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Revenue Cycle Supervisor
1 month ago
At St. Vincent de Paul Village, we are seeking a highly skilled and experienced Supervisor of Revenue Cycle to join our team. This is a critical role that requires a strong understanding of medical terminology, coding guidelines, and insurance billing procedures.
Key Responsibilities:- Monitor and analyze coding and billing data to identify trends and opportunities for improvement.
- Collaborate with other departments to identify and address coding, payment, and billing issues.
- Ensure accurate and timely documentation of coding and billing activities in health plan systems.
- Generate revenue cycle reports to monitor and analyze data.
- Assist and support other departments on health insurance packages for clean claim processing.
- Participate in internal and external audits of coding and billing processes.
- Monitor billing work queues to ensure issues are addressed and claims are submitted within policy guidelines.
- Provide guidance on billing and claims practices to internal departments.
- Review medical records to ensure accurate coding of diagnoses and procedures.
- Assign and provide guidance on appropriate codes to health plan claims.
- Respond to patient, insurance, and medical record billing inquiries.
- Provide education and training to staff on coding and billing requirements and best practices.
- Attend and participate in internal department meetings and external peer network groups.
- Maintain knowledge of current coding and billing regulations and guidelines.
- Associate degree, bachelor's degree, or equivalent relevant work experience.
- Certified Professional Coder (CPC) - AAPC.
- 5+ years of experience working as a certified coder.
- 5+ years of experience working in a healthcare setting, including an Electronic Health Record system.
- 3+ years of experience in leadership, overseeing direct reports.
- Strong understanding of medical terminology, coding guidelines, and insurance billing procedures.
- Knowledge of Medicare, Medi-Cal, and other payor guidelines.
- Familiarity with Cal-Aim billing and Drug Medi-Cal programs preferred.
- Knowledge of medical terminology, including ICD10, CPT, HCPC, CDT, and PPS.
- Strong communication, analytical, and problem-solving skills.
- Team-oriented and self-motivated with a positive attitude.
- Proficiency in Microsoft Office applications.
- Excellent written and verbal communication skills.
- Strong organizational and time management skills.
- Knowledge of and compliance with HIPAA privacy laws.
- Working knowledge of healthcare EPIC software preferred.
