Manager of Revenue Integrity & Coding

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

Benefits offered by this job

Competitive pay—market-based salaries

Health & wellness benefits

Retirement savings plan

Paid time off

Professional development

Life insurance & disability coverage

Job summary

Asante in Medford, OR is seeking a Revenue Integrity & Coding Manager to lead charge capture processes, chargemaster maintenance, and revenue cycle compliance. The role focuses on nursing services charge capture, ED coding, and outpatient lab services, collaborating with department managers to maintain coding accuracy and timely submissions.

The position requires extensive leadership, HCPCS/CPT/ICD-9 expertise, and experience with vendor systems like MedSeries 400, Optio, ImageNow and MIRA.

Qualifications

• 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

Responsibilities

• 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.
• Collaborate and educate revenue-producing department managers & staff to maintain Chargemaster effectiveness including revenue codes, CPT codes, modifiers and pricing.
• Collaborate and educate revenue-producing department managers & staff to improve their charge capture process and timeliness.
• Manage nurse audit functions for Asante to respond to governmental & insurance audits, adverse events, Risk Management, and patient billing complaints.

Skills

Leadership experience

Healthcare records coding

Regulatory knowledge

Downloads & query reports

MedSeries 400

Optio

ImageNow

MIRA

Coding Resources

CPT4/HCPCS/ICD-9 knowledge

Education

Bachelor's degree

Medical terminology & coding systems (CPT4/HCPCS/ICD-9)

Tools

MedSeries 400

Optio

ImageNow

MIRA

Coding Resources

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.