Manager of Revenue Integrity & Coding

Asante

• $107K — $147K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5 years leadership or supervisory experience
  • 6 years healthcare experience in medical records emphasizing coding
  • Charge master maintenance experience
  • Knowledge of regulations affecting revenue cycle
  • Experience with MedSeries 400 databases
  • Ability to create query reports
  • Familiarity with Optio, ImageNow, MIRA, and coding resources

Responsibilities

  • Develop and manage compliant charge capture processes
  • Maintain chargemaster in line with regulations and HIPAA
  • Collaborate with department managers to enhance charge capture
  • Educate staff on coding, revenue codes, and pricing
  • Manage nursing audit functions to address audits and complaints

Benefits

  • Comprehensive Total Rewards package promoting well-being
  • Medical, dental, and vision coverage starting within 30 days
  • Employer-sponsored retirement plan with contributions
  • Generous paid time off for eligible employees
  • Tuition reimbursement and repayment programs
  • Life insurance, disability coverage, and assistance programs
Full Job Description
Additional Position Details: FTE: 1.0 | Full Time | Primarily Mon - Fri / 8AM - 5PM

Salary Range: $107,036.80 - $147,187.04, depending on experience

Position Summary

The Revenue Integrity & Coding Manager develops, manages and maintains processes and systems concerning current and compliant charge capture practices, chargemaster maintenance to federal and other regulatory requirements & HIPAA transaction sets, and modules and systems supporting all revenue cycle processes. They are responsible for drug administration and other charge capture for nursing services including Emergency Department services and for revenue cycle functions associated with reference and outpatient lab services to maintain minimal uncoded/unbilled accounts. They will collaborate and educate revenue-producing department managers & staff to maintain their Chargemaster effectiveness including revenue codes, CPT codes, modifiers and pricing. They will also collaborate and educate revenue-producing department managers & staff to improve their charge capture process and timeliness. They will manage nurse audit functions for Asante to respond to governmental & insurance audits, adverse events, Risk Management, and patient billing complaints.

Position Qualifications

Required Experience

  • 5 years previous leadership or supervisory experience
  • 6 years progressive healthcare experience in medical records documentation with emphasis on coding and HCPCS coding rules and billing procedures
  • Previous charge master maintenance experience
  • Knowledgeable of governing regulations impacting all aspects of revenue cycle
  • Experience with MedSeries 400 databases.
  • Must be able to perform downloads and set up query reports
  • Knowledge of Optio, ImageNow, MIRA and patient accounting, Coding Resources


Education

  • Bachelor's degree or equivalent is required
  • Specialized education in medical terminology and coding systems including CPT4, HCPCS and ICD-9 is required


Certification/Licensure

  • ODL: Oregon Driver's License with proof of safe driving record for the past 10 years and poof of insurance is required
  • CCS: Certified Coding specialist is preferred
  • LPN: Licensed Practical Nurse licensed by Oregon State Board of Nursing is preferred
  • RHIT: Registered Health Information Technician is preferred
  • RN: Registered Nurse licensed by Oregon State Board of Nursing is preferred


Total Rewards

We offer a comprehensive Total Rewards package designed to support your well-being and professional growth, including:

  • Competitive Pay: Hourly and salaried positions earn market-based compensation. Managers and above are eligible for incentive bonuses.
  • Health & Wellness: Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire.
  • Retirement Savings: Employer-sponsored retirement plan with company contribution and match.
  • Paid Time Off: Generous ETO for part-time and above employees
  • Professional Development: Continue to enhance your education through our tuition reimbursement and tuition repayment program
  • Additional Benefits: Life insurance, disability coverage, and employee assistance programs.


At Asante, we are guided by our values:

Excellence - Respect - Honesty - Service - Teamwork

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