Manager Mid Revenue Cycle - Hospital Based Inpatient Coding Denials

Advocate Health; United States; Remote; USD 7,033,000 - 10,552,000; Full time

Benefits offered by this job

Total Rewards

Paid Time Off

Retirement plans

Educational assistance

Job summary

Advocate Health is seeking a seasoned leader for the 13246 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Denials. This full-time role directs daily operations, ensures regulatory compliance, and drives standardization across the Mid-Revenue Cycle to maximize efficiency and accuracy.

The position requires 8+ years in mid-revenue cycle operations with 2+ years in leadership within a large healthcare system. RHIA preferred; bachelor’s in HIM or related field.

Qualifications

• Facility coding and HIM workflow knowledge including ICD-10, CPT, HCPCS.
• Experience with third-party reimbursement programs and regulatory requirements.
• Proficient with EHR systems and Microsoft 365 tools.
• Strong data analysis to identify patterns and improvements.
• Leadership experience in a large healthcare system.

Responsibilities

• Operational Leadership: Lead daily operations within the function area to align with goals.
• Operational Efficiency: Improve processes to boost productivity and standardize best practices.
• Regulatory Compliance & Confidentiality: Ensure compliance and safeguard patient data.
• Performance Monitoring & Reporting: Use KPIs to track trends and drive improvements.
• Technology Utilization: Leverage healthcare tech to enhance decision-making.
• Collaboration & Stakeholder Engagement: Work with clinical, IT, Compliance, and RC leaders.
• Team Leadership & Development: Hire, coach, and develop staff for high performance.
• Strategic Initiatives & Execution: Drive system enhancements and timelines.

Skills

Mid-Revenue Cycle Expertise

Financial & Data Analysis

Technology & Systems Proficiency

Process Improvement

Leadership & Team Development

Collaboration & Cross-Functional

Problem-Solving & Attention to Detail

Education

Bachelor's degree in HIM / Healthcare Admin

RHIA certification preferred

Tools

Microsoft 365

EHR Systems

Job description

Department:

13246 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Denials

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Desired experience:

• Hospital Based INPATIENT Coding and Denials Related Experience preferred

Schedule:

• Monday - Friday 1st shift 40 hours a week.

Certification preferred:

• RHIA

Remote opportunity:

Advocate Health may approve those who wish to work out of the following registered states: 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, WY

Pay Range:

$51.05 - $76.60

Major Responsibilities:

• Operational Leadership: Lead and manage daily operations within the assigned function area, ensuring alignment with divisional and enterprise-wide goals.
• Operational Efficiency: Evaluate processes to improve efficiency, enhance productivity, and support standardized best practices across the Mid-Revenue Cycle.
• Regulatory Compliance & Confidentiality: Ensure adherence to regulatory requirements, accreditation standards, and organizational policies. Maintain confidentiality of patient records and report any perceived non-compliant practices to leadership or the Compliance Department.
• Performance Monitoring & Reporting: Utilize key performance indicators (KPIs) to measure effectiveness, track trends, and implement data-driven strategies for improvement.
• Technology Utilization: Leverage healthcare technology and analytics tools to enhance efficiency, support decision-making, and drive innovation in Mid-Revenue Cycle processes.
• Collaboration & Stakeholder Engagement: Engage with clinical, IT, Compliance, and Revenue Cycle leaders to integrate Mid-Revenue Cycle processes effectively, ensure regulatory compliance, and promote patient safety. Build and maintain relationships with key stakeholders to drive communication, problem-solving, and operational alignment.
• Team Leadership & Development: Manage and develop a team of professionals by performing human resource functions such as hiring, performance evaluations, and professional development. Provide training, feedback, and career growth opportunities to foster a high-performing and financially responsible workforce.
• Strategic Initiatives & Execution: Lead initiatives to improve operational effectiveness, oversee timelines, and drive system enhancements.

Licensure, Registration, and/or Certification Required:

• Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA).

Education Required:

• Bachelor’s degree in health information management, Healthcare Administration, or a related field, or equivalent experience.

Experience Required:

• Minimum 8 years of experience in mid-revenue cycle operations, coding, or HIM, including 2+ years of leadership experience in a large integrated healthcare system.

Knowledge, Skills & Abilities Required:

• Mid-Revenue Cycle Expertise: Demonstrated knowledge of facility coding, professional coding, and HIM operational guidelines and workflows necessary to scope of work. Understanding of third-party reimbursement programs, state and federal regulatory requirements, national and local coverage decisions, and coding classification systems (ICD-10, CPT, HCPCS).
• Financial & Data Analysis: Ability to organize, compile and analyze data from various sources in order to detect patterns, and identify areas for improvement.
• Technology & Systems Proficiency: Strong understanding of EHR systems and other revenue cycle technology solutions. Proficient in Microsoft 365 products, including Teams, SharePoint, Word, Excel, PowerPoint, and Access.
• Process Improvement & Standardization: Experience in optimizing workflows and improving operational effectiveness within a complex healthcare environment. Skilled in prioritizing business needs and resource management to develop efficient and scalable processes.
• Leadership & Team Development: Proven ability to manage teams, coach staff, and foster a culture of continuous improvement and accountability. Ability to work effectively across multiple departments and within matrix organizational structures.
• Collaboration & Cross-Functional Communication: Strong interpersonal skills with the ability to engage clinicians, finance, IT, and revenue cycle teams to align goals, facilitate integration, and drive strategic initiatives.
• Problem-Solving & Attention to Detail: Ability to identify and solve problems creatively, work within deadlines, and maintain a high level of accuracy and attention to detail.

Physical Requirements and Working Conditions:

• Exposed to normal office environment.
• Job may require travel, therefore, may be exposed to road and weather hazards.
• Must be able to lift up to 40 lbs. occasionally.
• Sits the majority of the workday, but also may lift, reach, and bend throughout the day.
• Operates all equipment necessary to perform the job.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate’s job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.