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Manager, Revenue Cycle and Auditing

Eify Fa Us6 Oraclecloud Com CX 1004 · Springfield, IL, United States; SC Technology & Transformation, Springfield, IL, US · On Site · Active · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyEify Fa Us6 Oraclecloud Com CX 1004
TitleManager, Revenue Cycle and Auditing
Normalized title-
Department / teamPatient Accounting
LocationSpringfield, IL, United States
Work modelOn Site
Employment typeFull Time
Salary-
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-05-15 / 2026-05-31
Changed / last seen2026-05-31 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from Eify Fa Us6 Oraclecloud Com CX 1004.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Springfield.Open
Department jobsActive postings in Patient Accounting.Open
Work model jobsActive On Site postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyEify Fa Us6 Oraclecloud Com CX 1004
Source05a13074-d723-4712-b151-4ec01db05fd2
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description The Revenue Cycle Coding & Auditing Manager provides strategic and day-to-day leadership over coding, coding education and billing compliance/auditing. This role ensures that all billable services are coded timely, accurately, and compliantly; oversees internal and external audit activities; assists with the development of coding/billing education; oversees the function of providing education; optimizes workflows and technology; and partners closely with Clinical Operations, Revenue Cycle and IT to enhance reimbursement, reduce denials, and safeguard compliance with federal/state regulations and payer policies. Job Relationships Reports to the Director of Revenue Integrity Principal Responsibilities Lead, develop, and evaluate coding and auditing staff; set performance goals and foster accountability, equity, and continuous improvement. Oversee daily workflows, work queues, and staffing to meet productivity, quality, and SLA standards. Manage budgets and forecast staffing/resources to support volume, accuracy, and compliance needs. Standardize policies, procedures, and controls to ensure consistent, efficient, and compliant operations. Institute and oversee internal and external coder audits; ensuring a high degree of quality and accuracy of coding Ensure timely, accurate, and compliant ICD-10-CM/PCS and CPT/HCPCS coding and charge capture. Partner with providers to improve documentation, medical necessity support, and coding accuracy. Oversee coding, billing, and documentation audits, including audit plans, sampling, scoring, and corrective actions. Monitor and optimize claim editing and encoding systems; analyze coding denial and coding edit trends and implement sustainable fixes. Establish monitoring systems to ensure adherence to Medicare/Medicaid regulations, payer policies, and organizational standards. Develop and deliver coding and billing education for clinical and non-clinical staff, including new provider onboarding. Publish guidance and tools that translate regulations into clear, operational workflows. Analyze coding and medical necessity denials; lead root-cause analysis and implement prevention strategies. Collaborate with revenue cycle teams to improve first-pass yield, reduce rework, and compliantly enhance reimbursement. Recommend and implement process and technology improvements to boost clean-claim rates and reduce A/R days. Monitor KPIs, conduct trend analyses, and present performance and risk updates to leadership. Serve as a subject matter expert on coding, compliance, and revenue cycle best practices; stay current on regulatory changes. Lead continuous improvement initiatives to streamline workflows and improve the provider/patient and employee experience. Ensure timely, professional responses to provider, patient, and payer inquiries related to coding and reimbursement. Adhere to organizational policies, compliance standards, and safety requirements. Perform other duties as needed to support departmental and organizational goals. Education/Experience Bachelor of Science in Health Information Management degree or equivalent required, master’s degree in business or finance related field preferred. Licenses/Certificates CPC (Certified Professional Coder) Certification required within 1 year of hire. CCS-P (Certified Coding Specialist-Physician based) Certification required within 2 years of hire. RHIA (Registered Health Information Administrator) Certification required. Knowledge, Skills and Abilities Excellent verbal and written communication; conflict and problem resolution skills Excellent strategic, analytical and process systems thinking skills Demonstrated expertise with Teams, Excel, Visio, PowerPoint and other Microsoft Office products Excellent interpersonal skills, including ability to understand and articulate the needs of stakeholders and assist them in making the decisions necessary to accomplish their objectives Demonstrated ability in earning and maintaining credibility with leaders across the organization Ability to respectfully and collaboratively challenge team members to perform within designated timelines Working Environment Requires sitting and standing for periods of time working in an office environment. Use of telephone required. Some bending and stretching required. PHI/Privacy Level HIPAA1

Full job record

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Org ID5d822b82-a698-4674-9b7b-53ef656d13b4
Source ID05a13074-d723-4712-b151-4ec01db05fd2
