Coding and Revenue Integrity Manager
Solaris Health
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- The Coding and Revenue Integrity Manager has oversight of the revenue generating and coding processes and outcomes for designated Affiliate(s).
- Responsible for maintaining a strategic and leadership role for improving revenue results through oversight of administrative and financial processes to ensure claims are submitted timely and accurately as well as developing a centralized coding and charge reconciliation team to reduce duplication and streamline charge capture and coding functions.
- Ensures coding accuracy by facilitating coder education on current and compliant coding guidelines.
- Supports the planning, development, and administration of the coding quality assurance function and the designing of a Provider Documentation Education program to provide focused education to clinical and coding resources.
- Implements quality measures based on Physician captured charges, coding, and patient care documentation to ensure compliance with pertinent regulations, guidelines, and industry benchmarks.
- Establishes routine charge capture and coding audits and creates feedback process to ensure continuous improvement.
- Tracks and trends Key Performance Indicators (KPIs) to measure outcomes and document improved performance.
- Oversees data analysis, trending, and reporting of opportunities for improvement in the charge capture and documentation functions.
Requirements
- Minimum of five-eight years revenue cycle experience within a physician practice
- Experience in Urology physician practice environment preferred.
- CPC, RHIT, CCS, OR CMC coding credentials preferred.
- Knowledge of medical terminology, Current Procedural Terminology (CPT), International Classification of Disease (ICD) coding, and the entire revenue cycle process.
- Familiarity with Electronic Health Record (EHR) systems and Microsoft Office applications.
- Understanding of Medicare, Medicaid, managed care, and third-party payer guidelines.
- Knowledge of governmental regulations and healthcare compliance requirements.
- Strong analytical and problem-solving skills with the ability to draw conclusions and make recommendations.
- Ability to handle multiple tasks and manage competing deadlines with a high level of accuracy and attention to detail.
- Capable of developing reports and creating professional presentations.
- Well-organized and able to maintain confidentiality in handling sensitive information.
- Ability to educate staff members.
- Self-motivated with a focus on maintaining productivity and efficiency.
- Ability to work independently and collaboratively across teams and departments.
- Skill in planning, organizing, delegating, and supervising.
- Skill in leading team members to carry out all job objectives while inspiring confidence and motivation.
- Skill in organizing work, tasking assignments, and achieving goals and objectives.
- Ability to establish and maintain quality control standards.
- Ability to assume responsibility and exercise authority over assigned work functions.
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Life Insurance
- Pet Insurance
- Health savings account
- Paid sick time
- Paid time off
- Paid holidays
- Profit sharing
- Retirement plan
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
revenue cycle managementcoding accuracyCPT codingICD codingdata analysischarge capturequality assuranceKPI trackingmedical terminologycoding audits
Soft Skills
analytical skillsproblem-solving skillsattention to detailorganizational skillscommunication skillsleadership skillscollaborationtime managementeducational skillsself-motivation
Certifications
CPCRHITCCSCMC