RCM Coding Supervisor

1 month ago

North Augusta, United States Coronis Health Full time
Job DescriptionJob Description

Position:   RCM Coding Supervisor

FLSA Status:   Full time, Exempt (Remote)

Reports to:  Senior Client Success Director, Primary and Specialty Physician Services

Summary/Objective: 

The RCM Coding Supervisor will be responsible for managing and communicating the revenue cycle activities and performance for our client practices to ensure a successful client experience.  RCM Coding Supervisor will partner with Operational Leadership and the client practices to understand their goals, challenges, and key practice drivers as it relates to coding and coding type denials.  Activities will include establishing and maintaining relationships that focus on KPI’s, managing effective ongoing communication with practices to identify and address business needs, provide guidance and timely responses to practice questions and requests and to conduct regular meetings with cross-functional team leaders.

 

This role also plays a crucial role in overseeing and managing a team of medical coders. This position requires a combination of strong coding knowledge, leadership skills, and the ability to effectively communicate with team members and Clients.

 

Essential Functions:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Manage overall billing processes 
  • Create and actively manage KPI’s to ensure client practice health
  • Ensure charge entry flow is effective and completed as required
  • Oversee auditing workflow requirements, quality metrics and reporting out recommendations related to revenue optimization, compliance, educational opportunities
  • Monitor client fee schedules and payments to maximize practice realization
  • Maintain a strong denial management strategy and action plan
  • Identify workflow efficiency opportunities
  • Identify trends and issues, recommend and implement solutions and see through to a successful resolution
  • Provide a high level of value and customer service to our client practices
  • Collaborate with geographically dispersed team members 
  • Identify training needs of on and offshore team members and assist with training as needed 
  • Provide meaningful monthly summarized reporting related to coding and quality to leadership
  • Ensure accurate and efficient coding of medical procedures and diagnoses.
  • Perform additional projects and job duties as assigned
  • Ensure accurate and efficient coding of medical procedures and diagnoses.
  • Ensure compliance with coding guidelines and regulations
  • Managing and coordinating the activities of the coding team. This includes assigning tasks, setting goals and targets, providing feedback and training, and monitoring the team's performance.
  • Responsible for resolving any coding-related issues or discrepancies and ensuring that all coding deadlines are met.

 Competencies

  1. Project Management
  2. Problem Solving/Analysis
  3. Ethical Conduct
  4. Collaboration
  5. Personal Effectiveness/Credibility
  6. Communication Proficiency
  1. Technical Capacity
  2. Must have a deep understanding of medical coding systems, such as ICD-10 and CPT, modifier and payer crosswalks, as well as, coding guidelines and regulations.
  3. Excellent leadership and management skills to effectively lead and motivate their team. They should be able to delegate tasks, provide guidance and support, and foster a collaborative team environment.
  4. Effective communication is essential for a Team Lead to interact with team members, physicians, and other healthcare professionals. They should be able to provide clear instructions, offer constructive feedback, and address any coding-related issues.

Supervisory Responsibility

Onshore coding team will directly report to this role.

Work Environment

This job operates in a professional office environment.  This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  This is largely a sedentary role; however, some filing is required.  This would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary.

Travel

This position may require limited travel

Required Education and Experience 

  1. AAPC or equivalent coding certification kept up-to-date annually
  2. High School or Equivalent
  1. 5+ years of revenue cycle coding experience in multi-specialty environment
  2. 3+ years leading coding teams globally
  3. Extensive knowledge of medical billing/coding, front office procedures and revenue cycle management
  4. Strong understanding of various insurance carriers
  5. Exceptional written, verbal and interpersonal communication skills
  6. Excellent presentation skills
  7. Professional demeanor required

 

Other Duties

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.

Benefits: As an eligible employee, you will receive a competitive salary and optional benefits including medical, dental and vision insurance, short and long-term disability coverage, life insurance, retirement plans, paid time off and paid holidays.  

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