Revenue Integrity Team Lead

The University of Chicago biomedical enterprise houses three entities: the Biological Sciences Division (BSD), the University of Chicago Medicine (UCM), and the Pritzker School of Medicine. Collectively called UCM, we are one of the nation's leading academic medical institutions and have been at the forefront of discovery, education, and clinical care since 1927. Located 20 minutes south of downtown Chicago, our Hyde Park main campus provides a single environment for learning, world-renowned basic science and clinical research, and outstanding clinical care.

The BSD is the largest academic unit within the University, comprising faculty from ten basic science departments, 13 clinical departments, and several centers and institutes. Approximately 1,300 faculty and 3,000 staff members collaborate across the organization to achieve our mission, vision, and values:

Mission

As part of the University of Chicago, we pursue globally impactful solutions to seemingly unsolvable challenges. Through our rigorous research, innovative education, and comprehensive care and healing, we collaborate on life-changing advancements that create meaningful results for our community and the world, including a greater, more equitable future for all.

Vision

Together, we elevate the human experience with knowledge and health care.

Values

• Commit to Excellence: We contribute our exceptional talents to all we do and empower the same spirit of excellence in others.
• Embrace Curiosity: We stay open to new ideas, champion diverse perspectives, and drive a culture of thoughtful risk-taking to deliver transformative innovation.
• Embody Equity: We identify systemic issues and then foster change to drive a more equitable environment inclusive of diverse people, ideas, and fields of science.
• Grow Together: We meaningfully collaborate with one another to create something bigger than we could ever achieve alone.
• Make a Difference: We lead with heart and compassion in all our interactions. We create positive change in our areas of influence, whether expanding scientific inquiry, developing the next generation of leaders, or healing our community.
• Take Ownership: We accomplish what we say we will and hold ourselves and one another accountable for our actions.

About the Role

The Revenue Integrity Team Lead provides support to providers and clinic staff for CPT, ICD-10-CM, and HCPCS coding systems, and acts as a liaison between off-sites and departments for related educational activities around coding, billing, and compliance. This role uses best practices and knowledge related to revenue cycle operations, including activities related to charging, billing, and collecting. The Team Lead coordinates the management of successful billing and compliance activities with department managerial and executive staff.

The Revenue Integrity Team Lead serves as a key leader within revenue cycle operations, responsible for advancing coding accuracy, documentation integrity, and overall revenue performance. This role provides strategic oversight of coding education, denial management, and revenue integrity initiatives, ensuring alignment with organizational goals, compliance standards, and regulatory requirements. The Team Lead leads and manages coding denial operations, including oversight of offshore vendor teams responsible for daily work queue management.

Responsibilities

• Leads end-to-end management of coding-related denial work queues, ensuring timely and accurate resolution.
• Oversees offshore/vendor teams responsible for daily denial work queue execution, including productivity, quality, and performance management.
• Performs routine quality assurance (QA) reviews of vendor work to ensure denials are worked accurately, compliantly, and effectively.
• Establishes performance metrics, monitors KPIs, and holds vendors accountable for turnaround times, accuracy, and outcomes.
• Ensures denial work queues are actively worked daily, maintained at appropriate volumes, and free of aging or inactive accounts.
• Develops and implements strategies to reduce coding-related denials and improves first-pass claim acceptance rates.
• Identifies opportunities to enhance reimbursement and increase net collections through denial prevention and resolution strategies.
• Analyzes denial trends and root causes to drive process improvements and upstream corrections.
• Partners with billing, coding, and clinical teams to address systemic issues impacting revenue.
• Identifies and executes targeted audit opportunities based on denial trends and risk areas, in addition to other revenue integrity-related needs.
• Conducts coding and documentation audits with actionable feedback to providers and staff.
• Utilizes data analytics tools, including Excel, to track denial patterns, performance trends, and financial impact.
• Develops and delivers coding and documentation education to physicians, faculty, departments, and staff.
• Creates training materials and leads educational sessions focused on improving documentation, coding accuracy, and reducing denials.
• Acts as a subject matter expert for CPT, ICD-10-CM, and HCPCS coding guidelines.
• Prepares and delivers regular presentations on denial trends, team performance, and revenue impact to leadership.
• Organizes and presents executive-level updates on coding performance, denial reduction progress, and key initiatives.
• Communicates findings, risks, and opportunities clearly to stakeholders across departments.
• Ensures ongoing oversight and regular updates of the revenue integrity project plan.
• Monitors coding workflows, documentation practices, and billing processes to ensure compliance and efficiency.
• Serves as a liaison between clinical departments, coding teams, and revenue cycle leadership.
• Ensures adherence to CMS, payer, and organizational compliance standards.
• Directly supports and contributes to broader Professional Billing Revenue Integrity Unit initiatives to ensure comprehensive revenue cycle health.
• Leads and supports revenue integrity initiatives and cross-functional projects as assigned.
• Maintains responsibility for broader revenue integrity functions, ensuring alignment with organizational priorities.
• Remains actively engaged in ongoing and new projects related to coding, compliance, and revenue cycle optimization.
• Maintains coding credentials and stays current with regulatory and industry changes.
• Has a deep understanding of chart documentation and maintaining requirements within the department.
• Ensures all processes involved in accurately posting professional fees.
• Has a deep understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff.
• Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.
• Guides departmental compliance efforts by participating in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations.

Requirements

• Minimum requirements include a college or university degree in a related field.
• 5-7 years of work experience in a related job discipline.

Qualifications

• Bachelor’s degree.
• Four to five years of demonstrated knowledge of coding.
• Two years of experience in medical record chart documentation review.
• Two years of experience in group education with provider audiences.
• One year of experience working with Epic PB Resolute/EpicCare.
• Certified Professional Coder (AAPC) or Certified Coding Specialist-Physician based (AHIMA).
• Understanding of physiology, medical terminology, and disease process.
• Advanced E/M coding experience and ability to explain coding guidelines.
• Proficient in PC skills including Microsoft Excel, PowerPoint, Microsoft Access, and Word.
• Extensive knowledge of health information systems and database technology.
• Ability to create compliant documentation, coding-based curriculum, and training materials.
• Strong analytical, problem-solving, interpersonal, verbal/written communication, organizational, project management, and team development skills.
• Ability to deliver effective oral presentations and prepare concise written reports for a variety of audiences.

Benefits

The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in the Benefits Guidebook.

Pay

$80,000.00 - $105,000.00 per year.

Schedule

• Full-time (40 hours per week).
• Office environment.