Coding clerks supervisor job description

Employment Type: Full Time
Benefits: M/D/V, Life Ins., 401(k)

Norfolk, Virginia


JOB SCOPE: Supervises the day-to-day revenue cycle operations in order to maximize the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors. Supports and adheres to the US Oncology Compliance Program, to include Code of Ethics and Business Standards, and US Oncology's Shared Values.



The US Oncology Network
is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes!
Come join our team in the fight against cancer!



About US Oncology

The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit www.usoncology.com. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.


Responsibilities



ESSENTIAL DUTIES AND RESPONSIBILITIES:


Supervises the daily business functions of the patient visit from point of entry to accurate adjudication of the patients' accounts. Scope of responsibilities includes appointment scheduling, insurance eligibility processes; charge processing; claim submission and processing; payment processing; collections and accounts receivable management; denial management; reporting of results and analysis; concurrent and retrospective auditing; proper coding; credentialing; customer services relative to revenue cycle; training and development relative to revenue cycle; analytics, and all other revenue cycle management activities. Resolves escalated and unique revenue cycle issues. Responsible for quality work, meeting deadlines, and adherence to the Practices Standard Operating Procedures (SOPs); regularly audits staffs work to ensure compliance. Monthly, prepares revenue cycle financial analysis, including aged accounts. Monitors and assesses business metrics to refine processes and improve efficiencies. Guide's individuals and teams toward priorities; clarifies roles and responsibilities of others; coordinates resources to meet objectives. Cascades goals down to staff's annual objectives. Champions new initiatives: acts as a catalyst of change and stimulates others to change; paves the way for needed changes; manages implementation effectively. Steps forward to address difficult issues; puts self on the line to deal with important problems; takes ownership and accountability. Develops, implements, and maintains the Practice's revenue cycle training materials. Conducts training of SOPs, systems, metrics, government regulations, etc. Responsible for the overall coordination of front office duties to include scheduling, check-in, and co-pay/co-insurance collection. Attracts high caliber people, accurately assesses strengths and development needs of employees; provides timely, specific feedback and helpful coaching; provides challenging assignments and opportunities for development. Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline. Enforces adherence to the Practice's and US Oncology policies. Other duties as requested or assigned.


Qualifications


MINIMUM QUALIFICATIONS:

Associates degree in Finance, Business or equivalent OR four years revenue cycle experience required. At least four (4) years of medical revenue cycle work experience required with a consistent track record of achieving metrics. Two years' experience managing, delegating, and following up on work priorities of others is strongly desired. CPC- Required Individual must have strong knowledge of medical insurance billing and collections with CPT, ICD10, and HCPC coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc.). Proficiency in Microsoft Office (Outlook, Excel, Word, and PowerPoint).

Commerce Place
Work Days: 40
Category: Professional and Management
Department: Revenue Integrity
Job Type: Full time
Work Shift: Day
Hours/Week: 40.00
Union: No
Union Name: Non Union
DEPARTMENT DESCRIPTION:
Summary :
Under the direction of the Manager of Revenue Integrity, the Supervisor of Revenue Cycle Coding will be responsible for the day to day oversight of the operations of the CHA Revenue Cycle Coding team.
The Supervisor will provide daily oversight to the coding team including, but not limited to; the execution of coding policies, productivity management, aligning team actions to goals and performance expectations, and ensuring that the coding operations
The Supervisor conveys and models the standards and guidelines for high quality coding work and communication internally and between teams at CHA. The supervisor will be responsible for time and attendance, establishing priorities and communicating consistently with the Manager, Revenue Integrity on quality and other areas of focus. The Supervisor will also develop strong communication links to the Manager of Revenue Integrity and entire Revenue Cycle Operations team instilling confidence in the quality of work and prioritization of talents of the team to align to value in outcomes.



Responsibilities:
Develops and leads orientation, training and daily operations for all staff on the revenue cycle coding team to ensure competence. Identifies ongoing training needs for staff and ensures timely and effective competency assessment, positive and constructive feedback
Motivates staff and promotes a strong team based approach to organizational and departmental goals providing information to the manager regarding performance, productivity and quality.
Prepares Revenue Cycle Coding performance reports by collecting, analyzing and summarizing data and trends
Identifies issues and/or concerns with the CHA charge capture process, the Epic Charge Router, and any Epic coding work queues; Collaborates with Revenue Cycle Leadership and IT to resolve all technical issues
Manage and monitor work queue volumes along with staff productivity
Implement workflows to improve and streamline processes.
Ensure consistent performance management with each staff member throughout the year
Recruits, interviews, and selects staff to fill staffing resource requirements
Develops and oversees orientation, initial training programs, and ongoing education for staff
Ensures all training manuals and training curricula are up to date and readily accessible
Establishes and manages staff scheduling (daily, weekly, monthly)
Executes goal setting/objectives with staff and completes staff performance reviews in timely manner
Identifies opportunities to increase operational efficiency and/or effectiveness and establishes an approach for addressing the same to improve departmental operating procedures, work flows, supporting tools, etc.
Performs all other duties as assigned

