Revenue Cycle and Coding Supervisor

2 weeks ago


Newport News, Virginia, United States Riverside Medical Group Full time
Overview

The Revenue Cycle and Coding Supervisor plays a pivotal role in evaluating and analyzing revenue and reimbursement processes within professional and provider-based settings. The primary objective is to enhance reimbursement strategies in a manner that is both cost-effective and compliant with various federal, state, and payer-specific billing regulations.

Key Responsibilities
  • Identify and Resolve Issues: Proactively pinpoint charging, coding, clinical documentation, and reimbursement challenges that hinder revenue generation. Collaborate with leadership and ancillary departments to address these issues.
  • System Enhancements: Review, recommend, and coordinate necessary updates to billing systems to optimize revenue integrity.
  • Data Analysis: Conduct thorough data mining and financial analysis to identify trends, perform root cause analysis, and develop actionable plans for process improvement.
  • Regulatory Compliance: Review and interpret Regulatory and Compliance Communications, including CMS transmittals and Local Coverage Decisions (LCD), to assess their impact on Revenue Integrity procedures.
  • Performance Tracking: Develop and utilize reports to monitor professional and operational performance across the medical group, sharing insights with leadership.
  • Education and Training: Serve as a resource for coding and revenue cycle inquiries, delivering timely educational materials to RMG team members and providers.
  • Collaboration: Work closely with operational leaders to devise effective provider education strategies and maintain ongoing billing education.
QualificationsEducation

Bachelor's Degree in a related field (Preferred). Completion of a nationally recognized Coding Curriculum (Required).

Experience

Minimum of 1 year of relevant experience (Required). Supervisory experience is preferred.

Licenses and Certifications

Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) is preferred upon hire.

At Riverside Medical Group, we believe in making a meaningful impact in the lives of others. Our mission is to provide care with the same compassion we would extend to our loved ones. We offer a diverse range of services across various stages of life, providing ample opportunities for career growth along with comprehensive benefits and perks.



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