Supv, Revenue Cycle Ops - Full-Time Mon-Fri 8a-4:30p - Emory Decatur Hospital

Emory
Decatur, GA Full Time
POSTED ON 6/16/2022 CLOSED ON 8/8/2022

What are the responsibilities and job description for the Supv, Revenue Cycle Ops - Full-Time Mon-Fri 8a-4:30p - Emory Decatur Hospital position at Emory?

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.
  • 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.) required: 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.
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