Manager, PB Coding Denials Integrity – Medical Specialties

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🔥 0 minutes ago

🏈 Alabama, Alaska, +31 more states – Remote

🏈 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 / hour

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Advocate Aurora Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $10.2M Grant on 2019-08

Healthcare • Healthcare Insurance

Advocate Aurora Health is a leading healthcare organization that operates across various regions including Central Chicagoland, Central Wisconsin, Greater Milwaukee, and more. With a diverse range of career areas such as advanced practice clinicians, behavioral health, nursing, and more, Advocate Aurora Health is committed to helping people live well. The organization offers numerous benefits and opportunities for career advancement, fostering an environment where individuals can thrive and innovate in the healthcare sector. Advocate Aurora Health prioritizes the safety of its candidates and maintains a robust recruitment process to protect sensitive information.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

• 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