Board ID05a13074-d723-4712-b151-4ec01db05fd2
Provideroracle_hcm
Provider Job Key8279
TitleManager, Revenue Cycle and Auditing
Normalized Title—
Statusactive
Activeyes
Location TextSpringfield, IL, United States; SC Technology & Transformation, Springfield, IL, US
DepartmentPatient Accounting
Team—
Employment Typefull_time
Workplace Typeon_site
Remote Policy—
CountryUnited States
RegionIL
CitySpringfield
Salary RawDescription The Revenue Cycle Coding & Auditing Manager provides strategic and day-to-day leadership over coding, coding education and billing compliance/auditing. This role ensures that all billable services are coded timely, accurately, and compliantly; oversees internal and external audit activities; assists with the development of coding/billing education; oversees the function of providing education; optimizes workflows and technology; and partners closely with Clinical Operations, Revenue Cycle and IT to enhance reimbursement, reduce denials, and safeguard compliance with federal/state regulations and payer policies. Job Relationships Reports to the Director of Revenue Integrity Principal Responsibilities Lead, develop, and evaluate coding and auditing staff; set performance goals and foster accountability, equity, and continuous improvement. Oversee daily workflows, work queues, and staffing to meet productivity, quality, and SLA standards. Manage budgets and forecast staffing/resources to support volume, accuracy, and compliance needs. Standardize policies, procedures, and controls to ensure consistent, efficient, and compliant operations. Institute and oversee internal and external coder audits; ensuring a high degree of quality and accuracy of coding Ensure timely, accurate, and compliant ICD-10-CM/PCS and CPT/HCPCS coding and charge capture. Partner with providers to improve documentation, medical necessity support, and coding accuracy. Oversee coding, billing, and documentation audits, including audit plans, sampling, scoring, and corrective actions. Monitor and optimize claim editing and encoding systems; analyze coding denial and coding edit trends and implement sustainable fixes. Establish monitoring systems to ensure adherence to Medicare/Medicaid regulations, payer policies, and organizational standards. Develop and deliver coding and billing education for clinical and non-clinical staff, including new provider onboarding. Publish guidance and tools that translate regulations into clear, operational workflows. Analyze coding and medical necessity denials; lead root-cause analysis and implement prevention strategies. Collaborate with revenue cycle teams to improve first-pass yield, reduce rework, and compliantly enhance reimbursement. Recommend and implement process and technology improvements to boost clean-claim rates and reduce A/R days. Monitor KPIs, conduct trend analyses, and present performance and risk updates to leadership. Serve as a subject matter expert on coding, compliance, and revenue cycle best practices; stay current on regulatory changes. Lead continuous improvement initiatives to streamline workflows and improve the provider/patient and employee experience. Ensure timely, professional responses to provider, patient, and payer inquiries related to coding and reimbursement. Adhere to organizational policies, compliance standards, and safety requirements. Perform other duties as needed to support departmental and organizational goals. Education/Experience Bachelor of Science in Health Information Management degree or equivalent required, master’s degree in business or finance related field preferred. Licenses/Certificates CPC (Certified Professional Coder) Certification required within 1 year of hire. CCS-P (Certified Coding Specialist-Physician based) Certification required within 2 years of hire. RHIA (Registered Health Information Administrator) Certification required. Knowledge, Skills and Abilities Excellent verbal and written communication; conflict and problem resolution skills Excellent strategic, analytical and process systems thinking skills Demonstrated expertise with Teams, Excel, Visio, PowerPoint and other Microsoft Office products Excellent interpersonal skills, including ability to understand and articulate the needs of stakeholders and assist them in making the decisions necessary to accomplish their objectives Demonstrated ability in earning and maintaining credibility with leaders across the organization Ability to respectfully and collaboratively challenge team members to perform within designated timelines Working Environment Requires sitting and standing for periods of time working in an office environment. Use of telephone required. Some bending and stretching required. PHI/Privacy Level HIPAA1
Salary Min—
Salary Max—
Salary Currency—
Salary Periodday
Source URLhttps://eify.fa.us6.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1004/job/8279
Apply URLhttps://eify.fa.us6.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1004/job/8279
First Seen At2026-05-31 17:57:04Z
Last Seen At2026-06-06 18:54:07Z
Last Checked At2026-06-06 18:54:07Z
Last Changed At2026-05-31 17:57:04Z
Inactive At—
Source Posted At2026-05-15 23:11:48Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=eify.fa.us6.oraclecloud.com|CX_1004/date=2026-06-06/2026-06-06T18-53-59-201Z-096663213cd09b4056b810a17bc219b0b4bc102373bf46299d4e977cbc2fdac3.json
