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Phoebe Putney Health System · 8 hours ago

Supervisor, CBO Coding & Billing

Albany, GA

Full-time

Onsite

Mid, Senior Level

3+ years exp

Phoebe Putney Health System is seeking a Supervisor for their CBO Coding & Billing team. The role involves maintaining efficient coding and billing processes, supervising the coding staff, and ensuring compliance with regulations while promoting quality and consistency in coding practices.

Emergency MedicineHealth CareHospitalMedicalNon ProfitOncology

Responsibilities

Review medical records to assign ICD-10CM, CPT, and HCPCS Level II codes and modifiers in a thorough and accurate manner

Manages the daily operations of the PPG Coding Department to promote steady workflow and data integrity

Research coding questions and provide coder feedback

Ensures timely correction of coding errors and edits

Ensures coding audits are performed concurrently and that the areas being audited are updated in conjunction with the department policies

Monitors the aging and DNB accounts to ensure that accounts are coded in a timely manner and that performance is within established coding quality and productivity benchmarks

Conducts regular audits and coordinates monitoring of coding accuracy, productivity, and available clinical documentation

Ensures that audit reports are reviewed, and accurate, and corrective action plans implemented

This position is responsible for directing and coordinating the overall functions of the billing and coding office to ensure maximization of cash flow while improving patient, physician, and other customer relations

The Medical Billing Manager position requires the ability to produce and present detailed billing activity reports

Supervises the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management

Serves as the practice expert and go-to person for all coding and billing processes

Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection

Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues

Follow up on claims using various systems, i.e., practice management and clearinghouse

Provides feedback and assists in facilitating and/or coordinating focused educational programs regarding coding and clinical documentation best practices to Coding and clinical staff as needed

Interviews, hires and trains employees; plans, assigns and direct workflow, appraises employee performance; addresses complaints and resolving problems; and proactively manages production and quality control efforts

Conducts trend analysis to identify patterns and variations in coding/documentation practices and case mix index

Identifies process improvement opportunities within the Coding department and implements solutions

Reviews claim denials and rejections pertaining to coding and medical necessity issues and implements corrective action plans as needed/required

Works with Coding Leads to provide all Coding staff with annual, quarterly, semi-annual ICD-10-CM/PCS and/or CPT code changes and coordinates with Information Systems & Technology to ensure timely system updates

Maintains all coding information and provides updated manuals, resources, and other coding material

Actively participates in the Internal Audit Process exit conferences, providing clarification and supporting information necessary

Collaborates with other coding managers outside of the organization to ensure consistent implementation of coding policies, procedures, and practice

Maintain strong communication with Director(s) and business partners in reporting unbilled activities related to coding

Mentors team members to encourage personal and professional growth

Encourages ongoing skill development by providing opportunities for continued education

Applies critical thinking, problem-solving, and change management skills to lead the process and team in identifying and resolving systemic issues

Work with the Training and Education department to develop and deploy training for new employees and provide ongoing training as needed

Complete annual performance reviews for employees and provide timely feedback to employees and address performance/quality and training issues as appropriate

Develop and revise department policies and procedures as required

Deliver a positive patient experience

Liaise appropriately with peers across the system

Complete disciplinary action as required

Adhere to Phoebe Provider Group organizational policies and procedures for relevant location and job scope

Perform any special assignments as requested

Work with the Training and Education department to develop and deploy training for new employees and provide ongoing training as needed

Monitors, verifies, and reconciles expenditures of budgeted funds, compiles information reflecting expenditures, and develops cost- comparisons. Identify cost savings within the operation

Adheres to the hospital and departmental attendance and punctuality guidelines

Performs all job responsibilities in alignment with the core values, mission and vision of the organization

Performs other duties as required and completes all job functions as per departmental policies and procedures

Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)

Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time

Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs

For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills

Wears protective clothing and equipment as appropriate

Qualification

Health Information ManagementCoding ManagementRevenue Cycle ExperienceICD-10CM CodingAthena ExperienceMeditech ExperienceCoding AuditsCertified Coding SpecialistCertified Professional CoderTraining SkillsCommunication SkillsProblem-Solving SkillsTeam Leadership

Required

Associates Degree's in Healthcare, Business, Finance, Information Systems, or a related field or High School Diploma or GED and addition 4 years of related revenue cycle experience

3 or years of experience in health information management or coding management in a hospital or physician practice/clinic setting, financial operations, and information systems experience preferably within the Revenue Cycle functional area in the Healthcare Industry

Registered Health Information Administrator (RHIA)

Registered Health Information Technician (RHIT)

Certified Coding Specialist (CCS)

Certified Coding Specialist – Physician (CCS-P) or Certified Professional Coder (CPC)