We are looking for an experienced Business Manager specializing in medical operations to oversee revenue cycle processes and coding compliance. In this long-term contract role based in Scranton, Pennsylvania, you will play a critical part in ensuring the quality and integrity of medical billing and coding practices while maintaining compliance with federal and state regulations. This position offers an excellent opportunity to collaborate with healthcare professionals and drive operational excellence.<br><br>Responsibilities:<br>• Perform multi-specialty coding with precision to ensure timely submission of claims.<br>• Coordinate with clinical teams to address claim appeals, denials, and resolutions effectively.<br>• Develop and implement an audit process to validate clinical documentation and coded data integrity.<br>• Provide prompt responses to inquiries from patients, payers, and staff regarding claims and account submissions.<br>• Supervise the daily tasks of billing specialists to maintain workflow efficiency.<br>• Monitor accounts receivable over 120 days and implement strategies to reduce outstanding balances.<br>• Conduct trend analysis to ensure compliance with payer reimbursement agreements and resolve discrepancies.<br>• Prepare and analyze monthly aging reports to support financial oversight.<br>• Establish best practices to uphold data integrity and quality throughout the revenue cycle.<br>• Lead staff training initiatives to promote adherence to industry standards and compliance requirements.
