[Hiring] Surgery Coding Supervisor @The US Oncology Network

Role Description

The Coding Supervisor reports to the Coding Manager and serves as the supervisor for the Surgery & Urology coding team. The coding supervisor is primarily responsible for managing the coding staff that reports directly to them, resource scheduling, and day-to-day operations for their assigned providers/specialties. The supervisor will align initiatives with the revenue cycle strategic objectives and is responsible for the direction of these efforts to ensure the accuracy and timeliness of charge capture, coding, and claims submission. The supervisor will ensure all CBO expectations are met and exceeded in turn-around time, coding quality, productivity, and coordination of onsite/remote coding resources for seamless coverage and site/provider relations. The supervisor works closely with the Coding Auditing team to provide feedback to the coding team. All operational issues shall be addressed in a timely manner and follow the proper escalation channels. Travel may be required, although rare and intermittent.

Responsibilities

• Supervises the daily business functions of the patient visit from point of entry to accurate adjudication of the patients' accounts.
• Scope of responsibilities includes:
  • Appointment scheduling
  • Insurance eligibility processes
  • Charge processing
  • Claim submission and processing
  • Payment processing
  • Collections and accounts receivable management
  • Denial management
  • Reporting of results and analysis
  • Concurrent and retrospective auditing
  • Proper coding
  • Credentialing
  • Customer services relative to revenue cycle
  • Training and development relative to revenue cycle
  • Analytics, and all other revenue cycle management activities
• Resolves escalated and unique revenue cycle issues.
• Responsible for quality work, meeting deadlines, and adherence to the Practices Standard Operating Procedures (SOPs); regularly audits staff's work to ensure compliance.
• Monthly, prepares revenue cycle financial analysis, including aged accounts.
• Monitors and assesses business metrics in order to refine processes and improve efficiencies.
• Guides individuals and teams toward priorities; clarifies roles and responsibilities of others; coordinates resources to meet objectives. Cascades goals down to staff's annual objectives.
• Champions new initiatives; acts as a catalyst of change and stimulates others to change; paves the way for needed changes; manages implementation effectively.
• Develops, implements, and maintains the Practice's revenue cycle training materials. Conducts training of SOPs, systems, metrics, government regulations, etc.
• Responsible for the overall coordination of front office duties to include scheduling, check-in, and co-pay/co-insurance collection.
• Attracts high caliber people, accurately assesses strengths and development needs of employees; provides timely, specific feedback and helpful coaching; provides challenging assignments and opportunities for development.
• Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline. Enforces adherence to the Practice's and US Oncology policies.

Qualifications

• Associate’s Degree in Finance, Business, Healthcare Administration or equivalent and minimum of four (4) years of Coding/Revenue Cycle experience (surgery knowledge is required)
• Applicable certification required CPC or CCS-P
• Knowledge of professional fee billing, reimbursement, third-party payer regulation, and medical terminology is required
• Strong problem-solving skills and ability to make timely decisions
• Strong attention to detail
• Two years’ experience managing, delegating, and following up on work priorities of others is strongly desired
• Experience with performance management is strongly preferred
• Experience working in a Remote Environment with a Remote Team
• Experience with computers (word processing and/or electronic spreadsheets)

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

Work Environment

The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.