Overview:
Lead a remote team focused on coding denials, reimbursement optimization, and operational performance.
Work Style: Remote
Location Requirement: Must reside in an authorized state (FL, GA, PA, NC, SC, TN, or TX)
FTE: Full-Time (1.0 FTE)
Oversees the accuracy and compliance of billing processes to safeguard organizational revenue. Coordinates audits, monitors revenue cycle activities, and collaborates with various teams to ensure precise documentation and coding. Trains staff on revenue integrity policies, analyzes financial data for strategic insights, and implements improvements to optimize revenue capture. Ensures adherence to legal and organizational guidelines is a key aspect of this position.
Responsibilities:
Key Responsibilities
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Oversees billing accuracy and compliance to safeguard revenue.
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Coordinates audits and monitors revenue cycle activities.
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Collaborates with teams to ensure precise documentation and coding.
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Trains staff on revenue integrity policies.
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Analyzes financial data for strategic insights.
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Implements improvements to optimize revenue capture.
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Ensures adherence to legal and organizational guidelines.
Qualifications:
Minimum Qualifications
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3+ years of experience in revenue integrity, revenue cycle, or healthcare compliance.
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Knowledge of billing accuracy, reimbursement processes, and regulatory requirements.
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Experience conducting audits and training staff on revenue integrity policies and procedures.
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Strong analytical skills with experience reviewing financial and operational data.
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Ability to identify, recommend, and implement revenue optimization strategies.
Preferred Qualifications
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One of the following certifications: CPC, COC, RHIT, RHIA, or CCS.
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Three (3) to five (5) years of healthcare revenue cycle experience.
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Minimum of three (3) years of experience in medical coding, insurance, or denial management.
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Minimum of three (3) years of supervisory or management experience leading coding or revenue cycle teams.
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Experience supervising 1–5 employees.
Preferred Skills
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Demonstrated knowledge of hospital billing, reimbursement, denials and appeals, third-party payer contracts, insurance protocols, and revenue cycle workflows.
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Knowledge of federal and state healthcare regulations related to billing, coding, and reimbursement.
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Ability to identify problems, develop solutions, and implement process improvements.
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Strong time management, organizational, and multitasking skills with the ability to meet deadlines in a fast-paced environment.
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Proven leadership, conflict resolution, and customer service skills.
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Excellent written, verbal, and interpersonal communication skills.
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Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint, and other healthcare information systems.
