Manager PB Coding Denials Integrity - Medical Specialties
New
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JobgetherHealthcare Revenue Cycle
Remote opportunity available for eligible candidates residing in approved U.S. states, including AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, and WY.Full-TimeManager
SalaryCompensation range of $51.05–$76.60 per hour
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Job Details
- Experience
- At least 8 years of experience in mid-revenue cycle operations, coding, Health Information Management (HIM), healthcare technology, or a related area, including 2+ years of leadership experience within a large integrated healthcare system.
- Required Skills
- LeadershipData AnalysisEHR
Requirements
- Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field, or equivalent professional experience.
- At least 8 years of experience in mid-revenue cycle operations, coding, HIM, or healthcare technology.
- At least 2 years of leadership experience within a large integrated healthcare system.
- Coding certification through AAPC or AHIMA (dual certification preferred).
- Strong knowledge of professional and facility coding, and HIM operational guidelines.
- Working knowledge of national/local coverage decisions and coding systems (ICD-10, CPT, HCPCS).
- Strong analytical skills with experience interpreting data to identify trends and operational patterns.
- Strong understanding of EHR systems and revenue cycle technology.
- Proficiency in Microsoft 365 applications (Teams, SharePoint, Word, Excel, PowerPoint, Access).
- Proven ability to lead, coach, and develop teams.
- Ability to work within a matrixed organization and build consensus.
Responsibilities
- Lead and manage daily operations within the assigned professional billing coding denials and integrity function.
- Evaluate workflows and operational processes to improve efficiency, productivity, and consistency.
- Monitor compliance with regulatory requirements, coding guidelines, and organizational policies.
- Establish and monitor key performance indicators (KPIs) and analyze operational trends.
- Leverage healthcare technology, EHR systems, and analytics tools to improve operational performance.
- Partner with clinical, IT, Compliance, Finance, and Revenue Cycle leaders to align processes.
- Lead and develop a team of professionals including hiring, coaching, and training.
- Lead strategic operational initiatives and manage project timelines for workflow enhancements.
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