Manager, PB Coding Denials Integrity – Medical Specialties

Emploi pas sur LinkedIn

🕒 il y a 11 jours

🏈 Alabama, Alaska, +31 états de plus – Distant

🏈 Alabama – Remote 🐻 Alaska – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $51 - $76 / heure

⏰ Temps Plein

🟠 Senior

🔴 Expert

👔 Manager

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Advocate Aurora Health

Site WebLinkedInTous les Emplois

10 000+ employés

🏥 Santé

⚕️ Assurance santé

💰 €10 200 000 Grant en 2019-08

Healthcare • Healthcare Insurance

Advocate Aurora Health est une organisation de santé de premier plan opérant dans diverses régions, y compris le centre de Chicagoland, le centre du Wisconsin, le grand Milwaukee, et bien d'autres. Avec une variété de domaines de carrière tels que les cliniciens de pratique avancée, la santé comportementale, les soins infirmiers, et bien plus, Advocate Aurora Health s'engage à aider les gens à vivre bien. L'organisation offre de nombreux avantages et opportunités d'avancement professionnel, favorisant un environnement où les individus peuvent s'épanouir et innover dans le secteur de la santé. Advocate Aurora Health privilégie la sécurité de ses candidats et maintient un processus de recrutement robuste pour protéger les informations sensibles.

Description

• Lead and manage daily operations within the assigned function area • Evaluate processes to improve efficiency, enhance productivity, and support standardized best practices across the Mid-Revenue Cycle • Ensure adherence to regulatory requirements, accreditation standards, and organizational policies • Maintain confidentiality of patient records and report perceived non-compliant practices • Use KPIs to measure effectiveness, track trends, and implement data-driven improvement strategies • Leverage healthcare technology and analytics tools to enhance efficiency and support decision-making • Engage clinical, IT, Compliance, and Revenue Cycle leaders to integrate Mid-Revenue Cycle processes • Build and maintain stakeholder relationships to drive communication, problem-solving, and operational alignment • Manage and develop a team, including hiring, performance evaluations, professional development, training, feedback, and career growth • Lead strategic initiatives, oversee timelines, and drive system enhancements • Support PB Medical Specialties including Laboratory, Pathology, Behavioral Health, Pediatrics development, Allergy and Immunology, Dermatology, Gastroenterology, Hepatology, Infectious Disease, Endocrinology, Nephrology, Rheumatology, Pulmonology, Sleep, VH, MFM, OB/GYN, OB GYN/Repro Endo, and UROGYN • Work Monday through Friday on first shift, 40 hours per week • Travel may be required

🎯 Exigences

• Coding Certification issued by the American Academy of Coders (AAPC) or the American Health Information Management Association (AHIMA) • Relevant industry certification from an approved accrediting body • Bachelor’s degree in health information management, Healthcare Administration, or a related field, or equivalent experience • Minimum 8 years of experience in mid-revenue cycle operations, coding, HIM, or healthcare technology • 2+ years of leadership experience in a large integrated healthcare system • Knowledge of facility coding, professional coding, and HIM operational guidelines and workflows • Understanding of third-party reimbursement programs, state and federal regulatory requirements, national and local coverage decisions, and coding classification systems (ICD-10, CPT, HCPCS) • Ability to organize, compile, and analyze data from various sources • Strong understanding of EHR systems and revenue cycle technology solutions • Proficiency in Microsoft 365, including Teams, SharePoint, Word, Excel, PowerPoint, and Access • Experience optimizing workflows and improving operational effectiveness in a complex healthcare environment • Ability to prioritize business needs and manage resources • Proven ability to manage teams, coach staff, and foster continuous improvement and accountability • Ability to work across multiple departments and within matrix organizational structures • Strong interpersonal and cross-functional communication skills • Ability to identify and solve problems creatively, work within deadlines, and maintain accuracy and attention to detail • Ability to lift up to 40 lbs. occasionally • Ability to operate all equipment necessary to perform the job

🏖️ Avantages

• Benefits Eligible • Premium pay such as shift, on call, and more based on a teammate's job • Incentive pay for select positions • Opportunity for annual increases based on performance • Paid Time Off programs • Medical, dental, vision, life, and Short- and Long-Term Disability benefits • Flexible Spending Accounts for eligible health care and dependent care expenses • Adoption assistance and paid parental leave • Defined contribution retirement plans with employer match • Other financial wellness programs • Educational Assistance Program • Career development programs • Well-being programs