Assistant Manager Revenue Integrity

OrthoNebraska • Omaha, NE

1d

About The Position

The Assistant Manager Revenue Integrity helps ensure accurate, compliant, and optimized revenue capture across OrthoNebraska’s inpatient, outpatient, and ambulatory services. The role directly oversees the coding team and works closely with clinical departments, compliance, and revenue cycle leaders to support accurate documentation, coding integrity, and timely charge capture. The assistant manager supports the Manager of Revenue Integrity with initiatives involving charge capture optimization, denial prevention, education, and documentation improvement.

The position provides day-to-day leadership and professional development support for the medical coding team, oversees coding- and documentation-related denial management, and helps develop policies, procedures, and internal controls. It also supports coding education and clinical documentation improvement initiatives, participates in Charge Description Master reviews, audits charge capture and coding workflows, analyzes revenue integrity reports, and assists with payer audits and reimbursement reviews. The role collaborates with IT, Compliance, and Revenue Cycle teams on system changes affecting coding and reimbursement workflows.

Candidates must be able to pass a background check. Employment offers are contingent on successfully completing a pre-employment physical with drug screen, a background check, and obtaining active licensures required for the job.

Requirements

• Must be able to pass a background check.
• Must successfully complete a pre-employment physical with drug screen and background check as a condition of an offer.
• Must obtain active licensures required for the job.

Responsibilities

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

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed