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Skills: Revenue Cycle Management, Medical Billing, Medical Coding, Epic Implementation, Illinois Medicaid Compliance
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$80k–$134k/yr
Full-time
bachelor degree, postgraduate degree
Posted 52d ago
~40 hrs/week
Responsibilities
Oversee the strategic and day-to-day financial health of the hospital by leading the Billing and Coding teams. Lead the transition from legacy systems (Meditech and Athena) to the Epic platform while ensuring compliance with Illinois Medicaid regulations.
Requirements
Requires a Bachelor's degree in Healthcare Administration or Finance and at least 5 years of experience in Healthcare Revenue Cycle Management. Proficiency in Meditech and Athena is required, with Epic certification or implementation experience highly preferred.
Full job description
Company Description
La Rabida Children’s Hospital provides specialized, family-centered health care to children with medically complex conditions, disabilities, and chronic illness. Through expertise, compassion, and advocacy we help children and their families reach their fullest potential, regardless of their ability to pay.
Our not-for-profit hospital, licensed for 49 beds, helps transition children from neonatal or pediatric intensive care to home, by providing medical, rehabilitative and developmental care, and by training families to continue treatments and manage the necessary equipment in the home. La Rabida also provides extensive rehabilitation for those recovering from wounds or burns and treatment for exacerbations of chronic conditions.
The hospital’s enhanced pediatric patient-centered medical home provides primary care to children with complex medical conditions and their siblings. Children with medical homes elsewhere come to La Rabida for specialty services. La Rabida offers a wide range of specialty services provided to children with sickle cell disease, diabetes, and many others. Children are supported in their emotional and developmental growth, particularly in cases where such growth has been interrupted by accident or disease.
Finally, La Rabida provides forensic and treatment services for children exposed to abuse and neglect, comprehensive assessments for wards of the state, early intervention for children between 0 and 3 years of age. Care coordination services for medically complex children are also provided for those who are covered by a health plan and receive care from providers in Cook County
Job Description
Position Summary
The Revenue Cycle Manager is responsible for the strategic oversight and day-to-day management of the hospital’s financial health. This role leads the Billing and Coding teams in a specialized pediatric environment, ensuring high-quality charge capture, accurate coding, and timely reimbursement.
A critical component of this role includes leading the department through a transition from legacy systems (Meditech and Athena) to an Epic platform, while maintaining expert compliance with Illinois Medicaid regulations and pediatric-specific billing requirements.
Key Responsibilities
Leadership & Supervision
· Direct Supervision: Manage, mentor, and evaluate the performance of Billing and Coding specialists.
· Staff Development: Provide continuous training on pediatric-specific coding (ICD-10-CM, CPT, HCPCS) and evolving payer regulations.
· Workflow Optimization: Establish departmental KPIs (e.g., Days in AR, Clean Claim Rate, Denial Rate) and hold staff accountable to production standards.
Systems & Implementation
· Legacy Management: Oversee current revenue operations within Meditech (Hospital/Inpatient) and Athena (Ambulatory/Outpatient) to ensure no revenue leakage during the transition.
· Epic Implementation: Serve as the Revenue Cycle Subject Matter Expert (SME) for the Epic go-live. Duties include workflow design, system testing, data migration validation, and end-user training for the billing/coding modules.
· Interoperability: Ensure seamless data flow between legacy archives and the new Epic environment.
Illinois Medicaid & Pediatric Compliance
· Regulatory Expertise: Serve as the primary resource for Illinois Medicaid (HFS) guidelines, including Managed Care Organizations (MCOs) and the All Kids program.
· Pediatric Billing: Manage complex pediatric billing scenarios, including neonatal care, rehabilitative therapy, and long-term pediatric chronic care.
· Audit & Compliance: Conduct internal audits to ensure coding accuracy and compliance with state and federal healthcare laws.
Financial Operations
· Denial Management: Analyze denial trends and implement root-cause solutions to reduce rejections from Illinois Medicaid and commercial payers.
· Reporting: Prepare monthly financial reports and dashboards for senior leadership regarding AR aging and cash collection targets.
· Liaison: Act as the bridge between clinical departments and the finance office to ensure clinical documentation supports billed services
Qualifications
Qualifications
· Education: Bachelor’s degree in Healthcare Administration, Finance, or a related field (Master’s preferred).
· Experience: Minimum 5+ years in Healthcare Revenue Cycle Management.
o Proven experience in a supervisory role overseeing billing and coding professionals.
o Direct experience with Illinois Medicaid reimbursement and policy.
· Technical Skills: Proficiency in Meditech and AthenaIDX/One.
o Epic Certification or previous experience leading an Epic Implementation (Resolute Hospital Billing/Professional Billing) is highly preferred.
· Certifications: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or CRCR (Certified Revenue Cycle Representative) preferred
Required Competencies
· Change Management: Ability to lead a team through the technical and emotional challenges of a major EHR transition.
· Analytical Thinking: Deep understanding of healthcare data to identify trends in underpayments or billing errors.
· Pediatric Focus: Sensitivity to the unique billing needs of a small, 39-bed children’s facility.
Additional Information
La Rabida Children’s Hospital is very proud to be an Equal Employment Opportunity Employer
La Rabida is a place unlike any other. We understand the needs of families with children dealing with the most serious or complicated of conditions. With teams of the best healthcare providers in Chicago, we give continuous, comprehensive care, education, and support, helping families face their unique obstacles head-on.
La Rabida Children’s Hospital is very proud to be an Equal Employment Opportunity Employer.
Work Shift: 9:00 am - 5:00 pm
Compensation: USD 80000 - USD 134000 - yearly
Related keywords
Revenue CycleEpicMeditechAthenaIDXIllinois MedicaidHFSMCOAll Kids ProgramCPCCCSCRCRICD-10-CMCPTHCPCSDays in ARClean Claim Rate
We offer gold-standard care to every child with complex medical needs, regardless of a family’s financial circumstance.
Industry
Hospitals and Health Care
Company size
201-500 employees
Founded
1893
Headquarters
Chicago, Illinois
LinkedIn followers
7,192
Total funding
$600K
La Rabida Children’s Hospital is a pediatric acute care hospital, specializing in the treatment of chronic illnesses and developmental disabilities. La Rabida provides family-centered interdisciplinary care to 7,500 children with special healthcare needs each year at its lakeside location in Chicago. See our open jobs at https://larabidajobs.com/#job-feed
Offices: 6501 S Promontory Dr, Chicago, Illinois 60649, US · 200 Lakewood Blvd., Park Forest, Illinois 60466, US · 1525 E 55th St, Ste 203, Chicago, Illinois 60615, US · 12701 W 143rd St, Ste 280, Homer Glen, Illinois 60491, US · 9660 Wicker Ave, St John, Indiana 46373, US
DiabetesAsthmaSickle Cell DiseaseDevelopmental RehabilitationBrain InjuryBronchopulmonary DysplasiaChild Trauma and AbusePrimary Care for Children with Healthcare NeedsTechnology Dependencyand Burn Rehabilitation
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