Manager of Revenue Integrity & Coding

Asante; Medford (OR); On-site; USD 107,000 - 147,000; Full time

Benefits offered by this job

Competitive pay

Health & Wellness

Retirement plan

Paid time off

Professional development

Additional benefits

Job summary

Asante is seeking a Revenue Integrity & Coding Manager in Medford, OR to lead charge capture and chargemaster maintenance across the revenue cycle, ensuring HIPAA and regulatory compliance for ED and outpatient labs.

The role collaborates with department managers to educate staff on codes, modifiers and pricing, and to improve charge capture timeliness while supporting audits and patient billing resolutions.

Qualifications

• 5 years of leadership or supervisory experience
• 6 years healthcare records coding and billing procedures experience
• Charge master maintenance experience
• Knowledge of governing revenue cycle regulations
• Experience with MedSeries 400 databases
• Ability to run downloads and create query reports
• Familiarity with Optio, ImageNow, MIRA, and patient accounting software

Responsibilities

• Develops and maintains charge capture processes and chargemaster to regulatory requirements
• Collaborates with department managers to maintain chargemaster effectiveness (codes, modifiers, pricing)
• Educates revenue-producing departments to improve charge capture timeliness
• Manages nurse audit functions for audits, risk management, and billing complaints

Skills

Leadership experience

Healthcare industry experience

Revenue cycle knowledge

Regulatory compliance knowledge

Query/reporting (downloads)

Education

Bachelor's degree or equivalent

Specialized education in medical terminology and coding systems (CPT4, HCPCS, ICD-9)

Tools

MedSeries 400

Optio

ImageNow

MIRA

Patient accounting systems

Job description

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.