Manager - Coding/Reimbursement - Revenue Cycle
: Job Details :

Manager - Coding/Reimbursement - Revenue Cycle

Join to apply for the Manager - Coding/Reimbursement - Revenue Cycle role at Atrium Health

Manager - Coding/Reimbursement - Revenue Cycle

1 day ago Be among the first 25 applicants

Join to apply for the Manager - Coding/Reimbursement - Revenue Cycle role at Atrium Health

Get AI-powered advice on this job and more exclusive features.

Department13265 Enterprise Revenue Cycle - PFS: Medical Necessity

Department13265 Enterprise Revenue Cycle - PFS: Medical NecessityStatusFull timeBenefits EligibleYesHours Per Week40Schedule Details/Additional InformationVariesJob SummaryMonitors and oversees the day to day operations within the department. Accountable for the charge capture and claim resolution portion of the revenue cycle. The Manager must have thorough knowledge of ICD, CPT, and HCPCS coding principles.Essential Functions

• Coaches and develops of supervisory team members.
• Works with leadership team to address provider needs and ensures communication is helpful, effective, and consistent.
• Ensures adherence to all departmental policies.
• Develops, implements, and monitors quality assurance reviews.
• Assesses, implements, and continuously monitors workflow and volumes to ensure workload is balanced among team members.
• Assesses and reacts to workflow changes related to departmental growth.
• Ensures effective communication with both internal and external customers.
• Develops, implements, and monitors a comprehensive training program to include career ladder development. Addresses departmental training needs based on team member performance and quality reviews.
• Conducts quality assurance reviews as needed. Provides education as a result of these reviews.
• Stays abreast and communicates coding changes (i.e. new codes, new technology, payor requirements).
• Monitors key performance indicators (KPIs) to include, but not limited to, denials, AR Trends, edit volumes, and charge lag.
• Participates in strategic planning and design in coding, regulatory, and system changes that impact coding, reimbursement, and compliance.
• Oversight of medical necessity work queues to address CCI, LCD, NCD, MUE, etc. edits prior to claims submission.
• Reviews denials for medical necessity to facilitate department review as needed, add modifiers, and make adjustments per payer policy

Physical RequirementsWorks in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending. Some travel may be required.Education, Experience And CertificationsBachelor's degree or 8 years related experience required. 1-3 years supervisory experience preferred. CPC or coding credential required. Demonstrates professional presence and effective presentation skills.Pay Range$37.50 - $56.25Our Commitment To YouAdvocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• 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

Benefits And More

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

About Advocate HealthAdvocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.Manager - Coding/Reimbursement - Revenue Cycle

Seniority level

• Seniority levelMid-Senior level

Employment type

• Employment typeFull-time

Job function

• Job functionFinance and Sales
• IndustriesHospitals and Health Care

Referrals increase your chances of interviewing at Atrium Health by 2x

Get notified about new Reimbursement Manager jobs in Charlotte, NC.

Field Reimbursement Manager, Migraine (North Carolina Region)Provider Operations Revenue Cycle - Senior Manager

Charlotte, NC $124,000.00-$280,000.00 4 days ago

Business Development Manager- Medical Devices

Gastonia, NC $70,000.00-$90,000.00 1 week ago

Senior Manager, Payer Relations and Market Access

Charlotte, NC $143,900.00-$237,600.00 4 days ago

Charlotte, NC $74,500.00-$145,500.00 1 week ago

Sales Support Manager- Integrated SupplyNorth Carolina Floating Assistant Property Manager

Charlotte, NC $70,600.00-$76,000.00 3 days ago

Sales Support Manager- Integrated SupplyNurse Manager of General Surgery - AH Carolinas Medical Center Operating Room FTEpic Certified Professional Billing Expected Reimbursement Contracts ConsultantWealth Credit Delivery Portfolio Manager II or Senior Portfolio Manager - Medical & Legal SpecialtyProgram Manager Supply Chain Services- RemoteSales Associate / Jewelry Consultant - Zales - Northlake Mall - Charlotte, NCAssistant Store Manager - Zales Outlet - Concord Mills

We're unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

#J-18808-Ljbffr