
Manager, Mid-Revenue Cycle - HB IP Coding Denials
- Allenton, WI
- Permanent
- Full-time
- Operational Leadership: Lead and manage daily operations within the assigned function area, ensuring alignment with divisional and enterprise-wide goals.
- Operational Efficiency: Evaluate processes to improve efficiency, enhance productivity, and support standardized best practices across the Mid-Revenue Cycle.
- Regulatory Compliance & Confidentiality: Ensure adherence to regulatory requirements, accreditation standards, and organizational policies. Maintain confidentiality of patient records and report any perceived non-compliant practices to leadership or the Compliance Department.
- Performance Monitoring & Reporting: Utilize key performance indicators (KPIs) to measure effectiveness, track trends, and implement data-driven strategies for improvement.
- Technology Utilization: Leverage healthcare technology and analytics tools to enhance efficiency, support decision-making, and drive innovation in Mid-Revenue Cycle processes.
- Collaboration & Stakeholder Engagement: Engage with clinical, IT, Compliance, and Revenue Cycle leaders to integrate Mid-Revenue Cycle processes effectively, ensure regulatory compliance, and promote patient safety. Build and maintain relationships with key stakeholders to drive communication, problem-solving, and operational alignment.
- Team Leadership & Development: Manage and develop a team of professionals by performing human resource functions such as hiring, performance evaluations, and professional development. Provide training, feedback, and career growth opportunities to foster a high-performing and financially responsible workforce.
- Strategic Initiatives & Execution: Lead initiatives to improve operational effectiveness, oversee timelines, and drive system enhancements.
- Relevant industry certification from an approved accrediting body.
- Bachelor’s degree in health information management, Healthcare Administration, or a related field, or equivalent experience.
- Minimum 8 years of experience in mid-revenue cycle operations, coding, HIM, or healthcare technology, including 2+ years of leadership experience in a large integrated healthcare system.
- Mid-Revenue Cycle Expertise: Demonstrated knowledge of facility coding, professional coding, and HIM operational guidelines and workflows necessary to scope of work. Understanding of third-party reimbursement programs, state and federal regulatory requirements, national and local coverage decisions, and coding classification systems (ICD-10, CPT, HCPCS).
- Financial & Data Analysis: Ability to organize, compile and analyze data from various sources in order to detect patterns, and identify areas for improvement.
- Technology & Systems Proficiency: Strong understanding of EHR systems and other revenue cycle technology solutions. Proficient in Microsoft 365 products, including Teams, SharePoint, Word, Excel, PowerPoint, and Access.
- Process Improvement & Standardization: Experience in optimizing workflows and improving operational effectiveness within a complex healthcare environment. Skilled in prioritizing business needs and resource management to develop efficient and scalable processes.
- Leadership & Team Development: Proven ability to manage teams, coach staff, and foster a culture of continuous improvement and accountability. Ability to work effectively across multiple departments and within matrix organizational structures.
- Collaboration & Cross-Functional Communication: Strong interpersonal skills with the ability to engage clinicians, finance, IT, and revenue cycle teams to align goals, facilitate integration, and drive strategic initiatives.
- Problem-Solving & Attention to Detail: Ability to identify and solve problems creatively, work within deadlines, and maintain a high level of accuracy and attention to detail.
- Exposed to normal office environment.
- Job may require travel, therefore, may be exposed to road and weather hazards.
- Must be able to lift up to 40 lbs. occasionally.
- Sits the majority of the workday, but also may lift, reach, and bend throughout the day.
- Operates all equipment necessary to perform the job.