Responsible for the daily supervision of coding staff including time and attendance, authorization of paid time off and monitoring compliance with personnel policies and procedures. This individual will assist in developing office policies and procedures, serve as a lead for troubleshooting, problem solving and will be expected to exercise independent judgment. Will be responsible for completing key tasks as needed and defined by department management.
Requires a thorough understanding of medical billing and coding experience using the appropriate billing system. Must possess excellent communication and customer service skills with the ability to work well under pressure. Maintain strict confidentiality of staff and patient information. Promote team work and identify areas of improvement and recommend coordinated actions to bring about changes.
Principal Duties and Responsibilities:
Responsible for the daily supervision of coding staff including time and attendance, authorization of paid time off and monitoring of staff compliance with personnel policies and procedures.
Perform all management tasks such as distribution of work priorities and goals; recommendation in hiring and termination decisions, discipline, and performance reviews.
Monitor staff productivity and take actions to maximize.
Monitor coding budget vs. actual, pinpointing areas of concern and initiate corrective action.
Research and resolve problems as needed to ensure adherence with departmental policies and procedures.
Assist in the development of coding policies and procedures consistent and complementary to those already developed by the Physicians Billing Service.
Perform random audits to ensure all charges are billed in accordance with CPA billing standards.
Monitor and resolves patient inquiry list.
Monitors and resolves credit balances ensuring compliance with CPA policies for self pay and governmental refunds.
Work monthly reconciliation to ensure all outstanding items are resolved prior to book close.
Proactively follows up on rejection trends.
Provides assistance over specific functional areas as identified by the Production Unit Manager.
Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
Utilize online resources including Epic and IDX to facilitate efficient claims processing.
Requires a thorough understanding of medical billing and the unique customer service requirements as related to patients, physicians and administrative staff in a high volume medical services environment.
Excellent communication and customer service skills with the ability to work well under pressure.
Professional & Personal Development:
Participate in on-going educational activities.
Assist in the training of staff.
Keep current of industry changes by reading assigned material on work related topics.
Complete three days of training annually.
Department Specific Responsibilities:
Assumes the reporting responsibilities for 10 Radiology Specialty Coders.
Quality Incentive Auditor.
Perform Quality Incentive Charge Review Audits for multiple specialties.
Attend monthly Tenant Council Meetings.
Liaison for Office of Billing and Quality Assurance ( Duties include verification of audit error or findings and posting of refund rebill log)
Dedicated ICD-10/CPT coder for the Bethesda JHI site.
Office manager (Duties include online supply ordering, submit travel reimbursement, and online payment request).
Must adhere to Service Excellence Standards.
Continuous Performance Improvement
Supervision of Others:
Provides daily supervision of assigned staff.
Associate's Degree required in health care administration, business, or related discipline.
Three years progressively responsible professional level experience in a physician's group practice environment. Two years supervisory experience required.
Requires in-depth knowledge of academic faculty practice billing issues and specific knowledge of billing issues.
Additional education may substitute for experience, and additional experience may substitute for education to the extent permitted by the JHU equivalency formula.
CPC certification preferred.
IDX and EPIC experience preferred.
Special knowledge, skills & abilities:
Knowledge of JHM and JHU/ PBS billing applications.
Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
Strong organizational and analytical skills.
Excellent organizational skills.
Aptitude for figures and attention to detail.
Ability to interact effectively.
Capable of meeting deadlines and working well under pressure.
Knowledge of PCs and PC applications.
Excellent interpersonal, communication and customer service skills required.
Classified Title: Assistant Production Unit Manager Working Title: Assistant Production Unit Manager Role/Level/Range: ATO 37.5/03/OH Starting Salary Range: $53,643 - $73,746 Employee group: Full Time Schedule: M-F, 8:30AM - 5:00PM Exempt Status: Exempt Location: 02-MD:Mount Washington Campus Department name: 10003158-SOM Rad Production Unit Billing Personnel area: School of Medicine
The successful candidate(s) for this position will be subject to a pre-employment background check.
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