Revenue Integrity Supervisor - Allied Digestive Health, Llc : Job Details

Join Allied Digestive Health, a leading network of gastroenterology care centers with over 200 providers and 60 locations across New Jersey and New York, as we seek a Full-Time Revenue Integrity Supervisor at our Corporate Office in West Long Branch, NJ. We are a physician-led organization focused on enhancing operational support while prioritizing personalized treatment plans for our patients.

As the Revenue Integrity Supervisor, you will play a vital role in ensuring our revenue cycle processes are compliant and effective. Your responsibilities will include:

• Collaborating with various departments to resolve billing and reimbursement issues.
• Working with leadership to develop and implement process improvements in revenue cycle management.
• Coordinating with health information teams, external vendors, and compliance officers to enhance documentation, coding, and auditing practices.
• Meeting and exceeding departmental revenue targets and coding accuracy metrics.
• Conducting compliance audits and evaluations of medical records to ensure proper documentation and compliance with coding regulations.
• Overseeing coding practices and staying updated on government payer regulations.
• Leading internal audits, corrective action plans, and providing education to staff and providers.
• Developing and maintaining policies and training materials related to charge capture and reconciliation.
• Offering consultative services to senior leadership and staff, assisting with the creation of compliance audit plans.
• Adapting to changes in industry policies and preparing strategies to align with these developments.
• Managing denial and accounts receivable processes related to coding and billing.
• Performing additional duties as needed to meet departmental objectives.

Key Skills:

• Intermediate experience with Accounts Receivable and denial management.
• Fundamental understanding of medical terminology.
• Strong problem-solving and organizational abilities.
• High reliability and accuracy in patient and provider interactions.
• Exceptional verbal and written communication skills.
• Sound judgment in sensitive situations.
• Adaptability to frequent changes and demands in work volume.
• Commitment to confidentiality of sensitive information.
• Capacity to lead and influence others effectively.
• Aptitude for building effective relationships and achieving consensus.
• Skilled in resolving complex issues.
• Ability to formulate long-term strategies for coding and revenue management.

Qualifications:

• AAPC Certified CPC, CPB, CRC or CPT, AHIMA Certified, and ICD coding certifications.
• Bachelor's degree.
• 5+ years of experience in Revenue Cycle, coding, or auditing.
• Experience leading cross-functional teams.
• Background in physician education.
• Proficient in Microsoft Office, especially Word and Excel.
• Experience with PowerPoint presentations.
• Proficiency in analytics.

Supervisory Responsibility: Manage staff and vendor relations.

We provide a competitive salary along with an attractive benefits package, including medical, dental, vision, life insurance, voluntary time-off benefits, an Employee Assistance Program, a 401K plan, and commuter benefits.

Job Type: Full-time