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Short DescriptionThe Revenue Cycle Supervisor works in conjunction with the Manager of Revenue Cycle to provide leadership to ensure maximum revenues and adherence to compliance policies and procedures. (S)he is responsible for leading a strong, effective team to effect change and implement best practices to decrease accounts receivable. The person in this position is responsible for working in collaboration with revenue cycle directors, practice physician(s), managers and provide direct supervision to the oncology revenue cycle team with a concentration in the day to day operations of Outpatient Hospital and Professional coding. Coordinates Outpatient coding related aspects of compliance, including quality monitoring, physician and staff education.
Responsibilities :
1. Supervises workflow to ensure timely bill submission, as well as, individual coder work assignment in various record categories to balance productivity with coder skill development and individual competence. Monitors coders productivity based on set standards.
2. Performs ongoing compliance audits for, quality and completeness, analyzes findings and submits reports to manager/director. Reviews and analyzes any outpatient denials followed by appropriate and timely discussions, as well as follow up with payor audit requests.
3. Maintains a working knowledge of ICD-10-CM, CPT-4 coding principles, changes, government regulations, updates and industry requirements related to third party billing protocol requirements, as well as trends in the prospective payment system.
4. Assures that all coding is based on actual physician documentation. Works with clinical staff to obtain complete documentation, helps to identify areas of documentation that need improvement and educate both staff and providers on coding principles and methodology.
5. Serves as Epic super-user with billing/revenue cycle related day-to-day operations of the enterprise software as it pertains to institute practice management, including but not limited to problem solving, insurance claims, charge and end of day processes.
6. Responsible for initiating process improvement objectives to reduce missing charges and unsure completeness of Revenue Integrity.
7. Collaborate with Informatics and IT resources to ensure upstream processes to ensure complete charging.
8. Collaborate with Pharmacy to ensure that new, drugs and implants are being charges for correctly. At Pharmacy Meetings collaborate with decision support to ensure that charging is in line with organizational goals.
9. Contribute to monthly Revenue Cycle meetings to report on what we are working to increase revenue.
10. Collaborate with other Revenue Cycle leaders to develop denial reduction and missing charge capture strategies.
- Make recommendations for products and services that can improve our performance.
6. Performs other duties as assigned.
Experience RequiredSkills to code CPT including Evaluation and management coding, ICD 10 diagnosis coding, knowledge of oncology infusion, surgical, radiation and procedural services. Strong analytical skills with attention to detail and a high degree of accuracy. Ability to take initiative by identifying problems, conceptualizing resolution to the problems, and implementing change. Strong comfort level with computer systems. Strong verbal and writing communication skills
Education RequirementsAssociate degree and/or a minimum of three years of supervisory experience.
License/Certification RequirementsCPC, CPCO, CPCH, or CCS/p.
Special RequirementsRadiation or Oncology specialty preferred
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