Supervisor, Physician Coding - Risk Mitigation

December 31, 2024

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Advocate Aurora Health

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Health Care • Hospitals • Outpatient Care • Clinical Trials • Scientific Research

10,000+ employees

⚕️ Healthcare Insurance

💰 $10.2M Grant on 2019-08

Description

• This is a fully remote position. • Oversees the development and implementation of prospective and retrospective review plans. • Develops focused medical record reviews, formal reviews, and supervises subsequent reviews. • Determines best-practice methodologies to review findings with Clinician Support. • Ensures compliance with the coding quality plan and issues escalation process. • Provides feedback to coding leadership when issues are identified. • Promotes effective professional relationships with coding liaisons and clinicians. • Develops, maintains, and oversees the formal quality program for all certified coders. • Provides accurate and thorough monthly statistical reports to support progress made in the area of coding quality.

Requirements

• Associate degree (or equivalent knowledge) in Health Information Management or related field • Typically requires 3 years of experience in advanced professional coding, physician billing processes, and workflow and reimbursement in a large, complex clinic or hospital setting • Experience at a lead or senior level is required • Demonstrated leadership skills and abilities including team building, conflict resolution, project management, and effective decision making • Exceptional knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines • Advanced knowledge of medical terminology, Anatomy, and Physiology • Expert knowledge of Medicare, Medicaid, and commercial payor coding guidelines • Advanced computer skills including the use of Microsoft Office, email, and exposure or experience with electronic coding systems or applications • Advanced organization prioritization and reading comprehension skills • Advanced analytical skills with high attention to detail • Advance knowledge of care delivery documentation systems and related medical record documents • Advanced interpersonal communication skills necessary to collaborate with physicians, other clinicians, and professional coding department team members and leadership • Ability to work independently and exercise independent judgment and decision-making • Ability to meet deadlines while working in a fast-paced environment • Ability to take initiative and work collaboratively with others

Benefits

• Paid Time Off programs • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family benefits such as adoption assistance and paid parental leave • Defined contribution retirement plans with employer match and other financial wellness programs • Educational Assistance Program