Minimum Qualifications:
Demonstrated experience defining, leading and inspiring coding teams to provide the highest level of service and quality;
Comprehensive understanding of professional coding, to include certification in facility or professional coding
Practical experience and knowledge of coding practices, concepts and operations;
Practical experience using Epic Resolute for coding processes, preferably in that the experience be in a remote environment with familiarity for workflow completion using Epic
Self-motivated, detail-oriented and pragmatic; a team player who is analytical and solution-focused;
Ability to multitask, to use a wide degree of creativity and latitude in decision making, to problem solve, and to use judgment and experience to plan and accomplish goals;
Superior oral, written and non-verbal communication skills; ability to forge and maintain strong professional relationships;
Ability to interact and collaborate successfully with patients, management and professional staff
Demonstrated experience defining, leading and inspiring coding teams to provide the highest level of service and quality;
Comprehensive understanding of professional coding, to include certification in facility or professional coding
Practical experience and knowledge of coding practices, concepts and operations;
Practical experience using Epic Resolute for coding processes, preferably in that the experience be in a remote environment with familiarity for workflow completion using Epic
Self-motivated, detail-oriented and pragmatic; a team player who is analytical and solution-focused;
Ability to multitask, to use a wide degree of creativity and latitude in decision making, to problem solve, and to use judgment and experience to plan and accomplish goals;
Superior oral, written and non-verbal communication skills; ability to forge and maintain strong professional relationships;
Ability to interact and collaborate successfully with patients, management and professional staff

Education/Training
BA/BS degree in a related discipline preferred, or comparable work experience
Licensure/Certifications
Coding certification required.
Work Experience:
Minimum 5 years experience in a supervisory or related position
Skilled in EPIC
Proficiency required in Google applications like GMAIL, Sheets, Docs, and Slides, as well as MS Office applications like MS Word, MS PowerPoint and MS Excel



In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.

**Providence St. Joseph Health is calling a** **Supervisor, Coding** **to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA.**

The Supervisor Coding is accountable for the development and operations of the coding/abstracting acute-care services within ORC. This role includes working with key stakeholders across Providence; developing and executing strategic plans around acute-care coding/abstracting and clinical documentation (coding-related) improvement initiatives; participating in, leading, and partnering with others on ORC strategic and tactical integration efforts; ensuring a compliant, effective, and streamlined operational experience for Coding. This leader, therefore, will need to have strong training, communication, technical, and leadership skills.
**Responsibilities:**

+ Oversight of daily coding operations and workflows.

+ Direct supervision of acute-care coding staff which includes ensuring adequate staffing coverage, training, and adherence to consistent quality and productivity standards.

+ Support of coding-related Clinical Documentation Improvement (CDI) functions and workflows.

+ Provides acute-care coding expertise and direction to coding staff, other departments, medical staff and other providers to improve clinical documentation as guided by official coding guidelines.

+ Assist in developing standardized policies, procedures, and practices related to coding/abstracting.

+ Works closely with the HIM Coding QA, Education, and Training Team to ensure a high-level of coding accuracy, productivity, and compliance with official coding and regulatory guidelines.

+ Support of coding technology and use of common tools including encoders, groupers, and other systems related to coding /abstracting.

+ Monitors compliance to all coding-related KPI's.

**Required qualifications:**

+ Coursework/Training: Graduate of an AHIMA-accredited Health Information Technology program or self-study course

+ National Certification from American Academy of Professional Coders upon hire -or-

+ National Certified Coding Associate - American Health Information Management Association upon hire -or-

+ National Certified Coding Specialist - American Health Information Management Association upon hire -or-

+ National Certified Coding Specialist - Physician - American Health Information Management Association upon hire -or-

+ National Certified Documentation Improvement Practitioner - American Health Information Management Association upon hire -or-

+ National Certified Health Data Analyst - American Health Information Management Association upon hire -or-

+ National Registered Health Information Administrator - American Health Information Management Association upon hire -or-

+ National Registered Health Information Technician - American Health Information Management Association upon hire

+ 3 years coding experience

+ Extensive background in ICD-10-CM, CPT-4 coding and official hospital coding guidelines

+ Proven history of proactively identifying, resolving and escalating issues that impact business and documentation outcomes

+ A track record showing good decision-making skills based upon a mixture of analysis, experience, and judgment

+ A track record in organizing and planning with demonstrated ability to effectively manage time and achieve results in a fast paced environment

**Preferred qualifications:**

+ Coursework/Training: Some College

+ Epic experience

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

**About Providence**

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

**About the Team**

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

**Requsition ID:** 124668
**Company:** Providence Jobs
**Job Category:** Coding
**Job Function:** Revenue Cycle
**Job Schedule:** Full time
**Job Shift:** Day
**Career Track:** Leadership
**Department:** 4001 SS RC CODING NWR
**Address:** CA Apple Valley 18300 Hwy 18

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.