8 years) is required. A minimum of 1-3 years of supervisory experience is preferred. A CPC or equivalent coding certification is mandatory. The candidate should demonstrate a professional demeanor and possess strong presentation skills.

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