Manager of Revenue Integrity & Coding

Asante; Medford (OR); In loco; USD 107.000 - 147.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive Pay

Health & Wellness

Retirement Savings

Paid Time Off

Professional Development

Additional Benefits

Descrizione del lavoro

Asante in Medford, Oregon seeks a Revenue Integrity & Coding Manager to lead charge capture and chargemaster maintenance within the revenue cycle. This role ensures regulatory compliance, HIPAA transaction sets, and accurate coding for services across nursing, ED, and lab departments.

You will educate department managers, oversee audits, and respond to governmental and insurance audits, driving timely coding and pricing improvements.

Competenze

• Bachelor's degree or equivalent is required.
• Specialized education in medical terminology and coding systems CPT4, HCPCS and ICD-9 is required.
• Experience in healthcare revenue cycle management and coding regulations preferred.

Mansioni

• Develop and manage charge capture processes and chargemaster maintenance.
• Ensure compliance with HIPAA transaction sets and regulatory requirements.
• Lead nurse audit functions and respond to government and insurer audits.
• Educate revenue-producing departments to improve chargemaster effectiveness and coding accuracy.

Conoscenze

Leadership experience

Healthcare industry knowledge

Coding knowledge

Regulatory compliance

Formazione

Bachelor's degree

Medical terminology and coding systems training (CPT4, HCPCS, ICD-9)

Strumenti

MedSeries 400

Optio

ImageNow

MIRA

Descrizione del lavoro

Description

Additional Position Details:FTE: 1.0 | Full Time | Primarily Mon - Fri / 8AM - 5PM

SalaryRange:$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

Asante is proud to be an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.