Vendor Resource Management Team Lead

Description

This position is incentive eligible.

Introduction

Do you want to join an organization that invests in you as a Vendor Resource Management Team Lead? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients lives and you have the opportunity to make a difference. We are looking for a dedicated Vendor Resource Management Team Lead like you to be a part of our team.

Job Summary and Qualifications

The Vendor Resource Management Pro-Fee Team/CDRA Lead supports the vendor production teams to ensure, proper workflow, consistency, and efficiency in relation to code/abstract assignment for reimbursement and reporting purposes. The Team Lead monitors and performs inventory reviews for vendor coding/abstracting staff in order to validate inventory is completed within the Service Level Agreement (SLA) timeframe. The Lead also assists the VRM Manager with vendor management including monitoring processes and services for improvement, coding/abstracting quality, trending/analyzing data, creating and presenting education, answering coding questions, and account follow up/resolution.

Duties (included but not limited to)

• Assists in managing coding/CDRA vendor daily workflow (e.g., work queues, worklists, turnaround times) Daily PRP review and resolution
• Attends and/or leads meetings as needed.
• Investigate and provide feedback on Vendor and Team access issues
• Assists CDRA Manager in eSaf updates for appropriate vendor abstractor access
• Pre-Inventory Review of Upcoming Vendor Supported Go Lives
• Works in conjunction with Central Coding Unit and CDRA abstraction team on follow up and resolution of coding /abstracting related concerns/rejections to address any issues.
• Assists in performing chart reviews for providers and coders as needed.
• Keep manager informed regarding any billing issues and updates on charge entry
• Actively participates in the review and improvement of processes and services
• Prepares and presents coder education as needed based on trends and/or problematic areas identified by practices or the PSC.
• Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy
• Communicates as appropriate with the vendor staff and CCU/CDRA Abstraction Team to ensure proper account resolution 1 Job Description
• Coordinates work assignments with management and vendor teams to achieve operational goals
• Answers coding, abstracting, and process questions from vendors
• Works in partnership with various teams to communicate production related issues such as workflow processes, forecasting, scheduling, quality activities, etc.
• Fosters an environment of teamwork and work excellence within the vendor coding teams.
• Meets all educational requirements as stated in current Company policy
• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources, to include relevant federal regulations, to assure coding knowledge and skills remain current
• Performs related work and projects as required.
• Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement.
• Other duties as assigned.

Knowledge, Skills & Abilities

• Coding Technical skills - extensive regulatory coding (ICD-10-CM/PCS, CPT-4, MS-DRGs, POA Assignment and where applicable APR-DRG and facility E/M level and injection/infusion procedure coding) and associated reimbursement knowledge
• Coding Error Analytical Skills - ability to analyze trends in coding review outcomes and determine root cause and address as appropriate
• Effective Decision Making - relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values
• Initiative - independently takes prompt proactive steps toward problem resolution
• Organization - establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task
• Communication communicates professionally, clearly, proactively, and concisely with all key stakeholders, both individually and in group settings
• Leadership - guides individuals and groups toward desired outcomes
• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Confidential and Proprietary: for recipients internal use only.
• Policies &Procedures articulates knowledge and understanding of organization policies, procedures and systems
• PC Skills skilled in all Microsoft Office applications. Power BI skills preferred
• Quality Orientation accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time
• Work independently is self-supporting; not needing to rely on others to complete a job
• Building and Maintaining Strategic Working Relationships develops collaborative relationships to facilitate the accomplishment of work goals. Possesses good interpersonal skills in building, negotiating, and maintaining crucial relationships
• Managing conflict dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people
• Mentor and Educate provides timely guidance and feedback to help strengthen the knowledge/skill set of others to accomplish a task or solve a problem

Education

• High School diploma required

Experience

• Management/Supervisory experience in healthcare related field preferred
• Clinical data abstraction work experience preferred
  
• Minimum of 2 years acute care inpatient and/or outpatient coding experience required
• Coding auditing/monitoring experience strongly preferred

Certificate / License

• Coding certification through AHIMA or AAPC required, CCS or CPC preferred

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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

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"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals Our Talent Acquisition team is reviewing applications for our Vendor Resource Management Team Lead opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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