Supervisor, Charge Edit and Audit

Sutter Health•Sacramento, CA

45d•$61 - $91•Remote

About The Position

This position is eligible to work from home within the Sutter Health northern California footprint. Provides supervisory coaching and support; issue identification, assessment, and resolution; and technical support to achieve desired outcomes and compliance with Sutter Health policies/procedures and standards. Manages team workload, resources and compliance with service level agreements to ensure activities are executed accurately and efficiently. Assists in establishing and maintaining strong, collaborative relationships with all internal and external customers to identify additional ways to be of service and ensure customer satisfaction.

Requirements

Equivalent experience will be accepted in lieu of the required degree or diploma
Bachelor's degree in Health Information Management or related field
CPC-Certified Professional Coder
OR COC-Certified Outpatient Coding
OR RHIT-Registered Health Information Technician
OR RHIA-Registered Health Information Administrator
5 years recent relevant experience
Extensive knowledge of all areas related to Charge Capture and how they interrelate.
In-depth knowledge of medical and billing terminology, common procedure terminology, diagnosis codes, healthcare common procedure coding system, and revenue codes.
Knowledge of government and/or commercial payer requirements.
Knowledge of Federal, State, and Local regulatory publications and how to access.
Knowledge of Outpatient National Correct Coding Edits.
Demonstrated ability to review a health record and determine applicable charges/codes for hospital/facility billing for a range of service lines including surgical coding and diagnosis codes
Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI, Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record
Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred) and hospital billing functions.
Proficient with Microsoft Office computer applications (Excel, Word, and PowerPoint).
Effective organizational skills with the ability to prioritize and manage multiple functions and responsibilities simultaneously.
Verbal and written communication and interpersonal skills.
Demonstrated leadership skills, including team building, and coaching/mentoring with the ability to motivate and engage others.
Ability to work in a dynamic and fast-paced environment with changing business priorities.
Organizational and time management skills, with the ability to prioritize multiple projects while delivering quality service/achieving business results.