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This role ensures that all billable services are coded timely, accurately, and compliantly; oversees internal and external audit activities; assists with the development of coding/billing education; oversees the function of providing education; optimizes workflows and technology; and partners closely with Clinical Operations, Revenue Cycle and IT to enhance reimbursement, reduce denials, and safeguard compliance with federal/state regulations and payer policies.</span></span></p><p>&nbsp;</p><p><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\"><strong>Job Relationships</strong></span></span></p><p><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Reports to the Director of Revenue Integrity&nbsp;</span></span></p><p>&nbsp;</p><p><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\"><strong>Principal Responsibilities</strong></span></span></p><ul style=\"list-style-type: disc; padding-left: 50.73px;\"><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Lead, develop, and evaluate coding and auditing staff; set performance goals and foster accountability, equity, and continuous improvement.&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Oversee daily workflows, work queues, and staffing to meet productivity, quality, and SLA standards.&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Manage budgets and forecast staffing/resources to support volume, accuracy, and compliance needs.&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Standardize policies, procedures, and controls to ensure consistent, efficient, and compliant operations.&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Institute and oversee internal and external coder audits; ensuring a high degree of quality and accuracy of coding</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Ensure timely, accurate, and compliant ICD-10-CM/PCS and CPT/HCPCS coding and charge capture.&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Partner with providers to improve documentation, medical necessity support, and coding accuracy.&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Oversee coding, billing, and documentation audits, including audit plans, sampling, scoring, and corrective actions.&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Monitor and optimize claim editing and encoding systems; 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stay current on regulatory changes.&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Lead continuous improvement initiatives to streamline workflows and improve the provider/patient and employee experience.&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Ensure timely, professional responses to provider, patient, and payer inquiries related to coding and reimbursement.&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Adhere to organizational policies, compliance standards, and safety requirements.&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Perform other duties as needed to support departmental and organizational goals.</span></span></li></ul><p>&nbsp;</p><p><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\"><strong>Education/Experience</strong></span></span></p><ul style=\"list-style-type: disc;\"><li><p><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Bachelor of Science in Health Information Management degree or equivalent required, master’s degree in business or finance related field preferred.&nbsp;</span></span></p><p>&nbsp;</p></li></ul><p>&nbsp;</p><p><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\"><strong>Licenses/Certificates</strong></span></span></p><ul style=\"list-style-type: disc;\"><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">CPC (Certified Professional Coder) Certification required within 1 year of hire.</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">CCS-P (Certified Coding Specialist-Physician based) Certification required within 2 years of hire.</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">RHIA (Registered Health Information Administrator) Certification required.</span></span></li></ul><p>&nbsp;</p><p><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\"><strong>Knowledge, Skills and Abilities</strong></span></span></p><ul style=\"list-style-type: disc;\"><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Excellent verbal and written communication; conflict and problem resolution skills</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Excellent strategic, analytical and process systems thinking skills&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Demonstrated expertise with Teams, Excel, Visio, PowerPoint and other Microsoft Office products&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Excellent interpersonal skills, including ability to understand and articulate the needs of stakeholders and assist them in making the decisions necessary to accomplish their objectives</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Demonstrated ability in earning and maintaining credibility with leaders across the organization&nbsp;</span></span></li><li><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\">Ability to respectfully and collaboratively challenge team members to perform within designated timelines&nbsp;</span></span></li></ul><p>&nbsp;</p><p><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt;\"><strong>Working Environment</strong></span></span></p><ul style=\"list-style-type: disc;\"><li style=\"line-height: 107%;\"><span style=\"font-family: Calibri, sans-serif;\"><span style=\"font-size: 9pt; 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