Manager Optimization Coding Mid-Revenue Cycle

Advocate Aurora Health; Milwaukee (WI); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare organization is seeking a full-time Coding and HIM Optimization Manager. This role involves overseeing Epic and Claims Manager system operations, managing staff, and ensuring compliance with healthcare coding standards. The ideal candidate will have a Bachelor's degree in Health Information Management and extensive experience in coding and healthcare compliance, along with strong problem-solving and organizational skills.

Qualifications

• Minimum of 5 years in coding, HIM, or healthcare compliance.
• At least 1 year in supervisory roles.

Responsibilities

• Manage oversight of Epic and Claims Manager system operations.
• Develop and deliver end-user training modules.
• Ensure compliance with the organization's Code of Ethical Conduct.

Skills

Knowledge of healthcare coding systems

Proficiency in Epic

Strong interpersonal skills

Problem-solving skills

Organizational skills

Education

Bachelor's Degree in Health Information Management

Tools

Microsoft Office

Job description

Department:

10353 Enterprise Revenue Cycle - Coding & HIM Optimization

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Remote, Full-time, first shift

Major Responsibilities:

• Manage oversight of all Epic and Claims Manager system operations, including edit creation and maintenance, Epic coding workflow redesigns, upgrades, EAP builds, work queue maintenance, and testing.
• Oversee Computer-Assisted Coding system operations, ensuring software and interfaces are current, functional, and efficient.
• Represent Coding Systems on Revenue Cycle and HIT committees to ensure practice standardization and build accuracy, reviewing edits and rules annually.
• Analyze and improve clinical and business processes related to HIM and Coding Systems, developing test plans and conducting various testing phases.
• Facilitate clinical/business practice processes, identify opportunities for system improvements, and translate user requirements into functional specifications.
• Manage and develop process documentation, perform data analysis, and collaborate with IT to implement changes.
• Develop and deliver end-user training modules, evaluate training effectiveness, and assist users with system functionalities.
• Develop tools and reports for HIM Operations and Coding, ensuring data accuracy and compliance with statutory reporting requirements.
• Chair the Epic HIM & Coding Standards workgroup, review potential Epic changes, and participate in strategic planning.
• Handle human resources responsibilities, including hiring, staff development, evaluations, and morale management.
• Develop and oversee budgets, ensuring expenditures align with organizational goals.
• Ensure compliance with the organization's Code of Ethical Conduct and relevant policies and laws.

Licensure, Registration, and/or Certification Required:

• RHIA or RHIT registration from AHIMA

Education Required:

• Bachelor's Degree in Health Information Management or related field

Experience Required:

• Minimum of 5 years in coding, HIM, or healthcare compliance, including at least 1 year in supervisory roles

Knowledge, Skills & Abilities Required:

• Knowledge of healthcare coding systems, revenue cycle, and reimbursement programs
• Proficiency in Epic, databases, Microsoft Office, and patient billing systems
• Strong interpersonal, presentation, problem-solving, and organizational skills

Physical Requirements and Working Conditions:

• Standard office environment, with travel as needed

This description provides a comprehensive overview of the role's responsibilities and requirements, suitable for attracting qualified candidates.