Manager, Revenue Cycle Operations

2 weeks ago

Atlanta Georgia, United States Emory Healthcare Full time

Overview:
At Emory Healthcare, we are dedicated to fostering your professional growth with exceptional benefits, valuable resources, and a nurturing environment that empowers you to excel in your career.

We offer:
  • Comprehensive health benefits starting from day one
  • Assistance with Student Loan Repayment & Reimbursement Programs
  • Family-oriented benefits
  • Wellness incentives
  • Continuous mentorship, development, and leadership programs
  • And more

Position Summary:


This role is pivotal in supporting and coordinating the functions of the clinic's revenue cycle, encompassing charge capture, coding, and management of edits/denials. The position entails providing strategic recommendations to enhance resource utilization while aligning with top-tier performance metrics across various revenue cycle categories, including productivity, compliance, accuracy, effectiveness, timeliness, and efficiency.


The individual in this role will be accountable for achieving and surpassing operational workflow, productivity, and results standards pertinent to these functions.


Additionally, this position will coordinate and align resources dedicated to revenue cycle functions across clinical specialties, aiming to establish consistent workflows and optimize resource allocation.

Responsibilities include supervising staff, assigning tasks, delivering performance feedback, and implementing corrective actions as necessary.

Oversee daily revenue cycle operations within the assigned clinical specialty and monitor relevant revenue cycle metrics for the area of responsibility.

Minimum Qualifications:


A High School diploma or equivalent is preferred, along with four (4) years of experience in revenue cycle management, ideally in physician billing, coding, or medical management; or a combination of equivalent education and experience; or successful completion of the TEC Operations Development Program (ODP).


Preferred Qualifications:

A coding certification from a nationally recognized organization (such as AAPC, AHIMA, etc.) is required: CCS-P, CPC, RHIA, RHIT, CCS, CPC-H; advanced understanding of medical terminology, anatomy and physiology, billing regulations, Medicare & NCCI guidelines, insurance coverage limitations, and managed care protocols is preferred; experience with GE Centricity Business is also preferred.

Successful completion of the AAPC ICD-10 Proficiency Assessment is required.


JOIN OUR TEAM TODAY Emory Healthcare (EHC), part of Emory University (EUV), stands as the most comprehensive academic health system in Georgia, recognized for its Magnet designated ambulatory practice.

Our network comprises 11 hospitals—four of which are Magnet designated—along with the Emory Clinic and over 425 provider locations.

The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, featuring more than 3,450 physicians across 70 different subspecialties.


Additional Information:
We are committed to supporting a diverse, equitable, and inclusive culture.

Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals, regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression, and/or veteran's status.

EHC maintains a non-discrimination policy based on any of the aforementioned factors or any other factors prohibited by applicable law. We value and celebrate the unique perspectives and backgrounds of all individuals, aspiring to create an environment of collaboration and genuine belonging for our patients and team members.

Emory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and non-discrimination in all employment aspects, including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training.


Accommodations:
EHC will provide reasonable accommodations to qualified individuals with disabilities upon request.

To request this document in an alternate format or to seek a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.

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