Regulatory Services Supervisor

Physicians East, PA is a multi-specialty, multi-campus group based out of Greenville, NC offering a wide range of specialties. In addition to primary care the practice offers pulmonary and critical care medicine, rheumatology, dermatology, oncology, endocrinology, cardiology, obstetrics and gynecology, gastroenterology, surgery, urology, and urgent care. Our 102 providers and over 600 employees provide services for thousands of patients in a 29-county region. Our specialists are on staff at ECU Health, a 900 bed, level one trauma center and the primary teaching hospital for the East Carolina University Brody School of Medicine (ECU-BSOM).

Located in the coastal plain area, only one hour from the Atlantic Ocean, Greenville is the vital center of business, industry, culture, education, and health care for eastern North Carolina. Its incomparable quality of life, the hospitality of its people, its modern outlook and interstate accessibility has contributed to the city's rapid growth. It has become a premier location to raise a family and enjoy a high quality of life. The mild climate and access to rivers and the ocean allows its residents to enjoy water sports, golf, tennis, and other sports, outside year-round.

Some of the benefits you will enjoy at Physicians East!

Comprehensive Medical and Prescription Drug Plan

Reduced co-pays for those that utilize Physicians East Medical Providers!

Convenient onsite employee pharmacy that offers reduced co-pays!

Dental insurance

Vision insurance

Critical illness, and other supplemental insurance plans available with payroll deduction!

Employee assistance program at no cost to employee and covered dependents!

Competitive long-term and short-term disability plans!

Life insurance provided at no cost to the employee with options to purchase additional protection for you and your family!

401(k) with generous company matching contributions!

Profit Sharing Program!

Flex Spending Account

Company Paid Short Term Disability Insurance

Company Paid Long Term Disability Insurance

Generous PTO program to provide our employees with essential work/ life balance!

Paid holidays in addition to accrued PTO!

Convenient parking onsite and close to where you work!

Employee Discounts Programs to save you money!

FLSA: Non-Exempt

About us

Physicians East, P.A.is a team of skilled healthcare professionals united to meet the challenge of delivering quality, cost-efficient, comprehensive healthcare to the people of Eastern North Carolina.

About the role

We are looking for an employee that can supervise the coding staff of the Regulatory Services Department. Remote and on-site position.

Supervision Received: Reports to Regulatory Services Manager.

Supervision Exercised: Supervises the coding staff in their daily duties and activities.

Typical Physical Demands: Requires prolonged standing or sitting while working in an office environment. Requires some bending or stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, and other office equipment. Requires the ability to distinguish between letters and/or symbols. Requires normal vision range and the absence of color-blindness.

Typical Working Conditions:

Hybrid – Remote and Onsite office Environment

Responsibilities

• Oversee the day-to-day activities of the coding staff
• Monitors assigned team members performance, productivity, and conducts annual performance evaluations
• Conducts routine coder audits to assess quality, accuracy, and provide education/feedback
• Serve as back up for Audit Review emails if volume becomes excessive
• Monitor daily volume of team members work distribution and prioritize accordingly or as directed by manager
• Monitor and resolve missing charge reconciliation for assigned providers/departments
• Serve as back up for coding if charge lag exceeds goal
• Assist with claim analysis reporting (CAR report) as it relates to coding issues and oversight of RCX rules coding edits
• Assists manager with the development and maintenance of departmental policies, procedures, and educational content
• Informs manager of revisions needed to encounter forms, EHR documentation system, or practice management system impacting diagnoses or procedures
• Remains current on all regulatory coding changes, payor specific requirements, coding processes, and compliance that affect coding accuracy and educates staff accordingly
• Assist with training of new staff on coding services, workflows, and department processes
• Educates physicians and employees on coding issues by specialty when coding or documentation issues are identified
• Research coding denials to identify trends and reduce the number of future coding related denials
• Tracks coding issues and reviews coding inaccuracies to highlight areas of improvement
• Maintains a library of coding material and relevant resources to be available to personnel, when necessary
• Acts as a coach and positive role model for staff and colleagues while establishing/maintaining a positive work environment
• Reports all identified coding compliance audit issues to the Regulatory Services Manager
• Assist with student interns from H.I.T. and H.I.M. Programs completing PPE assignment
• Attends meetings when required
• Complete any other assignment, project, or priority as directed by Regulatory Services Manager

Location & commitments

Permanent full-time role based out of our Greenville Arlington Blvd. location, Monday-Friday, 8:00 a.m. – 5:00 p.m.

Occasional overtime may be required to meet department goals.

Remote and onsite position.

Flexible schedule.

Candidate must be located in North Carolina

Candidate requirements

Bachelor’s degree in health information services with RHIA certification and 2-3 years of multi-specialty ICD-10, CPT/HCPCS coding experience OR,

Associates degree in health information technology with RHIT certification and 3-5 years of multi-specialty ICD-10, CPT/HCPCS experience OR,

CPC/CCS-P certification and 4-6 years of multi-specialty ICD-10, CPT/HCPCS experience

3 plus years of Medicare and commercial coding/billing experience in a multi-specialty practice required

Must have strong keyboarding, software, analytical and organizational skills. Must possess strong understanding of customer service principles and have well-developed written and oral skills.

Affirmative Action/EEO statement

Physicians East, P.A.is an equal opportunity employer and will not discriminate against any applicant or employee on the basis of age, race, color, ethnicity, religion, creed, sex (including gender, pregnancy, sexual orientation, and gender identity, which includes status as a transgender individual), national origin or ancestry, citizenship, past, current, or prospective service in the uniformed services, genetic information (including family medical history), physical or mental disability, or other legally protected status. Reasonable accommodation will be made for persons with disabilities during the application process and/or at the time of employment. Requests for accommodation should be made to the Human Resources Department as early as possible in the application/employment process. Contact HR Office at 252-413-6368 or email careers@physicianseast.com

Disclaimer

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Signatures

This job description has been approved by:

Manager_____________________________________ Date ____________

HR__________________________________________ Date _________________

Employee signature below indicates the employee's understanding of the requirements, essential functions, and duties of the position.

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