Revenue Cycle Coding Supervisor

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and treatments to primary care for the entire family. The primary site of inpatient care services is at the University of Toledo Medical Center, but many of our physicians’ practice at hospitals and medical offices throughout the region.

University of Toledo Physicians offers competitive pay and benefits including: 403B, Pension, health and tuition waiver at UT.

POSITION SUMMARY

The Revenue Cycle Supervisor is responsible for providing leadership and support to the Revenue Cycle/Coding team assigned to them. Under minimal supervision and according to established procedures, policies and detailed instructions drive resolution and promote peak performance while delivering world class revenue cycle outcomes. This individual will serve as a solution seeker responsible for engaging staff and implementing best practice workflows. Initiates and participates in quality improvement activities to improve clinical data documentation, reimbursement practices, and compliance activities across all physician practices and hospital departments.

ESSENTIAL JOB FUNCTIONS AND ACCOUNTABILITIES

1. Supervises the operation of the clinical coding team assigned to them and supporting compliance within UTP, including inpatient/outpatient coding, clinical data abstraction, report writing, and HIPAA compliance. Maintains the confidentiality of all patient/staff records.

2. Motivates and manages staff with a focus on performance standards. Manages employees (direct reports) including, counseling, and mentoring, conducting performance appraisals, interviews, etc. and provides instruction to staff as necessary.

3. Documents all responses and actions taken to reach claim or account resolution in the practice management system.

4. Exhibits strong communication skills and positive attitude with internal (direct reports, team members, other departments, providers, and leadership) and external customers (patients, insurance companies, vendors, and employers). Defuses volatile situations in a calm, objective, and tactful manner. Directs customer complaints to next level management for immediate response if unable to resolve.

5. Audits regularly to confirm appropriateness of patient responsibility to ensure correct registration, professional procedural and diagnosis coding.

6. Reviews and manages worklists and ensures equitable distribution of work assignments to team members.

7. Onboards and trains new employees on workflows and departmental requirements.

8. Informs the Coding Manager of consistent issues as they occur and make recommendations to improve departmental quality outcomes.

9. Participates as a leader of the team by performing additional assignments not directly related to the job description when workload requires and as directed by upper management.

10. Selects priorities and organizes work and time to meet them in order of importance.

11. Provides optimization and educational feedback to team for improvement opportunities including, but not limited to, registration of patient demographic information, verification of insurance eligibility, documentation of authorizations and referrals, charge capture, and payer updates or changes. Documents results to the Coding Manager routinely and monitors improvement of identified issues.

12. Ensures claims are submitted to the appropriate responsible party within designated filing limit guidelines and makes certain that appropriate claim resolution is a priority of the department, as well as adhere to the policies of the department regarding creation of claims within the allotted time of provider completion.

13. Recognizes and researches problematic trends with diagnoses, procedure codes or workflows. Demonstrate the ability to assist with coding questions for a variety of specialties by utilizing appropriate resources such as coding guidelines, coding books, CMS website, specialty society websites, insurance websites, coding forums, coding webinars, AAPC, AHIMA, etc.

14. May travel to practice locations to provide on-site support and participates in regular meetings with practice leadership to promote positive revenue cycle performance outcomes. Identifies and communicates best practice workflows and assists in implementing changes when needed.

15. Maintains the confidentiality of all patient records and accounts.

16. Remains current on all coding, reimbursement, compliance, and privacy guidelines.

17. Actively participates and leads staff meetings and process improvement planning sessions.

18. Maintains work area in a clean and orderly fashion making sure all source documents are stored electronically on the shared network.

19. Demonstrates ability to adjust to variation in workload. Ability to multi-task as needed.

20. Demonstrate strong knowledge in medical terminology and anatomy.

21. Assists the Coding Manager with monitoring unbilled encounters in the practice management system as well as charge capture tools.

22. Performs other duties as assigned. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

REQUIRED QUALIFICATIONS

• Education: High School Diploma or equivalent
• License and/or Certification: Coding certification is required either from AAPC or AHIMA (CPC, COC, CCS, RHIT, RHIS).
• Skills:

1. A comprehensive understanding of insurance requirements and regulations, contract benefits, credit and collection procedures, financial assistance programs as well as a familiarity of medical terminology is required.

2. Work requires advanced reading, writing, and oral communication skills as well as the knowledge to perform mathematical calculations.

3. Work requires interpersonal skills necessary for the supervision of the team, and direct contact with peers, clinic office staff, and providers. Must be able to work with interruption by assigned team, co-workers, or other internal customers needing assistance with patient accounts.

4. The job requires analytical and critical thinking ability to diagnose account issues and active listening skills to provide service excellence. In addition, the work requires demonstrated project and time management skills and an ability to work effectively over the phone and in a team environment.

Years of Experience: A minimum of 1 year of experience

PREFERRED QUALIFICATIONS

• Education: Bachelor’s Degree Preferred
• Years of Experience: 3 years of supervisory experience

WORKING CONDITIONS

Works in an open office environment; the area is well ventilated, lighted, and close to equipment and materials required for daily work functioning. Primarily sedentary in nature with occasional lifting of small objects weighing approximately 10 pounds.

The above list of duties is intended to describe the general nature and level of work performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of duties performed by the people so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct and control the work of employees under his/her supervision.

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity or gender expression, age, disability, military or veteran status, height, weight, familial or marital status, or genetics.

Equal Opportunity Employer/Drug-Free Workplace