Supervisor, Outpatient / Provider Coding
Location: Salt Lake City Utah
Description: UtahTechnologyJobs.com is in need of Supervisor, Outpatient / Provider Coding right now, this vacancy will be placed in Utah. More complete informations about this vacancy opportunity please read the description below. DESCRIPTION
Provide continual education to physicians and departments regarding appropriate billing for services rendered to patients at University He! alth Care locations and variety of outreach locations and hospitals. Provide training to UMB staff related to coding guidelines created by the American Medical Association along with guidelines mandated by CMS. Assist in developing policies, procedures and schedule assignments while evaluating workflow. Handle various employee issues regarding training and professional development. Perform weekly reviews of assignments and workload of individuals to determine accuracy and identify any additional training needed. Address personnel issues with individuals not meeting standards set within the office, or any other issues.
University of Utah Job ID PRN04420B
DUTIES
1. Utilize various reporting functions to analyze, resolve and implement departmental and team improvements.
2. Weekly review of reports to monitor current status of edit volumes to assist office management in determining the appropriate work volumes for variety of staff.
3. Facilita! te educational meetings with departmental and internal staff. !
4. Meet with multiple provider types, payers, and staff for education regarding coding, compliance, and reimbursement issues.
5. Distribute information from meetings to appropriate people.
6. Continual assessment of appropriate daily work volume capabilities for each employee.
7. Recognize trends and identify options for process improvements for review by UMB Directors and Managers.
8. Monthly review of professional medical coders and support personnel for use of internal policies and quality assessments to ascertain the progress of understanding complex coding scenarios in the University setting.
9. Manage work volume and education with remote staff.
10. Supervise employee deadlines with current assignments and monitor the volumes of outstanding projects to be delegated to appropriate staff.
11. Assist with developing efficient methods to ensure that all billable charges are being captured by each department.
12. Assist with identifying ! and resolving technical problems with editing software.
13. Contribute to review of paid claims to determine if an underpayment has been received.
14. Assist with creating new charge tickets/superbills for all UMB departments.
15. Work with facility, department contacts and ITS to coordinate annual review of ICD-9-CM (& ICD-10 when implemented) and CPT code updates for over 250 charge tickets.
16. Continual education and training of staff to increase knowledge base and problem solving skills for use in daily duties.
17. Ongoing review of existing edits created to verify information is still valid and appropriate for department and payer claims.
18. Follow-up (phone, e-mail and regular mail) with insurance companies/patients regarding claim/payment status through our practice management system and reporting tools.
QUALIFICATIONS
American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAP! C) recognized certification such as: Certified Professional Coder (CPC)! , Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payor (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS- P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or other specialty certification indicated by the department, AND 6 years coding experience.
Demonstrated knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations, reimbursement systems (federal, state and payer specific), and health insurance processing is required. Proficiency with computer software such as Microsoft Word and Excel, and effective human relations and communication skills are also required. Some areas may require knowledge of CMS, AMA and AHA coding and billing guidelines.
Knowledge of business management principles and supervisory experience preferred.
TO APPLY, VISIT:
http://utah.peoplea! dmin.com/postings/26465
EQUAL EMPLOYMENT OPPORTUNITY
The University of Utah is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah is committed to diversity in its workforce. Women and minorities are encouraged to apply. 1. Utilize various reporting functions to analyze, resolve and implement departmental and team improvements.
2. Weekly review of reports to monitor current status of edit volumes to assist office management in determining the appropriate work volumes for variety of staff.
3. Facilitate educational meetings with departmental and internal staff.
4. Meet with multiple provider types, payers, and staff for education regarding coding, compliance, and reimbursement issues.
5. Distribute information from meetings to appropriate people.
6. Continual assessment of appropriate daily work volume cap! abilities for each employee.
7. Recognize trends and identify optio! ns for process improvements for review by UMB Directors and Managers.
8. Monthly review of professional medical coders and support personnel for use of internal policies and quality assessments to ascertain the progress of understanding complex coding scenarios in the University setting.
9. Manage work volume and education with remote staff.
10. Supervise employee deadlines with current assignments and monitor the volumes of outstanding projects to be delegated to appropriate staff.
11. Assist with developing efficient methods to ensure that all billable charges are being captured by each department.
12. Assist with identifying and resolving technical problems with editing software.
13. Contribute to review of paid claims to determine if an underpayment has been received.
14. Assist with creating new charge tickets/superbills for all UMB departments.
15. Work with facility, department contacts and ITS to coordinate annual review of ICD-9-CM (! & ICD-10 when implemented) and CPT code updates for over 250 charge tickets.
16. Continual education and training of staff to increase knowledge base and problem solving skills for use in daily duties.
17. Ongoing review of existing edits created to verify information is still valid and appropriate for department and payer claims.
18. Follow-up (phone, e-mail and regular mail) with insurance companies/patients regarding claim/payment status through our practice management system and reporting tools.
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This vacancy starts available on: Sun, 08 Sep 2013 08:36:21 GMT