The Assistant Director Pre-AR, Claims Management, Coding and Revenue Integrity Edits is responsible for overseeing pre-account receivable workflows, claim management edits, coding edits, and revenue integrity edits to optimize the revenue cycle performance. This position ensures compliance with regulatory standards, identifies process improvement opportunities, and collaborates with key stakeholders to reduce denials, streamline operations, and enhance revenue integrity. Lead initiatives to ensure proper charge capture and accurate billing practices. Collaborate with revenue integrity teams to identify and resolve systemic issues impacting revenue. Conduct regular reviews to assess compliance with organizational and payer requirements. Foster a culture of accountability, excellence, and continuous improvement. Serve as a liaison between the revenue cycle team and other organizational departments.
Qualifications
Required:
High School Diploma or GED
Certification
Certified Professional Coder (CPC) or
Certified Coding Specialist - Physician (CCS-P) or
Certified Medical Auditor (CPMA)
Work Experience and Additional Information
Minimum of ten (10) years of experience in revenue cycle management with two (2) years of leadership experience. Degree may be substituted years of experience: Associates - two (2) years; Bachelors - four (4) years. Experience is to focus on pre-account receivable processes, claim management, coding, and revenue integrity as well as leading teams of revenue cycle professionals, providing mentorship, training, and performance evaluations. Foster a culture of accountability, excellence, and continuous improvement. Serve as a liaison between the revenue cycle team and other organizational departments.
