Revenue Cycle Expert
3 days ago
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:- Collaborate with departments to resolve billing-reimbursement-related issues and develop process enhancements for revenue cycle billing and coding compliance.
- Work closely with leadership to meet revenue goals, project manage, and implement process improvements.
- Partner with health information, external vendors, patient registration, compliance officer, chief medical officer, Business Offices, and Administration on documentation, education coding, and auditing guidelines.
- Meet or exceed departmental revenue, metrics, and objective coding goals.
- 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.
- Oversee CPT, level II HCPCS, diagnosis coding, and government payer regulations.
- Direct internal coding/billing audits, investigations, corrective action plans, regulation research, staff, and provider education.
- Develop, implement, and maintain Charge Reconciliation, CDM Management, and Charge Capture policies, procedures, and training materials.
- 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.
- Work autonomously under general supervision with considerable latitude for initiative and independent judgment.
- 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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