Supv, Revenue Cycle Ops

Overview

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Description

Job Description

This position supports and coordinates clinic revenue cycle functions that include charge capture, coding, and edit/denial management; provides recommendations to optimize resources and aligning them with best-in-class performance metrics in specific categories of revenue cycle (productivity, compliance, accuracy, effectiveness, timeliness, and efficiency). The role is responsible for meeting and exceeding operational work flow, productivity and results standards related to the above functions.

Responsibilities

• Coordinates and aligns the resources deployed to revenue cycle functions across the clinical specialty in an effort to build consistency of work flow and optimize resource usage.

• The position also organizes, manages, and monitors the performance productivity of revenue cycle.

• Supervises staff, providing work assignments, performance feedback and corrective action as necessary.

• Hires and trains new employees.

• Works with manager to formulate a plan for professional development.

• Attends educational in-services as appropriate.

• Supervises daily revenue cycle operations in assigned clinical specialty and monitors revenue cycle metrics for area of responsibility.

• Provides data and reports as required by management.

• Works with physicians to ensure consistent coding and documentation practices are followed.

• Trains staff as appropriate on revenue cycle activities, coding, billing and reimbursement practices.

• Acts as a resource to clinical specialty's staff on matters pertaining to revenue cycle.

MINIMUM QUALIFICATIONS: High School diploma or equivalent with four (4) years of revenue cycle experience, preferably in physician billing, coding, and/or medical management; OR any combination of equivalent education and experience; OR successful completion of the TEC Operations Development Program (ODP). Preferred skills: Coding certificate through nationally recognized organization (AAPC, AHIMA, etc.): CCS-P, CPC, RHIA, RHIT, CCS, CPC-H; Advanced knowledge of medical terminology, anatomy and physiology, billing regulations, Medicare & NCCI guidelines, insurance coverage limitations and managed care protocols preferred; and/or GE Centricity Business experience preferred. Successful completion of the AAPC ICD-10 Proficiency Assessment. PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at [email protected]. Please note that one week's advance notice is preferred.