HIM Coding Lead - Revenue Integrity

nebraskamed; Omaha (NE); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Tuition assistance up to $5,000/year

Clarkson College discount 35%

Educational advancement support

Job summary

Nebraska Medicine is seeking a Revenue Integrity specialist to audit revenue processes, support coding accuracy, and liaise on billing issues. You will collaborate with finance, clinical departments, and compliance to improve revenue management and education programs.

The role requires 3+ years in revenue integrity, knowledge of CPT/HCPCS/ICD-10 coding, and AHIMA/AAPC credentials. A strong team player with excellent communication and organizational skills is essential.

Qualifications

• Minimum three years of revenue integrity experience in hospital or healthcare.
• High school education or equivalent required.
• Bachelor's degree in HIM or related field, or equivalent combo of education/experience.
• Current knowledge of revenue cycle processes and hospital/medical billing.
• Understanding of electronic medical records components.
• Knowledge of CPT, HCPCS, ICD-10-CM, ICD-10-PCS coding.
• Familiarity with NCCI edits and Medicare LCD/NCDs.
• Strong interpersonal, communication, analytical, and organizational skills; deadline-driven.
• Computer skills with MS Office; Windows OS and Internet.
• AHIMA or AAPC certifications (RHIA/RHIT/CCS/CCA; CPC-H/COC-H) preferred.

Responsibilities

• Conduct audit/review activities to ensure revenue management and charge capture integrity.
• Support education for leadership and implementation; act as facility liaison on billing issues.
• Collaborate with Patient Financial Services, Clinical Departments, and Compliance.
• Lead special projects to improve revenue management and coding accuracy.

Skills

Interpersonal skills

Analytical thinking

Organizational skills

Deadline-oriented

Communication skills

Time management

Education

Bachelor's degree in HIM / health information management

High school diploma or equivalent

Education/experience equivalency (2 years experience = 1 year education)

Tools

MS Office

EPIC HB/PB

Billing systems knowledge

Job description

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.

Shift:

First Shift (United States of America)

***** Must Live in Nebraska or Iowa *****

ShiftDetails:

Flexible Days

Why Work at Nebraska Medicine?

• Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration.
• Leading Health Network Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care.
• Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve.
• Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Enjoy support for your personal growth within the organization, from those just starting their healthcare careers to those who are years down the path.

Be part of something extraordinary at Nebraska Medicine!

Conducts audit/review activities to ensure appropriate revenue management, charge capture, claims production, coding integrity, and provider code assignment. This position supports education to applicable leadership, implementation support and serves as a facility liaison to Nebraska Medicine's staff as it relates to billing system issues. As part of the Health Information Management Department, reporting directly to the Revenue Integrity Manager, this position has collaborative relationships with Patient Financial Services, Clinical Departments, and Compliance. Conducts special projects and studies to facilitate revenue management as required.

Required Qualifications:

• Minimum three years of experience in revenue integrity in a hospital or healthcare setting or coding required.
• High school education or equivalent required.
• Bachelor's degree in health information management (HIM), business or other healthcare related field or equivalent combination of education/experience (two years' experience in health information management equals one year of education) required.
• Current knowledge of revenue cycle processes and hospital/ medical billing required.
• Understanding of components of electronic medical record required.
• Current knowledge of code data sets to include CPT, HCPCS, ICD-10-CM, and ICD-10-PCS.
• Current knowledge of NCCI edits, and Medicare LCD/NCDs required.
• Interpersonal and communication skills, analytic and organizational skills, critical -thinking and the ability to meet deadlines required.
• Computer skills; MS Office including Word, PowerPoint, Excel andOutlook; Windows operating system and Internet required.
• Applicable professional certification through American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Coding Associate (CCA) or America Academy of Professional Coders (AAPC); Certified Professional Coder Hospital (CPC H), Certified Outpatient Coder - Hospital (COC-H) required.

Preferred Qualifications:

• Experience with EPIC HB/PB preferred.

Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.