Solaris Health

Solaris Health is a national healthcare platform to enhance access to specialty healthcare and improve patient outcomes.

Coding and Revenue Integrity Manager

ManagerManagerFull TimeRemoteTeam 1,001-5,000Since 2020H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

52 days ago

Salary

Not specified

High School5 yrs expEnglish

Job Description

• The Coding and Revenue Integrity Manager has oversight of the revenue generating and coding processes and outcomes for designated Affiliate(s). • Responsible for maintaining a strategic and leadership role for improving revenue results through oversight of administrative and financial processes to ensure claims are submitted timely and accurately as well as developing a centralized coding and charge reconciliation team to reduce duplication and streamline charge capture and coding functions. • Ensures coding accuracy by facilitating coder education on current and compliant coding guidelines. • Supports the planning, development, and administration of the coding quality assurance function and the designing of a Provider Documentation Education program to provide focused education to clinical and coding resources. • Implements quality measures based on Physician captured charges, coding, and patient care documentation to ensure compliance with pertinent regulations, guidelines, and industry benchmarks. • Establishes routine charge capture and coding audits and creates feedback process to ensure continuous improvement. • Tracks and trends Key Performance Indicators (KPIs) to measure outcomes and document improved performance. • Oversees data analysis, trending, and reporting of opportunities for improvement in the charge capture and documentation functions.

Job Requirements

  • Minimum of five-eight years revenue cycle experience within a physician practice
  • Experience in Urology physician practice environment preferred.
  • CPC, RHIT, CCS, OR CMC coding credentials preferred.
  • Knowledge of medical terminology, Current Procedural Terminology (CPT), International Classification of Disease (ICD) coding, and the entire revenue cycle process.
  • Familiarity with Electronic Health Record (EHR) systems and Microsoft Office applications.
  • Understanding of Medicare, Medicaid, managed care, and third-party payer guidelines.
  • Knowledge of governmental regulations and healthcare compliance requirements.
  • Strong analytical and problem-solving skills with the ability to draw conclusions and make recommendations.
  • Ability to handle multiple tasks and manage competing deadlines with a high level of accuracy and attention to detail.
  • Capable of developing reports and creating professional presentations.
  • Well-organized and able to maintain confidentiality in handling sensitive information.
  • Ability to educate staff members.
  • Self-motivated with a focus on maintaining productivity and efficiency.
  • Ability to work independently and collaboratively across teams and departments.
  • Skill in planning, organizing, delegating, and supervising.
  • Skill in leading team members to carry out all job objectives while inspiring confidence and motivation.
  • Skill in organizing work, tasking assignments, and achieving goals and objectives.
  • Ability to establish and maintain quality control standards.
  • Ability to assume responsibility and exercise authority over assigned work functions.

Benefits

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life Insurance
  • Pet Insurance
  • Health savings account
  • Paid sick time
  • Paid time off
  • Paid holidays
  • Profit sharing
  • Retirement plan

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