UNLV Medicine

Role Description 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. - Managing the coding and RI department staff, distribution of work assignments, and creation and oversight of internal audit plans. - Disseminating and educating on current coding, billing, and documentation guidelines and related changes. - Staying abreast of coding and RI technology. - Establishing charge reconciliation procedures and providing education for providers and revenue cycle management (RCM) staff. 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 poise. - Ability to effectively collaborate with physicians and managerial staff at all levels. 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). Benefits - 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. 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.