This position is responsible for the supervision, direction and training of assigned Patient Account Biller and Coder Workgroup. This position is responsible for insuring charges are captured timely and accurately. Responsible for workflow processes to ensure team works efficiently and effectively and with keeping with UTMG policies and procedures and within budgetary guidelines.
KEY RESULT AREAS (KRA’s)
¨ Coding Resource
¨ Productivity Standards
¨ Financial Metrics
¨ Manages workgroup workflow
¨ Action Plan
¨ Employee development and effectiveness
Responsibilities include, but are not limited to, the following:
¨ Actively participates in the development and ongoing review for productivity and quality standards.
¨ Ensures coding related denials are handled appropriate and timely as well as communicating with the providers involved.
¨ Coordinates the daily operations of the workgroup which include charge entry, registration, pre-cert, coding and appeals to ensure timely and appropriate billing.
¨ Effectively manages the charge capture process to insure compliance with department policy.
¨ Analyses coding-related denials to identify trends and root causes
¨ Develops suggestions for coding and documentation process improvements, based on denial analysis and industry coding guidelines
¨ Effectively codes complex Procedural and EM services to include CPT, ICD 10 and modifier assignment.
¨ Partners with Compliance management team leaders, physician advisor and providers to develop and implement process improvements
¨ Actively participate in new provider orientation.
¨ Organizes and coordinates physician meetings/rounding with assigned coder(s).
¨ Bachelor’s Degree in Health Information Management preferred
¨ RHIA, CCS-P, or CPC is required
¨ Knowledge of 3M Encoder Software
¨ Previous supervisory experience preferred
¨ Strong computer skills including Excel, Word, Power Point, practice management system and electronic medical records applications.
¨ 3-5 years recent experience in ICD9CM and CPT Coding
¨ 3-5 years experience in medical record documentation review
¨ Familiarity with health insurance and other third party billing practices and guidelines. (Nextgen)
¨ Auditing experience preferred
¨ Ability to lead department in process changes
¨ Excellent oral and written communication skills
¨ Has demonstrated a commitment to providing high levels of dedication and quality
¨ Demonstrates the ability to work both independently as well as with a team concept