Revenue Integrity & Coding Manager — Charge Capture Leader

Asante

Medford (OR)

On-site

USD 107,000 - 147,000

Full time

10 days ago
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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

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.

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