Revenue Cycle Operations Supervisor

Emory Healthcare•Atlanta, GA

19h

About The Position

JOB DESCRIPTION: This position supports and coordinates clinic revenue cycle functions that include charge capture, coding, and edit/denial management; provides recommendations to optimize resources and aligning them with best-in-class performance metrics in specific categories of revenue cycle (productivity, compliance, accuracy, effectiveness, timeliness, and efficiency). The role is responsible for meeting and exceeding operational work flow, productivity and results standards related to the above functions. Coordinates and aligns the resources deployed to revenue cycle functions across the clinical specialty in an effort to build consistency of work flow and optimize resource usage. The position also organizes, manages, and monitors the performance productivity of revenue cycle. Supervises staff, providing work assignments, performance feedback and corrective action as necessary. Hires and trains new employees. Works with manager to formulate a plan for professional development. Attends educational in-services as appropriate. Supervises daily revenue cycle operations in assigned clinical specialty and monitors revenue cycle metrics for area of responsibility. Provides data and reports as required by management. Works with physicians to ensure consistent coding and documentation practices are followed . Trains staff as appropriate on revenue cycle activities, coding, billing and reimbursement practices. Acts as a resource to clinical specialty's staff on matters pertaining to revenue cycle.

Requirements

High School diploma or equivalent with four (4) years of revenue cycle experience, preferably in physician billing, coding, and/or medical management; OR any combination of equivalent education and experience; OR successful completion of the TEC Operations Development Program (ODP).

Nice To Haves

Coding certificate through nationally recognized organization (AAPC, AHIMA, etc.): CCS-P, CPC, RHIA, RHIT, CCS, CPC-H
Advanced knowledge of medical terminology, anatomy and physiology, billing regulations, Medicare & NCCI guidelines, insurance coverage limitations and managed care protocols preferred
GE Centricity Business experience preferred
Successful completion of the AAPC ICD-10 Proficiency Assessment

Responsibilities

Supports and coordinates clinic revenue cycle functions that include charge capture, coding, and edit/denial management
Provides recommendations to optimize resources and aligning them with best-in-class performance metrics in specific categories of revenue cycle (productivity, compliance, accuracy, effectiveness, timeliness, and efficiency)
Meets and exceeding operational work flow, productivity and results standards related to the above functions
Coordinates and aligns the resources deployed to revenue cycle functions across the clinical specialty in an effort to build consistency of work flow and optimize resource usage
Organizes, manages, and monitors the performance productivity of revenue cycle
Supervises staff, providing work assignments, performance feedback and corrective action as necessary
Hires and trains new employees
Works with manager to formulate a plan for professional development
Attends educational in-services as appropriate
Supervises daily revenue cycle operations in assigned clinical specialty and monitors revenue cycle metrics for area of responsibility
Provides data and reports as required by management
Works with physicians to ensure consistent coding and documentation practices are followed
Trains staff as appropriate on revenue cycle activities, coding, billing and reimbursement practices
Acts as a resource to clinical specialty's staff on matters pertaining to revenue cycle