Revenue Cycle Manager

University of Iowa Health Care is recognized as one of the best hospitals in the United States and is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives. ®

University of Iowa Health Care, Department of Health Information Management, Coding and Abstracting Division is seeking an individual to join our team as a full-time Inpatient Coding Manager (Revenue Cycle Manager) - Remote Eligible to manage systems and operations for efficient and accurate coding of inpatient electronic health information.

Classification Title: Revenue Cycle Manager

Department: Health Information Management

University Pay Grade: 5B Professional and Scientific Pay Structures | University Human Resources - The University of Iowa

Annual Salary: $67,330 to Commensurate

Percent of Time: 100%, 40 hours per week

Staff Type: Professional & Scientific

Work Schedule: Monday through Friday, hours between 8 am and 5 pm with 1 hour unpaid lunch.

Location: Hospital Support Services Building (HSSB), 3281 Ridgeway Drive, Coralville, IA 52241

Benefits Highlights:

• https://hr.uiowa.edu/benefits

• Regular salaried position located in Coralville, Iowa

• Fringe benefit package including paid vacation; sick leave; health, dental, life and disability insurance options; and generous employer contributions into retirement plans.

For questions or additional information, please contact Marian Biggins at marian-biggins@uiowa.edu

For application questions, please contact: TA-Support@uiowa.edu

Successful candidates will be subject to a criminal background check. The University of Iowa is an equal opportunity/affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, religion, associational preference, status as a qualified individual with a disability, or status as a protected veteran. The University also affirms its commitment to providing equal opportunities and equal access to University facilities. For additional information contact the Office of Equal Opportunity and Diversity, (319) 335-0705.

Position and Application Details:

In order to be considered for an interview, applicants must upload a resume and cover letter and mark them as a "Relevant File" to the submission. Job openings are posted for a minimum of 14 calendar days. This job may be removed from posting and filled any time after the minimum posting period has ended.

Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and education/credential verification. Up to 5 professional references will be requested at a later step in the recruitment process.

For questions or additional information, please contact Marian Biggins at marian-biggins@uiowa.edu

Applicant Resource Center - Need help submitting an application or accepting an offer? Support is available. The Applicant Resource Center is now open in the Fountain Lobby at the Main Hospital. Hours: Tuesdays & Thursdays 2:00pm - 4:00pm, Or by appointment. Contact TAHealthCareSupport@healthcare.uiowa.edu to schedule a time to visit.

Position Responsibilities:

• Manage systems and operations for efficient and accurate coding of inpatient electronic health information

• Monitor ICD-10-CM/PCS code assignments and data entry for appropriate reimbursement through inpatient prospective payment systems (MS-DRGs and APR-DRGs)

• Serve as a liaison and coordinator for special projects regarding inpatient facility coding

This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either on-site or virtually from the Health Care Support Services building (HSSB) at a length determined by the supervisor. Remote eligibility will be evaluated upon satisfactory training. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location .

Key Areas of Responsibilities:

Patient Revenue Management - Serve as a technical expert for the inpatient facility coding division. Ensure the accuracy of the coding of diagnoses and procedures and the timeliness of entry to Epic billing system. Collaborate with various UI Health Care operational leaders to achieve departmental and organizational goals, to ensure financial metrics are met. Recommend operational or policy improvements.

Operations and Performance Standards - Develop and communicate daily priorities for staff, monitor accounts with unresolved issues, and make suggestions for modifications to the HIM Associate Director. Analyze new payor regulations and develop processes to address changes. Assess and assist in planning technology to support operational needs and efficiency. Monitor performance to assure compliance with policies and procedures and billing rules. Maintain detailed records of all audits conducted, the results, recommendations, and follow-up to assure necessary resolution.

Reporting - Create and analyze reports to improve operations and recommend enhancements to financial operations that affect reimbursement. Summarize and interpret results of analysis.

Communication/Training - Serve as technical expert and liaison for the inpatient facility coding with internal and external constituents to address and resolve issues and improve operations. Train inpatient coders and monitor performance to assure accurate and compliant coding. Represent the University on various internal and external committees, commissions, agencies, and/or associations. Serve as liaison to establish communication for planning purposes with related organizational units to maximize revenue cycle operations.

Human Resources Management - Hire, develop, and manage the performance of staff; assure staff are compliant with UI policies and procedures. Strategically plan, organize, implement, and re-evaluate processes to keep staff engaged and compliant with coding guidelines to meet department and organizational goals and policies.

Financial Management - Recommend staffing levels and coding related software purchases.

Required Education:

A Bachelor's degree in Health Information Management or related field or an equivalent combination of education and direct coding experience is required.

Required Certification:

Requires Health Information Management certification such as RHIA or RHIT or coding certification (CCS, CCA or CPC, etc.) through a nationally recognized credentialing body (AHIMA or AAPC).

Required Qualifications:

• 5-7 years supervisory/management experience within a hospital or medical setting

• 3-5 years medical coding and abstracting experience, including CPT & ICD-10

• 3-5 years of experience working with electronic health records

• Knowledge and experience with MS-DRG and APR-DRG Grouping software

• Knowledge and experience utilizing Encoder/Analyzer software

• Knowledge and experience with third party review and appeal process

• Knowledge of medical terminology

• Knowledge of anatomy and physiology

• Knowledge, understanding and experience with CMS regulations, standards of TJC and other accrediting bodies and medical record documentation requirements.

• Proficient in computer software applications (i.e. Microsoft Office Suite)

• Excellent interpersonal verbal and written communication skills required for interactions with physicians, nursing staff and other hospital personnel.

• Excellent analytical ability to develop and analyze data to recommend solutions and solve complex problems.

Desired Qualifications:

• Prefer 8 years of supervisory/management experience

• Prefer supervisor/management experience in Revenue Cycle or Health Information Management

• Prefer 8 years of experience with medical coding and abstracting

• Prefer medical coding and abstracting experience in academic medical center

• Prefer 6 years of experience working with electronic medical records

• Prefer knowledge of outpatient diagnoses and procedural coding, including infusion and injection charge entry

• Prefer coding certification (i.e., CCS, CCS-P, etc.) through a nationally recognized credentialing body such as AHIMA or AAPC

• Experience utilizing 3M Encoder/Analyzer software

• Knowledge of Core Measure Abstraction criteria

• Knowledge of University policies, procedures, and regulations

• Classification Title: Revenue Cycle Manager
• Appointment Type: Professional and Scientific
• Schedule: Full-time
• Work Modality Options: Remote within Iowa

• Pay Level: 5B
• Starting Salary Minimum: 67,330.00

• Organization: Healthcare
• Contact Name: Marian Biggins
• Contact Email: marian-biggins@uiowa.edu

Salary : $67,330