Professional Coding and Reimbursement Team Lead
3 weeks ago
About the Role:
Gundersen Health System is seeking an experienced professional to lead our Coding and Reimbursement Team. As a key member of our Revenue Cycle team, you will be responsible for supervising the daily operations of our coding and charge capture/review staff.
Key Responsibilities:
- Recruit, train, and develop coding specialists to achieve and sustain compliance with all CMS, AMA, AHA, CPT, ICD, and HCPCS coding and billing guidelines.
- Competently use regulatory and payer policies as well as published coverage determinations to research and address coding questions specific to clinical specialties/sub-specialties and services.
- Analyze daily work flow through coding work queues and management reports to maximize efficiency and achieve DNFB (discharged not final billed) targets.
- Implement a multi-dimensional quality control and productivity measurement program documenting actions taken and results achieved.
- Monitor work flow and address any delays in coding completion.
- Prepare reports for leadership including quality, productivity, efficiency and financial goals being met by coding operations.
Requirements:
- Associate degree in Business or a health related field.
- Evidence of completion of ICD-10, CPT, and HCPCS training.
- 3-4 years of healthcare experience including increasingly responsible assignments as a team leader, project manager, or supervisor.
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician Based (CCS-P) or Registered Health Information Technician (RHIT) Valid Driver's License (DL).
Preferred Qualifications:
- Bachelor's degree in Business or a health related field.
- 5-7 years of varied experience in professional services coding.
About Gundersen Health System:
Gundersen Health System is an Equal Opportunity Employer.
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