Supv Prof Coding & Charge Entry / FT, Mon - Fri, 8:00- 4:30

Schedule: FT, Mon - Fri, 8:00- 4:30

At Childrens, the regions only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring teamand join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.

A Brief Overview
Responsible for providing direct supervision and daily management for professional coding and charge entry including supervising, monitoring, and analyzing all activities to adhere to department standards and maximize operations revenue. Implement and enforce policies and procedures for timely resolution of third party reimbursement and department issues.

Essential Functions

• Supervises the daily operations and work flow for professional coding and charge entry. Assists in outcomes management by holding self and others accountable to meet stated outcomes, objectives, goals, timetables and commitments, adhering to outcomes even in the face of unforeseen circumstances. Personnel Management Prioritizes and coordinates daily work activities. Provides leadership and guidance by sharing expertise with others. Approves schedules and monitors time worked. Trains and/or oversees the training of employees on job related tasks. Conducts employee performance management duties including completion and delivery of performance evaluations, setting goals, dissemination of information, coaching, addressing performance issues/routine correction actions, and recommending termination of employment. Submits notifications for personnel actions (e.g., status changes, terminations). May participate in selection, hiring, and salary recommendations. Operational/Financial Management Ensures cost effective use of resources by identifying and implementing changes related to staff allocation and assignment, and patient/department supplies. Ensures compliance with quality assurance, safety practices, policies and recordkeeping standards. May assist with the development and maintenance of policies and procedures. May participate in the implementation of business plans for the area. May assist with annual budget by tracking expenses and providing input for future budget needs.
• Works with the department manager to develop and implement policies, procedures, internal controls, team goals and productivity standards for the department. Assisting the department manager in the implementation of the strategic direction within the department to ensure efficient and effective day to day operations. Identifies, obtains and appropriately utilizes resources necessary to meet the identified goals including recommending budget amounts for operating expenses and capital purchases.
• Responsible for analyzing all activities within the professional coding and charge entry functions for adherence to policies, procedures and department standards; and to report their findings on a monthly basis first to management and then to department employees.
• Provides leadership with accountability in promoting an engaging work environment and accurate coding according to regulations and industry standards. Serves as liaison between coding/charge entry staff and physicians regarding accurate coding according to documentation provided in patient charts, regulations and industry standards. Maintains positive, professional relationships with physicians and their support staff, third-party payors, staff, and interdisciplinary team members. Utilizes and recommends web based tools, coding books and other available resources to facilitate coding compliance (i.e. State Websites, HFMA, AAPC, AHIMA, and AAP). Stays abreast of the proper utilization of multiple information systems to accurately assist team members in the selection of correct patient accounts to appropriately review and verify patient billable charges. These systems include but are not limited to: Organization's Epic, One Chart, Med Assets, Chartmaxx, or EncoderPro. Makes recommendations and takes action to improve structures, systems or outcomes based on careful analysis of current processes. Assists with Epic tickets and build items; communicating with IT and revenue cycle team. Notifies the charge master specialists when pricing is needed for specific CPT codes.
• Works with department manager to interview and select employees in the department to ensure proper functioning of the area. Completes annual evaluations and performance improvement plans as necessary for responsible area. Identifies opportunities for department staff to enhance professional/technical development for increased job satisfaction. Fosters creativity, innovation and divergent thinking in self and others.
• Collaborates with the Billing, Coding and Collections team leadership in the developing and maintaining a strategy for coding denials. Assist with the coding denial work queue (WQ) design and workflow utilizing the Epic system. Assists with creating standard operating procedures templated payer appeal letters, etc. to assure coding denials are appealed accurately. Act as the contact for the Revenue Cycle Analyst to assist with identifying root causes for coding denial trends. Assists Billing, Coding and Collections leadership in program development and education of new regulations including ICD10 standards.
• Regular attendance at work is an essential function of the job.
• Perform physical requirements as described in the Physical Requirements section

Education Qualifications

• Bachelor's Degree from an accredited college or university in healthcare administration, business administration, finance Required or
• related field required; equivalent relevant work experience may be substituted for education. Required

Experience Qualifications

• Minimum 5 years coding experience Required and 
• One year lead or supervisory experience Preferred

Skills and Abilities

• Knowledge of Revenue Cycle Operations, third party reimbursement, local. state. federal regulations and medical terminology. This includes all aspects of payer relations, claims adjudication, contractual claims process and general reimbursement procedures.
• Strong, positive customer relations
• Effective communication
• Good problem solving skills
• Knowledgeable of the skills necessary to function in the various staff roles
• Fosters teamwork and collaboration
• Effective conflict resolution; active listening skills
• Good Microsoft Word, Excel and Access

Childrens is the very best for kids and the very best for your career! At Childrens, we put YOU first so together, we can improve the life of every child!