CLINICAL DOCUMENTATION/REVENUE INTEGRITY SUPERVISOR

1 month ago


Philadelphia, United States Temple University Health System Full time

Responsible for the ongoing management of all Utilization Review Management staff related to all Payer Incentive Program processes for Temple Physicians Inc. (TPI). Oversees the daily responsibilities of each staff member by monitoring all work activities, productivity, and efficiency. Identifies and analyzes options for maximizing submission and quality by applying ICD-10 and payer specific guidelines, while also considering compliance with payer guidelines. Works with management on developing and continuing clinical documentation improvement processes and policies. Serves as a resource to clinical teams on aspects of medical record documentation required to support accurate severity of illness/medical complexity in accordance with the ICD-10 disease specific guidelines. Ensures all submissions are completed in the required timeframe and completion rates meet the budgeted targets. Assists with resolving issues and creating new processes. Provides training and counselling to staff and other interdepartmental team members as necessary. Conduct one on one education with providers and clinical staff when needed.

Education

Associates Degree (Required)

Bachelors Degree (Preferred)

Combination of relevant education and experience may be considered in lieu of degree.

Experience

5 Years experience in a Health Care setting with concentration in ICD- 10 coding and documentation review (Required)

License/Certifications

CERTCA - Certified Coding Associate (Required) or CCS - Certified Coding Specialist (Required) or CPC - Certified Professional Coder (Required)

CPMA - Cert Profess Medical Auditor (Preferred)

_ '261269



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