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The Manager, Coding and Revenue Integrity, (RI) is responsible for managing all aspects of day-to-day coding operations, coding education, and RI functions. This includes planning, monitoring, updating, and directing all activities pertaining to coding, coding and RI audits, and charge capture. This role will manage the coding and RI department staff, distribution of work assignments, creation and oversight of internal audit plans, disseminate and educate on current coding, billing, and documentation guidelines and related changes, stay abreast of coding and RI technology, establish charge reconciliation procedures and provide education for providers and revenue cycle management (RCM) staff.

Candidates must be legally authorized to work in the United States. Please Note: UNLV Health does not provide employment sponsorships or sponsorship transfers for any positions.

ADVANTAGES OF WORKING FOR UNLV HEALTH

• Office Hours are Monday through Friday, 8AM to 5PM (Actual hours may vary depending on business need)
• 12 Full-Day and 2 Half-Day Paid Holidays per year, starting with your first day of employment
• 22 PTO days per year
• 3% 401K Contribution, even if you do not contribute
• Medical, Dental, and Vision benefits that start the first of the month following your start date
• Pay may be higher than stated range, based on years of experience

MAJOR RESPONSIBILITIES

• Demonstrates through plans and actions the standard of excellence to which all department work is expected, leading, and controlling functional performance, measuring and improving processes, leveraging and automating processes, and continually improving performance.
• Ensure charge capture is maintained and monitored across the organization, including daily charging to allow timely clean claims processing and avoidance of late charges.
• Builds a collaborative team culture and ensures a high level of employee engagement and satisfaction.
• Assist Director with providing operational oversight for all Revenue Integrity functions, including support of clinical departments’ charge capture, coding, and charge reconciliation responsibilities.
• Monitors system reports and monitoring tools to track commercial and government payer denials and appeals related to revenue integrity for both hospital and physician revenue.
• Develops and monitors KPIs related to charging practices and reports metrics to revenue generating department leadership.
• Responsible for interviewing, hiring, staffing, performance management and development of staff.
• Counsels and disciplines employees when necessary in accordance with department and/or organizational policies.
• Participates in audits and appeals with the various insurance carriers. Works closely with Patient Financial Services and Patient Access Departments.
• In addition, all interactions require an exemplary level of communication skills, leadership skills, teamwork skills, problem solving capabilities, project streamlining and planning abilities, and organizational and time management skills. Candidates should fully support UNLV Health’s Mission, Vision and Values.

EDUCATIONAL REQUIREMENTS

• Minimum of Associate’s degree in health information management, medical records administration, health services administration or health sciences, or other related and equivalent experience.
• CPC - Certified Professional Coder (Must have and maintain certification).

QUALIFICATIONS

• Five (5) years professional fee coding experience required. Minimum three (3) years of experience in leadership required. Two (2) years of audit management experience preferred.
• Proficient understanding of revenue cycle operations (front, middle, and back-end revenue cycle).
• Experience in assisting and identifying learning needs as well as providing education and training designed to support a learning organization.
• Strong analytical abilities and problem-solving skills.
• Knowledge of reimbursement methodologies including professional coding and charge issues and the various data elements associated with claim forms required.
• Knowledge of ICD-10 and CPT/HCPS coding guidelines.
• Knowledge of medical terminology, anatomy, and physiology, a basic knowledge of clinical procedures and diseases, understanding of clinical documentation (such as medical or surgical reports and patient charts).
• Maintain strict confidentiality, adhering to all HIPAA guidelines/regulations.
• Ability to work without supervision and communicate effectively with your remote team members.
• Exemplary self-management skills required.
• Excellent verbal and written communication skills required.
• Demonstrated experience with having strong interpersonal communication skills required.
• Prior experience with interpreting and following detailed policies required.
• Demonstrated ability to independently think and make judgments in interpreting.
• Ability to organize and set priorities to ensure objectives are met in a timely manner.
• Ability to adapt to change and handle challenges proactively and with pose.
• Ability to effectively collaborate with physicians and managerial staff at all levels.

PHYSICAL REQUIREMENTS

• May include standing, sitting, and/or walking for extended periods.
• May include performing repetitive tasks.
• May include working on a special schedule (i.e., evenings and weekends with clients).
• May include working with challenging patients and clients.
• May include lifting up to 25 pounds.

UNLV Health will provide equal opportunity employment to all employees and applicants for employment. No person shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or intellectual disability, marital status, parental status, sexual orientation, or any other category protected by law.

If you have any questions about our interview and hiring procedures, please contact Recruitment at healthjobs@medicine.unlv.edu