Assistant Manager Revenue Integrity

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today!

Position Summary

The Assistant Manager Revenue Integrity plays a critical role in ensuring accurate, compliant, and optimized revenue capture across OrthoNebraska’s inpatient, outpatient, and ambulatory services. This position directly oversees the coding team and collaborates closely with clinical departments, compliance, and revenue cycle leaders to ensure accurate documentation, coding integrity, and timely charge capture. The assistant manager supports the Manager of Revenue Integrity in advancing initiatives related to charge capture optimization, denial prevention, education, and documentation improvement.

Knowledge/Skills/Abilities

There was no information available at the time of this data load.

Essential Job Functions

• Provide day-to-day leadership for the medical coding team, ensuring accuracy, productivity, and adherence to regulatory and organizational standards.
• Deliver ongoing coaching, feedback, and support for professional development, while promoting a culture of accountability and continuous improvement.
• Oversee denial management processes related to coding and documentation, collaborating with internal teams to identify trends, reduce preventable denials, and support timely appeals.
• Support the development and execution of policies, procedures, and internal controls that enhance revenue integrity and mitigate compliance risk.
• Lead implementation and reinforcement of coding education and clinical documentation improvement (CDI) initiatives, using audit feedback and performance data to guide education efforts.
• Participate in Charge Description Master (CDM) reviews and updates, ensuring coding accuracy and alignment with current payer and regulatory requirements.
• Review and audit charge capture, coding, and documentation workflows to proactively identify revenue leakage, overpayments, underpayments, or compliance concerns.
• Generate and analyze revenue integrity reports (e.g., late charges, denials, and coding variances), and recommend process improvements based on data findings.
• Participate in payer audits and internal reviews, ensuring that documentation supports accurate reimbursement in alignment with payer policies.
• Monitor payer reimbursement activity, and work closely with the Manager of Revenue Integrity to ensure payments align with contracted terms.
• Facilitate and support the team responsible for resolving underpayments, overpayments, and payer variances, ensuring issues are escalated and addressed in a timely and compliant manner.
• Collaborate with IT, Compliance, and Revenue Cycle teams on system optimizations or upgrades that impact coding and reimbursement workflows.
• Perform other duties as assigned.
  
  

Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.