Revenue Cycle Healthcare Manager

The Associate Director will provide strategy and management oversight to Faculty Practice Operation functions that contribute to the charge capture, edit resolution, reporting, and collection of patient service revenue. The incumbent will be directly responsible for the strategic planning, financial management, operations, and compliance of the team dedicated to managing the FPO revenue management services of designated departments.

Responsibilities include supervision of 15 FTE within the departments' units as well as collaboration with departmental resources affiliated with the billing processes. Associate Director will oversee Revenue Managers responsible for hiring, reassigning and other performance management duties, and/or provide direct management oversight for unit personnel as appropriate or when revenue managers are unavailable.

The incumbent should be familiar with all applicable federal and local billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff.

The incumbent will also serve to oversee compliant professional fee billing to include maintaining a compliance manual or website of resources for the team, conducting service audits, and providing written reports to the Medical Center compliance office, department chair, and department directors.

The Associate Director will work with appropriate centralized and departmental staff to ensure that the practices overseen engage in regular compliance education for appropriate physicians, residents, fellows and administrative staff. Appropriate reporting to Departmental Chairs, Health System management, and department management personnel will include financial, compliance, and process related items as appropriate or requested.

The Associate Director will collaborate with peers and others in the FPO to optimize revenue management performance across systems, share best practices, and achieve organizational objectives.

The Associate Director will provide strategy and management oversight to Faculty Practice Operation functions that contribute to the charge capture, edit resolution, reporting, and collection of patient service revenue. The incumbent will be directly responsible for the strategic planning, financial management, operations, and compliance of the team dedicated to managing the FPO revenue management services of designated departments.

Responsibilities include supervision of 15 FTE within the departments' units as well as collaboration with departmental resources affiliated with the billing processes. Associate Director will oversee Revenue Managers responsible for hiring, reassigning and other performance management duties, and/or provide direct management oversight for unit personnel as appropriate or when revenue managers are unavailable.

The incumbent should be familiar with all applicable federal and local billing and coding regulations and be able to effectively communicate these regulations to all levels of faculty, management and staff.

The incumbent will also serve to oversee compliant professional fee billing to include maintaining a compliance manual or website of resources for the team, conducting service audits, and providing written reports to the Medical Center compliance office, department chair, and department directors.

The Associate Director will work with appropriate centralized and departmental staff to ensure that the practices overseen engage in regular compliance education for appropriate physicians, residents, fellows and administrative staff. Appropriate reporting to Departmental Chairs, Health System management, and department management personnel will include financial, compliance, and process related items as appropriate or requested.

The Associate Director will collaborate with peers and others in the FPO to optimize revenue management performance across systems, share best practices, and achieve organizational objectives.

Required Qualifications:

• Bachelor's degree.
• Seven years or more of management experience in healthcare.
• Physician Coding experience to include in depth knowledge of ICD 10 CM, CPT, and HCPCS codes, including modifier application and global surgery rules.
• Excellent verbal and written communication skills.
• Advanced ability to select correct E/M levels based on medical necessity, MDM, and time requirements.
• Proficiency with electronic health record systems, coding platforms, and billing tools.
• Capacity to design and optimize coding workflows, reduce denials, and improve reimbursement rates.
• Oversee coding projects, timelines, and quality assurance processes.
• Experience using Epic.
• Experience and knowledge of bargaining units.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Professional (RHIP).
  

Preferred Qualifications:

• Attention to detail.
• Organizational skills.

Regulatory knowledge.

Required Qualifications:

• Bachelor's degree.
• Seven years or more of management experience in healthcare.
• Physician Coding experience to include in depth knowledge of ICD 10 CM, CPT, and HCPCS codes, including modifier application and global surgery rules.
• Excellent verbal and written communication skills.
• Advanced ability to select correct E/M levels based on medical necessity, MDM, and time requirements.
• Proficiency with electronic health record systems, coding platforms, and billing tools.
• Capacity to design and optimize coding workflows, reduce denials, and improve reimbursement rates.
• Oversee coding projects, timelines, and quality assurance processes.
• Experience using Epic.
• Experience and knowledge of bargaining units.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Professional (RHIP).
  

Preferred Qualifications:

• Attention to detail.
• Organizational skills.

Regulatory knowledge.