Senior R1 Rcm Medical Coding Jobs in Irvine, CA (NOW HIRING)

McKinley: Youth, Family, and Community are what we are all about! We offer a great working environment and benefits package! McKinley encourages growth so that you can Be your Best H.U.M.A.N.

At McKinley employees share a set of guiding principles: We embrace a culture that is Hopeful, Understanding, Moral, Awesome, Nurturing. - H.U.M.A.N.

The Company: McKinley is a highly respected welfare organization with a comprehensive array of programs and services which touch nearly 1,800 lives annually including short term residential treatment program (STRTP), Foster Care, Adoptions, Mental Health Services, and Special Education. McKinley has 5 locations throughout southern California with our main campus located in San Dimas. We embrace a culture that is H.U.M.A.N.- Hopeful, Understanding, Moral, Awesome, Nurturing. McKinley has created a Hopeful environment, in which we choose optimism in finding the motivation to achieve our greatest dreams. We are a team dedicated to Understanding individual needs and do so by listening and embracing each individuals stories. We strongly embrace our agencys Morals by treating everyone with kindness and respect. At McKinley, we acknowledge our team members and clients Awesome qualities by celebrating what makes each individual unique. We are dedicated to Nurturing a Trauma-Informed Integrated Care approach that has created a unique culture within the organization. We celebrate diversity by our commitment to cultivating an inclusive and affirming environment for all.

The Position: The Director of Revenue Cycle Management (RCM) oversees county behavioral health billing and revenue cycle operations to ensure compliance with Medi-Cal, DHCS, County, State, Federal, and HIPAA Rules and Regulations. This position manages billing staff, ensures accurate and timely claims submission, oversees denial and appeal processes, and works closely with the VP of Compliance and Billing and Senior Leadership to support accurate revenue reporting and regulatory compliance.

Compensation and Benefits:

The pay range were offering is $80,000 - $90,000 annually, depending (Based) on experience.

Our people are the heart of our organization, which is why we offer robust benefits to support your health and wellness as well as your personal and financial well-being.

• Medical, Dental, and Vision Insurance
• Life Insurance
• Flexible Spending Account
• Paid Time Off
• Sick Time
• Paid Holidays
• 403(b) retirement plan with company match up to 3%
• Employee Assistance Program
• Tuition Reimbursement
• Employee Referral Bonus
• Credit Union Membership
• Training Opportunities to Further Personal and Professional Growth

EDUCATION/EXPERIENCE:

• Bachelors degree in Healthcare Administration, Business Administration, Finance, or a related field preferred
• Experience in Behavioral Health or County Billing and Revenue Cycle Management
• 5+ years in Supervisory or Management Experience
• Strong knowledge of Medi-Cal Eligibility and Claims Processing
• Experience with County Billing Operations, including denials, violations, and appeals
• Knowledge of DHCS State Procedure Codes, Modifiers and Staff Taxonomy Codes
• Working knowledge of HIPAA Rules and Regulations related to billing, privacy, and data security
• Experience with EDI transactions and claim batching

COMPUTER/OFFICE SKILLS:

• Advanced proficiency in Microsoft Excel (tracking, reconciliation, and reporting)
• Working knowledge of Microsoft Access or similar database tools
• Experience with County EHR systems, including IBHIS
• Preferred knowledge of Welligent EHR
• Strong analytical, tracking, and reporting skills
• Excellent written and verbal communication skills
• Ability to manage complex billing, compliance, and regulatory requirements
• Ability to represent the agency professionally and appropriately with internal and external county and state partners

PHYSICAL SKILLS REQUIRED:

• Must pass pre-employment physical exam, TB and drug screening
• Ability to commute to various sites on and off campus

CLEARANCES REQUIRED:

• DOJ, FBI, Child Abuse Index
• Insurability Under Corporate Automobile Insurance

DESCRIPTION OF DUTIES:

• Review program and clinical documentation for compliance with HIPAA, regulatory, county, and agency billing requirements, including DHCS procedure and taxonomy codes
• Assist service delivery and clinical staff with correcting billing violations, documentation deficiencies, and EHR billing errors
• Monitor, correct, and rebill denied claims
• Ensure accuracy of billing records, procedure codes, rates, and invoices
• Submit and manage electronic billing through county EHR systems, including Welligent, using EDI and EFT platforms
• Track and review EDI/EFT data (e.g., 835s, 837s) to monitor claim status and payments
• Develop and maintain billing and funding tracking systems
• Perform monthly billing reconciliation and resolve billing and invoice variances
• Ensure manual county billing is entered, submitted, and processed on time
• Identify training needs and provide training and oversight to billing staff
• Participate in required State and County quality or compliance meetings
• Report documentation and compliance concerns to the VP of Contract Compliance and Billing
• Collaborate with executive leadership and clinical teams to ensure billing accuracy and a high standard of care
• Supervise Billing Staff
• Other related duties as needed.

Why Should You Apply?

• Our Mission- work for an organization that makes a real difference in peoples lives
• Competitive pay
• Several benefit options
• Employee tuition reimbursement
• Great training for staff

Join McKinley to Be Your Best H.U.M.A.N.