This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Billing Integrity Manager is responsible for overseeing the accuracy, compliance, and overall quality of the organization’s billing processes. This role ensures that claims are submitted correctly, payer guidelines are followed, and revenue cycle workflows maintain the highest level of integrity and efficiency. The Billing Integrity Manager works closely with billing teams, coding specialists, and operations leadership to: - Identify errors - Improve processes - Reduce denials - Maintain compliance with payer and regulatory requirements Qualifications - Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred - 5+ years of experience in medical billing, revenue cycle management, or healthcare finance - 2+ years of leadership or supervisory experience preferred - Strong knowledge of: - Medical billing processes - Claims submission and denial management - Insurance payer guidelines - Revenue cycle workflows - Experience with EHR/EMR and billing systems - Strong analytical and problem-solving skills - Ability to identify trends and implement process improvements Requirements - Experience with neurology, behavioral health, or specialty care billing preferred - Certifications such as: - CPB (Certified Professional Biller) - CPC (Certified Professional Coder) - CRCR (Certified Revenue Cycle Representative) Benefits - Competitive salary - Remote work environment - Opportunities for growth within the revenue cycle leadership team - Continuing education and professional development support

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This is a remote position to candidates within the UnityPoint Health geographical blueprint. Shift: Monday - Friday | 8:00 AM - 5:00 PM Ensures accurate and compliant billing for patient accounts and rental equipment by thoroughly reviewing documentation and account details on an ongoing basis. Serves as a quality assurance resource for the Home Medical Equipment Department, helping maintain high standards in billing practices. Manages and verifies all required documentation to support timely and accurate insurance billing for equipment and supplies, contributing to efficient operations and optimal reimbursement. Responsibilities - Reviews all paperwork for accuracy, noting any missing or incomplete data and forwarding to appropriate person for completion when necessary. - Confirms delivery tickets on a daily basis. Tickets must be entered into system on a timely, consistent manner to allow for prompt payments after money is booked to the system. - Works the Billing Review queue on a daily basis. - Reviews all documentation to identify any qualification issues. - Communicates identified problems to appropriate staff to assure follow up is completed to expedite claims and ensure timely and accurate payment. Qualifications - High school or vocational school graduate or an equivalent combination of education and experience. - Strong interpersonal skills. - Strong verbal and written communication skills. - Ability to work as a collaborative team member. - Ability to understand and apply guidelines, policies and procedures. - Use of usual and customary equipment used to perform essential functions of the position. Benefits - Paid time off, parental leave, 401K matching and an employee recognition program. - Dental and health insurance, paid holidays, short and long-term disability and more. - Pet insurance for your four-legged family members. - Early access to earned wages with Daily Pay. - Tuition reimbursement to help further your career. - Adoption assistance to help you grow your family. Company Description At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. We believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Assign appropriate codes for all patient types and provider clinics, including consulting with physicians and clinical staff for appropriate coding of difficult cases and code assignments. This position is PRN or as needed. Eligible for 16% PRN Differential. - Attention to Detail: Verifies patient information to identify any documentation vs. report discrepancies and ensures codes and other abstracted data are accurately applied to appropriate patient’s account/encounter. - Coding and Abstracting: Primarily codes outpatient encounters. Applies codes to conditions and procedures documented in the medical records to provide information for financial reimbursement and data collection, converts interpreted data into appropriate code numbers. - Quality Control: Recognizes and reports unusual circumstances and/or information with possible risk factors to appropriate risk management and HIM Manager. Reports problems, errors, and discrepancies in dictation and patient records to HIM Manager. While reviewing the record for coding purposes, serves as quality reviewer of scanned documents. Identifies mis-scans and poorly scanned documents and reports them to HIM Director. - Quality/Quantity: Meets coding quality and quantity expectations of 95% or higher. - Collaboration: Collaborates with others in the organization including the Quality Department, Medical Staff, other clinicians, and physician office staffs; and with Patient Financial Services to ensure the codes submitted for claims are supported by the documentation in the record. - Communication: Excellent written and oral communication skills and the ability to work independently with minimal supervision required. Legible penmanship required. - Constant Learner: Attends all required in-services and coder meetings. Identifies and attends training and educational programs conducive to professional growth. Utilizes current literature and workshops attended to the benefit of Vail Health. New ideas, policies, regulations, and philosophies are adapted to current policies and procedures appropriately. - Vail Health Supporter: Supports the philosophy, objectives, and goals of VH and the HIM department by volunteering in various capacities without compromising performance expectations. Role models the principles of a Just Culture and VH Values. - HIM Department Supporter: Contributes to the efficiency of the HIM department. Routinely volunteers to assist others when their work is completed. - Ethics: Routinely abides by standards of professional and ethical conduct as defined by CMS, AHIMA, and the professional organization from which the incumbent is certified and/or credentialed. - Compliance: Understands and complies with policies and procedures related to medicolegal matters including confidentiality, amendment of medical records, release of information, patient rights, medical records as legal evidence, informed consent, etc. Is knowledgeable of and complies with Vail Health HIPAA, Safety and Compliance Program Policies and Procedures. - Other Duties: Perform other duties as assigned. Qualifications - One year of experience coding outpatient hospital accounts and/or Profee preferred. Requirements - License(s): N/A - Certification(s): One of the following is required: - Registered Health Information Technician (RHIT) by the American Health Information Management Association (AHIMA) - Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA) - Certified Coding Specialist (CCS) by American Health Information Management Association (AHIMA) - Certified Coding Specialist - Physician-based (CCS-P) by American Health Information Management Association (AHIMA) - Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) Benefits - Pay is based upon relevant education and experience per hour. - Hourly Pay: $22.10 — $29.52 USD

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