Ambulatory Operations Support Coordinator

Tenet•Detroit, MI

About The Position

Under general supervision and according to established policies and procedures, the Ambulatory Operations Support Coordinator provides business and administrative support to the Ambulatory Services function for assigned hospitals. The role monitors workflows and the processing, maintenance, and follow-up of registration, coding, and billing activities, including charge description master (CDM) maintenance, clinic charge entry, coding, and correction of bill-scrubber edits for physician facility and satellite charges. The coordinator serves as a liaison between physician and satellite clinics regarding registration and charge-entry errors, recommends corrective actions to reduce future billing errors, and coordinates monthly meetings with front-end staff for education, performance-metric review, and resolution of outstanding issues. The role also provides technical guidance and training on billing software, interprets third-party regulations and protocols, monitors authorization denials, and assesses the effects of regulatory and contractual changes on practice business processes. Responsibilities also include physician charge capture, proposing solutions to charge-capture issues, identifying revenue-enhancement opportunities, supporting leadership in implementing business plans and policies, and assisting with process standardization and continuous-improvement and quality-assurance initiatives. As directed, the coordinator contributes to procedure and protocol development, supports compliance, and interprets procedural intent. The position is with Children’s Hospital of Michigan, an international leader in pediatric and adolescent medicine with services at the Detroit hospital, Children’s Hospital of Michigan–Troy, and six ambulatory sites.

Requirements

Bachelor’s degree in Business Administration, Health Care Administration, Finance, or a related field, or an equivalent combination of education and experience.
Three years of progressively more responsible experience providing related administrative, operational, or financial support.
Analytical ability to research, gather, review, and disseminate information for management and to interpret complex financial reports, studies, and processes and present findings.
Communication and interpersonal skills to communicate effectively with healthcare personnel at various levels; courtesy and listening skills are required.
Ability to read and comprehend procedures and technical literature in the relevant functional areas.
Technical understanding of computer software such as spreadsheets, word processing, statistical analysis, database management, workflow, and graphics programs.

Nice To Haves

Performance Improvement/Quality Assurance data analysis experience.
Billing certification.

Responsibilities

Monitor workflow and the processing, maintenance, and follow-up of registration, coding, and billing actions.
Maintain the charge description master and enter clinic charges into the billing system.
Perform or support coding and correct bill-scrubber edits for physician facility and satellite charges.
Liaise with physician and satellite clinics to address registration and charge-entry errors.
Recommend corrective actions to department leadership to reduce future billing errors.
Coordinate monthly meetings with front-end staff to provide education and training, share performance metrics, and resolve outstanding issues.
Provide technical guidance and support for billing software used in physician offices, including training clinic staff.
Interpret and train front-end staff on third-party regulations and protocols, and ensure compliance with regulatory changes.
Monitor and track third-party authorization denials.
Interpret the impact of regulatory and third-party contractual changes on practice business processes.
Manage physician charge capture and propose corrective mechanisms for charge-capture problem areas.
Identify opportunities to enhance physician and satellite revenue.
Assist leadership with implementing new business plans and policies.
Assist with standardizing processes and procedures and implementing and evaluating continuous-improvement and quality-assurance standards.
As directed, provide input into procedure and protocol development, ensure compliance, and interpret procedural intent.