Manager Mid Revenue Cycle - Hospital Based Inpatient Coding Denials

Advocate Health; Utah; Remote; USD 106,000 - 159,000; Full time

Benefits offered by this job

Paid Time Off

Health benefits

Retirement plans with employer match

Educational assistance

Career development programs

Job summary

Advocate Health is seeking a senior leader to oversee the Mid-Revenue Cycle operations, focusing on facility and denial management. You will guide daily operations, drive efficiency, ensure compliance, and collaborate with clinical, IT, and finance stakeholders across the enterprise.

The role emphasizes data-driven performance, leadership development, and strategic initiatives to optimize reimbursement processes while maintaining patient safety and confidentiality.

Qualifications

• Mid-Revenue Cycle expertise including facility and professional coding
• Knowledge of third-party reimbursement programs and regulatory requirements
• Strong data analysis skills to detect trends and identify improvements
• Proficient with EHR systems and revenue cycle tech
• Experience leading teams and cross-functional collaboration
• Ability to improve workflows and standardize processes

Responsibilities

• Lead daily operations within the assigned function area to align with goals
• Evaluate processes to improve efficiency and productivity in the Mid-Revenue Cycle
• Ensure regulatory compliance and confidentiality of patient records
• Use KPIs to monitor performance and drive data-driven improvements
• Leverage healthcare technology to enhance decision-making and innovation
• Collaborate with clinical, IT, Compliance, and Revenue Cycle leaders
• Coach and develop a team, including hiring and performance reviews
• Drive strategic initiatives and oversee project timelines

Job description

Department: 13246 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Denials

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

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.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

#REMOTE

#LI-Remote

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.