Assistant Manager-Billing, Coding and Denials

Blue Mountain Hospital•Blanding, UT

About The Position

The Revenue Cycle Assistant Manager supports the Director Of Revenue Cycle in overseeing Billing, Coding, Health Information Management (HIM), and Denials Management. This role ensures accurate coding, compliant documentation, timely claims submission, effective denial resolution, and optimized reimbursement in a Critical Access Hospital (CAH) environment. The Assistant Manager serves as a working leader and staff advocate, providing guidance, mentoring, and support to revenue cycle team members. This role monitors performance metrics, assists with process improvements, addresses staff needs, and ensures revenue integrity while maintaining compliance with Medicare, Medicaid, PRC, and commercial payer regulations.

Requirements

Active AAPC certification (CPC, CPB, CPPM, or specialty credential) or Associate degree in a Healthcare related field.
Minimum two years of experience in hospital revenue cycle operations.
Experience in hospital billing, coding, health information management, or denials management

Nice To Haves

Experience in a Critical Access Hospital
Knowledge of Medicare cost-based reimbursement methodologies
Knowledge of Purchased/Referred Care (PRC) programs
Additional certification such as CCS, RHIT, RHIA, or CRCR
Prior supervisory or lead experience

Responsibilities

Oversee hospital and professional billing processes to ensure timely and accurate claim submission.
Monitor accounts receivable performance, aged AR, and clean claim rates.
Ensure compliance with Medicare, Medicaid, commercial, and secondary payer requirements.
Assist with payer enrollment, billing edits, and system optimization.
Provide oversight of inpatient, outpatient, swing bed, and professional coding functions.
Ensure accurate assignment of ICD-10-CM, CPT, HCPCS, and revenue codes.
Monitor DNFB and coordinate timely chart completion and coding workflows.
Collaborate with providers to improve documentation accuracy and reduce medical necessity denials.
Support audit response and coding compliance initiatives.
Oversee medical records workflows including chart completion, record retention, release of information, and scanning/indexing processes.
Ensure compliance with HIPAA and state/federal record retention requirements.
Maintain data integrity within the electronic health record (EHR).
Support chart audits and regulatory readiness activities.
Lead denial tracking, trending, and root cause analysis efforts.
Develop and implement corrective action plans to reduce avoidable denials.
Coordinate appeals processes and monitor appeal success rates.
Collaborate with clinical departments to address documentation gaps impacting reimbursement.
Support denial prevention initiatives through staff education and workflow improvements.
Provide daily operational guidance and supervision to Billing, Coding, HIM, and Denials staff.
Assist with hiring, onboarding, cross-training, and performance evaluations.
Maintain updated policies and procedures.
Promote a culture of accountability, collaboration, and continuous improvement.