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Lana Funkhouser with Robert Half is looking for a skilled Revenue Cycle Manager to oversee and enhance the financial health of our organization in Emmett, Idaho. This role involves leading all aspects of revenue cycle operations, ensuring compliance with regulatory standards, and implementing strategies to improve efficiency and accuracy in billing and coding. The ideal candidate will bring strong expertise in healthcare revenue management and a proven ability to drive results through collaboration and innovation.
Job Responsibility:
Develop and execute strategic plans for the Revenue Cycle team, setting clear goals and objectives
Provide expert oversight on CPT and ICD-10 coding, while preparing for the transition to ICD-11 standards
Manage the Chargemaster, ensuring timely updates and accurate coding for all services to support proper billing
Utilize quality improvement tools to monitor billing accuracy, identify concerns, and implement corrective actions
Deliver training to providers and staff on updates to coding and billing practices, particularly for Critical Access Hospitals
Ensure compliance with privacy standards, the No Surprises Act, Hospital Price Transparency Rule, and other federal and state regulations
Build and maintain strong relationships with insurance companies to address issues affecting cash flow, such as claim denials or policy changes
Drive revenue integrity by optimizing charge capture, reimbursement processes, patient collections, and minimizing bad debt
Regularly evaluate team performance, ensuring goals are met and providing feedback for continuous improvement
Act as the subject matter expert on revenue cycle operations, advising leadership on payer relations and regulatory changes
Requirements:
Proven experience in healthcare revenue cycle management, including billing, coding, and compliance
Strong knowledge of CPT, ICD-10, and upcoming ICD-11 coding standards
Familiarity with federal and state billing regulations, including the No Surprises Act and Hospital Price Transparency Rule
Expertise in accounts receivable (AR) management and revenue recognition accounting
Demonstrated ability to analyze data and use quality improvement tools to enhance operational efficiency
Excellent communication and leadership skills to train staff and collaborate with cross-functional teams
Proficiency in using technology and automation to streamline revenue cycle processes
Strong problem-solving skills, with a focus on resolving issues that impact cash flow or reimbursement rates
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