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This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Job Responsibility:
Lead and manage daily operations within the assigned function area, ensuring alignment with divisional and enterprise-wide goals
Evaluate processes to improve efficiency, enhance productivity, and support standardized best practices across the Mid-Revenue Cycle
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
Utilize key performance indicators (KPIs) to measure effectiveness, track trends, and implement data-driven strategies for improvement
Leverage healthcare technology and analytics tools to enhance efficiency, support decision-making, and drive innovation in Mid-Revenue Cycle processes
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
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
Lead initiatives to improve operational effectiveness, oversee timelines, and drive system enhancements
Requirements:
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
Demonstrated knowledge of facility coding, professional coding, and HIM operational guidelines and workflows
Understanding of third-party reimbursement programs, state and federal regulatory requirements, national and local coverage decisions, and coding classification systems (ICD-10, CPT, HCPCS)
Ability to organize, compile and analyze data from various sources
Strong understanding of EHR systems and other revenue cycle technology solutions
Proficient in Microsoft 365 products, including Teams, SharePoint, Word, Excel, PowerPoint, and Access
Experience in optimizing workflows and improving operational effectiveness within a complex healthcare environment
Proven ability to manage teams, coach staff, and foster a culture of continuous improvement
Strong interpersonal skills with the ability to engage clinicians, finance, IT, and revenue cycle teams
Ability to identify and solve problems creatively, work within deadlines, and maintain a high level of accuracy and attention to detail
Must be able to lift up to 40 lbs. occasionally
Job may require travel
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more
Incentive pay for select positions
Opportunity for annual increases based on performance