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Renown Health Supervisor of Prof Services Coding in Reno, Nevada

Supervisor of Prof Services Coding

Requisition id: 153400

Department: 100621 Professional Billing Services

Facility: Renown Health

Schedule: Full Time

Shift: Day

Category: Management

Location: Reno,NV

Position Purpose:

This position is responsible for the supervision of all coding and compliance with Current Procedural Terminology and assignment of ICD-9-CM/ ICD-10-CM codes for services rendered and to ensure compliant billing through on site and prospective auditing and denial management. In addition, this position is responsible for the day-to-day supervision of timely entering of revenue and to ensure all professional services rendered are coded to the highest level of specificity

Nature and Scope:

This person supervises workflows and staffing related to physician/provider CPT Coding/billing for professional fee services; Maintains a close working relationship with the Medical Directors and Operations Management to support provider coding accuracy that is consistent with industry standards and in compliance with coding guidelines.

This person will be accountable for developing/maintaining a culture of service, financial discipline, compliance, ethics and integrity; and maintains knowledge of and assures departmental compliance with Principles of Responsibility, policies and procedures, applicable regulatory requirements and accreditation standards.

This person responds appropriately to observed fraud or abuse, provides reporting on provider education results for multiple audiences, and develops the Coding staff. This person assesses and maintains impact of current compliance activities and evaluates risk factors of coding and documentation practices; and uses understanding of interrelationships among systems across functional areas to redesign processes, improve efficiency, and ensure optimal results for the future.

This position has access to proprietary information and has contact with external organizations, which mandates high standards of professionalism, communication, performance, and respect for confidentiality.

  1. Effective organizational and communication skills.

  2. Ability to plan, organize, maintain priorities and schedule, to ensure that deadlines are met.

  3. Ability to communicate, both written and verbal to all levels of employees and management.

  4. Excellent leadership skills.

  5. Ability to work in a system characterized by stress, intensity, and a demand for a high level of performance with varied work hours.

  6. Ability to delegate responsibility effectively.

  7. Ability to maintain confidentiality.

  8. Ability to perform detailed review of staffÆs work and provide clear and concise review points.

  9. Demonstrated experience with provider auditing in CPT-4 (including E/M), ICD-9-CM, and HCPCS is required.

  10. Knowledge of computer spreadsheets.

  11. Ability to speak in front of small and large groups.

  12. Ability and desire to deal with detail and place in context of the big picture.

  13. Ability to fit in a matrix organizational structure.

  14. Excellent people skills and ability to work with diverse individuals in a complex organization and establish strong, cooperative working relationships.

  15. Excellent problem solving skills including the ability to identify trends and business opportunities and create recommendations.

  16. Skilled in developing presentations.

  17. Strong knowledge of health care industry trends.

  18. Ability to work with minimal supervision while providing excellent results.

  19. Philosophy consistent with the Renown Purpose Statement, Values and Standards of Conduct.

This positiondoes notprovide patient care.

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications: Requirements – Required and/or Preferred

Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English. Requires Coding Certification.

Experience:

Requires four years of progressively responsible experience in healthcare and coding environment.

License(s):

Certification(s):

Certified Professional Coder with AAPC, AHIMA, Diagnostic coding or a combination of compliant, nationally recognized coding certification

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

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