Assistant Director RCO Account Receivable CM Coding RI
About The Position
The Assistant Director Pre-AR, Claims Management, Coding and Revenue Integrity Edits is responsible for overseeing pre-account receivable workflows, claim management edits, coding edits, and revenue integrity edits to optimize the revenue cycle performance. This position ensures compliance with regulatory standards, identifies process improvement opportunities, and collaborates with key stakeholders to reduce denials, streamline operations, and enhance revenue integrity. Lead initiatives to ensure proper charge capture and accurate billing practices. Collaborate with revenue integrity teams to identify and resolve systemic issues impacting revenue. Conduct regular reviews to assess compliance with organizational and payer requirements. Foster a culture of accountability, excellence, and continuous improvement. Serve as a liaison between the revenue cycle team and other organizational departments.
Requirements
- High School Diploma or GED Certification
- Certified Professional Coder (CPC) or Certified Coding Specialist - Physician (CCS-P) or Certified Medical Auditor (CPMA)
- Minimum of ten (10) years of experience in revenue cycle management
- Two (2) years of leadership experience
- Experience focused on pre-account receivable processes, claim management, coding, and revenue integrity
- Experience leading teams of revenue cycle professionals
Nice To Haves
- Degree may be substituted for years of experience: Associates - two (2) years; Bachelors - four (4) years.
Responsibilities
- Overseeing pre-account receivable workflows, claim management edits, coding edits, and revenue integrity edits to optimize the revenue cycle performance.
- Ensuring compliance with regulatory standards.
- Identifying process improvement opportunities.
- Collaborating with key stakeholders to reduce denials, streamline operations, and enhance revenue integrity.
- Leading initiatives to ensure proper charge capture and accurate billing practices.
- Collaborating with revenue integrity teams to identify and resolve systemic issues impacting revenue.
- Conducting regular reviews to assess compliance with organizational and payer requirements.
- Fostering a culture of accountability, excellence, and continuous improvement.
- Serving as a liaison between the revenue cycle team and other organizational departments.
- Providing mentorship, training, and performance evaluations.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
High school or GED
