The Revenue Operations Manager will be responsible for enhancing transparency, maintaining relationships, and supporting the education of medical professionals and coders. The individual in this position will work closely with executive leadership to identify and resolve problems related to coding, documentation and/or education. The Revenue Integrity Operations Manager will provide feedback to medical professionals in accordance with medical documentation guidelines as it relates to billing and coding activities. This will include providing extensive education regarding ICD 10 and CPT to coding staff and medical professionals in adherence to regulatory guidelines. The successful individual will demonstrate the ability to work effectively and collaboratively with other internal departments. The Revenue Integrity Operations Manager will also be responsible for coding analysis, feedback and education as needed.
Duties:
Provide effective leadership, coaching, mentoring, training, development, performance evaluations of team members.
Performs Human Resources related functions, such as interviewing and selecting, performance appraisals, disciplinary actions and salary administration to maintain a staff suitable to meet department objectives.
Serve as a coding expert for assigned specialties and stay abreast of specialty society updates regarding procedure and coding trends for assigned areas.
Provide training and education to new and existing coders and medical professionals.
Act as a resource between coders and providers through education around proper documentation of services provided, and explanation of when services are not eligible for separate reimbursement.
Serve as a resource in responding to questions that arise following provider review of Weekly Charges Summary report.
Assist in identifying educational needs based on feedback from revenue cycle teams, coding audits, and weekly charges summary reports.
Required Knowledge/Skills/Abilities
Bachelor's Degree in Business Management or a related field. In lieu of a degree, +8 years of experience is required or one of the combinations of education and experience.
6+ years related work experience.
Requires a CPC or AHIMA coding certification.
Must have 3+years' coding experience and proficiency across a wide range of services.
Minimum of 1 year of direct leadership experience.