Team Lead, Revenue Integrity

Job Posting Closing Date: Open until Filled

Where do you belong?

Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional,  at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.

USACS also understands that location is important. We offer  career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture,  outstanding benefits and competitive compensation package is best in class.

Job Description

The Team Lead, QA Revenue Integrity leads the Revenue Integrity team and the day-to-day operations. The primary functions of the department include, but are not limited to, identification of, correction to pre and post bill coding related issues, charge corrections and appeals. The Team Lead works both independently and collaboratively with a variety of departments and vendors in service of identifying root causes and participating in the development and execution of remediation strategies.

Location: Remote

ESSENTIAL JOB FUNCTIONS

• Coordinates and is responsible for day-to-day operations.

• Exhibits leadership by demonstrating a commitment to teamwork, supporting alignment with company and department goals and objectives, assisting others to develop their knowledge of the company and department, adapting to change in a positive manner that exemplifies commitment, and working proactively with minimal supervision. Consistently models the values of the organization.

• Manages and coordinates personnel including delegating tasks and ensuring a uniform workflow and equitable work distribution.

• Monitors various data sources and metrics to ensure KPI’s and quality targets are being met and identifies areas of revenue/compliance risk.

• Develops, implements, and oversees effective and consistent operational policies, processes, tools, and educational materials within Revenue Integrity.

• Develops and maintains the training and education program for new hire and for existing teammates.

• Measures and reports ongoing operational metrics and inventory management. 

• Effectively presents and communicates information and responds to questions.

• Codes at least 2 hours each week or as needed.

• Assists with audits as needed.

• Performs various duties as needed.

 

KNOWLEDGE, SKILLS AND ABILITIES

• Advanced data analytic skills, intermediate Excel proficiency.

• Knowledge of payer coding & billing guidelines.

• Ability to identify emerging issues.

• Ability to communicate with employees, management, and clinicians in a courteous and professional manner with emphasis on giving detailed oral and written instructions and explanations.

• Ability to maintain confidentiality.

• Ability to work effectively in a remote setting.
   

EDUCATION AND EXPERIENCE

• RHIA or RHIT or CCS or CPC, or CCS-P certification preferred or candidate is required to obtain within 18 months.

• Complete all necessary continuing education and certification maintenance requirements timely with no lapses.

• Remain in good standing within USACS Coding Training requirements.
   

PHYSICAL DEMANDS

• While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds. 

• Required to have close visual acuity to perform the job.

Salary Range: $59,364-$109,823

Salary Range:

$59,364.00 - $109,823.00

USACS offers a comprehensive and competitive benefits package designed to support the health, well-being, and financial security of our employees.

Benefits may vary based on role, location, and employment status, but generally include:

• Medical, dental, and vision insurance options

• Health savings accounts (HSA) and flexible spending accounts (FSA)

• 401(k) employee and employer contributions

• Paid time off, including vacation, sick leave, and company holidays

• Paid parental leave & family support benefits

• Short-term and long-term disability insurance

• Life and accidental death & dismemberment (AD&D) insurance

• Employee assistance programs & wellness resources

 

Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role.

Specific benefit offerings and eligibility will be provided during the hiring process and may be subject to change in accordance with applicable laws and company policies.