Revenue Integrity Lead: Coding & Denials

Biological Sciences Division at the University of Chicago; Burr Ridge (IL); On-site; USD 80,000 - 105,000; Full time

Job summary

University of Chicago Physicians Group is seeking a Revenue Integrity Team Lead to ensure CMS coding guidelines compliance and effective revenue cycle operations. You will lead denial management, coordinate offshore/vendor activities, and drive education on CPT/ICD-10-CM/HCPCS coding.

The role focuses on improving documentation integrity, coding accuracy, denial prevention, and collaboration with billing, coding, and clinical teams to maximize reimbursements.

Qualifications

• Bachelor's degree in related field is required.
• 5-7 years of work experience in a related role.
• Certified coding credentials (AAPC/AHIMA) preferred.

Responsibilities

• Lead denial work queues and ensure timely resolution.
• Oversee offshore/vendor denial teams and monitor performance.
• Conduct QA reviews of vendor work for accuracy and compliance.
• Establish KPIs and monitor denial-related metrics.
• Develop strategies to reduce denials and improve first-pass acceptance.
• Provide coding and documentation education to providers and staff.
• Maintain CMS/compliance standards and coordinate with revenue cycle teams.

Skills

Analytical skills

Problem-solving

Interpersonal skills

Verbal/written communication

Organizational skills

Project management

Team development

Documentation and training materials

PC skills (Excel, PowerPoint, Access,-

Education

Bachelor's degree in related field

Certified Professional Coder (AAPC) or Certified Coding Specialist-Physician based (AHIMA)

Tools

Epic PB Resolute/EpicCare

Job description

University of Chicago Physicians Group is seeking a Revenue Integrity Team Lead to ensure CMS coding guidelines compliance and effective revenue cycle operations. You will lead denial management, coordinate offshore/vendor activities, and drive education on CPT/ICD-10-CM/HCPCS coding.

The role focuses on improving documentation integrity, coding accuracy, denial prevention, and collaboration with billing, coding, and clinical teams to maximize reimbursements.