Manager, Mid Revenue Cycle – Hospital Based Inpatient Coding Denials

This is a fully remote position, open to applicants in Wisconsin.

📋 Description

• Oversee and direct daily operations within the designated functional area.

• Assess processes to enhance efficiency, productivity, and implement standardized best practices across the Mid-Revenue Cycle.

• Ensure adherence to regulatory obligations, accreditation criteria, and organizational policies.

• Safeguard the confidentiality of patient records and report any observed non-compliance issues.

• Utilize KPIs to evaluate effectiveness, monitor trends, and execute data-driven enhancements.

• Employ healthcare technology and analytical tools to boost efficiency and inform decision-making.

• Collaborate with leaders in clinical, IT, Compliance, and Revenue Cycle sectors.

• Cultivate stakeholder relationships to facilitate communication, problem-solving, and operational coherence.

• Manage and mentor a team, including hiring, performance assessments, training, feedback, and professional growth.

• Spearhead strategic initiatives, oversee timelines, and promote system improvements.

• Work Monday through Friday during the first shift, totaling 40 hours per week.

• Execute other related tasks as necessary.

⛳️ Requirements

• Preferred experience in Hospital Based INPATIENT Coding and Denials.

• RHIA certification is desirable.

• Coding Certification from AAPC or AHIMA is required.

• Bachelor’s degree in health information management, Healthcare Administration, or a related discipline, or equivalent experience.

• At least 8 years of experience in mid-revenue cycle operations, coding, or HIM.

• A minimum of 2 years of leadership experience in a large integrated healthcare system.

• Familiarity with facility coding, professional coding, and HIM operational guidelines and workflows.

• Understanding of third-party reimbursement processes, state and federal regulatory requirements, national and local coverage determinations, and ICD-10, CPT, and HCPCS coding.

• Capability to organize, compile, and analyze data effectively.

• Strong knowledge of EHR systems and revenue cycle technology solutions.

• Proficiency in Microsoft 365, including Teams, SharePoint, Word, Excel, PowerPoint, and Access.

• Experience in optimizing workflows within a complex healthcare setting.

• Ability to prioritize business needs and manage resources effectively.

• Competence in team management, staff coaching, and promoting continuous improvement and accountability.

• Ability to collaborate across departments and navigate within matrix organizational structures.

• Excellent interpersonal and cross-functional communication abilities.

• Strong problem-solving skills, ability to manage deadlines, and attention to accuracy and detail.

• Must be capable of lifting up to 40 lbs. occasionally.

• Ability to operate all necessary equipment for job performance.

🏝️ Benefits

• Comprehensive Total Rewards benefits and well-being initiatives.

• Competitive salary.

• Generous retirement plans.

• Opportunities for career development.

• Premium compensation such as shift and on-call pay.

• Incentive pay available for select roles.

• Potential for annual raises based on performance.

• Paid Time Off programs.

• Medical, dental, vision, life, and Short- and Long-Term Disability coverage.

• Flexible Spending Accounts for qualified healthcare and dependent care expenses.

• Adoption assistance provided.

• Paid parental leave offered.

• Defined contribution retirement plans with employer matching.

• Financial wellness initiatives.

• Educational Assistance Program available.