Revenue Cycle Expert

3 days ago


West Long Branch, New Jersey, United States Allied Digestive Health Full time

We are seeking a highly skilled Revenue Integrity Manager to join our team at Allied Digestive Health in West Long Branch. This is a full-time opportunity with a competitive salary and generous benefits.

Key Responsibilities:
  1. Collaborate with departments to resolve billing-reimbursement-related issues and develop process enhancements for revenue cycle billing and coding compliance.
  2. Work closely with leadership to meet revenue goals, project manage, and implement process improvements.
  3. Partner with health information, external vendors, patient registration, compliance officer, chief medical officer, Business Offices, and Administration on documentation, education coding, and auditing guidelines.
  4. Meet or exceed departmental revenue, metrics, and objective coding goals.
  5. Assist with compliance audits and investigations, focusing on the revenue cycle by reviewing medical records for documentation compliance and evaluating the appropriateness of billing and coding procedures.
  6. Oversee CPT, level II HCPCS, diagnosis coding, and government payer regulations.
  7. Direct internal coding/billing audits, investigations, corrective action plans, regulation research, staff, and provider education.
  8. Develop, implement, and maintain Charge Reconciliation, CDM Management, and Charge Capture policies, procedures, and training materials.
  9. Provide consultative services to senior leadership, providers, and staff; contribute to Compliance audit work plans and mitigation of revenue cycle risks; and provide training and coaching to staff.
  10. Work autonomously under general supervision with considerable latitude for initiative and independent judgment.
  11. Follow industry changes and policy updates, preparing plans and goals to adapt to changes.

The ideal candidate will possess:

  • Certified CPC, CPB, CRC of CPT, and ICD coding certifications.
  • A Bachelor's degree.
  • 5+ years' experience in Revenue Cycle and coding or auditing.
  • Physician education experience.
  • Proficiency with Microsoft Office products, including Word and Excel.
  • Proficiency in PowerPoint presentations.
  • Proficiency in Analytics.

We offer a competitive salary range of $90,000 - $120,000 per year, based on experience, as well as generous benefits and opportunities for professional growth.



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