Revenue Capture Manager (West Long Branch)
- Bachelor's degree in Health Administration, Business, Finance, or a related field.
- Minimum of 5 years of experience in healthcare revenue cycle management or medical billing and coding.
- Strong knowledge of medical coding systems such as ICD-10, CPT, and HCPCS.
- Familiarity with healthcare regulations including HIPAA and payer-specific billing requirements.
- Proficiency in revenue cycle management software and data analysis tools.
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) credential.
- Experience working in a hospital or large healthcare system environment.
- Advanced skills in data analytics and reporting platforms such as SQL, Tableau, or Power BI.
- Project management experience with a track record of leading process improvement initiatives.
- Master's degree in Healthcare Administration or related discipline.
- Manage and oversee the revenue capture process, including documentation, coding, and billing accuracy.
- Collaborate with clinical staff to ensure complete and compliant documentation of services rendered.
- Analyze revenue cycle data to identify trends, discrepancies, and opportunities for improvement.
- Develop and implement strategies to reduce claim denials and improve reimbursement rates.
- Train and support staff on best practices related to revenue capture and compliance.
- Coordinate with compliance and audit teams to ensure adherence to regulatory requirements.
- Prepare regular reports on revenue capture performance and present findings to senior management.
- Lead initiatives to optimize workflows and integrate technology solutions that enhance revenue capture.
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