Supervisor Cardiovascular Revenue Integrity

Description

Summary:

Has system-wide responsibility for Cardiology billing and coding functions. Manages outpatient charging and coding staff for both Legacy Heath Quest and Legacy WCHN coders. Responsible for mastering and training staff on ICD-10 and other coding concepts. Ensures accurate and timely charge capture systems are in place and executed for work units. Proactively identifies and resolves barriers preventing revenue from crossing to financial system. Independently participates and contributes to major projects. 

Responsibilities:

1. This position has system-wide responsibility. Manages outpatient charging and coding staff that supports the whole Network. Designates and monitors appropriate stretch goals. Uses and enforces organization policies for employee appraisal. Works with Director to recommend changes to department structure and career ladder. 
2. Works with Billers and Coders & other employees to assure systems are in place so that revenue posting is not interrupted during any employee's absence. Provides on-going feedback to staff engaged in billing and coding tasks. Ensures staff understands and follows up on basic issues that prevent revenue from passing to financial system. 
3. Maintains a high level of technical expertise for areas of revenue responsibility and system-wide revenue-generating departments. Understands different billing systems, charge codes and billing regulations. Researches and identifies action needed to post revenue for area not usually assigned. Provides billing and coding consultation for departments without revenue staff. 
4. Supports and independently contributes to system-wide complex projects that supports radiology in multiple hospital sites across the Network. This may include system conversions, process changes and new applications. 
5. Performs coding, charging and reconciliation of complex accounts. This includes, but is not limited to interventional cardiology, vascular and radiology cases. Must perform these functions within industry standards for quality and timeliness. Serves as back-up to other employees. 
6. Develops training materials and education curriculum. Conducts training sessions. Accesses appropriate resources for training materials to include Revenue Compliance Department, Medicare website, coding books, on-line materials and others. Serves as a primary trainer for ICD-10 codes and applications. 
7. Identifies billing errors or missing revenue or charges based on raw data. Monitors revenue reports and patient schedules daily. Investigates and resolves issues to assure charges and billing codes are entered timely. Assesses and identifies non-routine barriers to posting revenue and refers to proper authority. 
8. Routinely reviews compliance information (CMS website), coding journals and modality newsletters. Compares coding updates to service catalog for areas of assignment. Communicates coding change needs to department managers and other parties. 
9. Collaborates with clinical department directors to assure smooth revenue workflows. Identifies department-based barriers to timely revenue posting such as workflow process steps and personnel. Participate in department performance improvement projects for revenue operations. Recommend process and policy changes to manager to assure revenue is posted daily. 
10. Fulfills all compliance duties related to the position. For example, performs chart to bill audits and assures systems are in place that consistently capture codes based on documentation. 
11. Maintain and Model Nuvance Health Values.
12. Demonstrates regular, reliable and predictable attendance.
13. Performs other duties as required. 

Education Skills Experience

• Associate's Degree, Bachelor’s Degree preferred.
• Minimum Experience: 5+ years.
• Required Certification: CCS or CPC
• Experience in charge capture process or medical record review.
• Excellent keyboard skills- Data entry, MS Word, MS Excel.
• Strong analytical skills with attention to detail and a high degree of accuracy.
• Ability to take initiative by identifying problems, conceptualizing resolutions to the problems, and implementing change.
• Strong comfort level with computer systems.
• Strong verbal and writing communication skills.

Other Information
Essential:
* Certified Coding Specialist
* Certified Professional Coder

Working Conditions:

Manual: significant manual skills/motor coord & finger dexterity

Occupational: Little or no potential for occupational risk

Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force

Physical Environment: Generally pleasant working conditions

Credentials:CCS,CPC

Company: Nuvance Health

Org Unit: 1989

Department: Facility Charging and Coding

Exempt: Yes

Salary Range: $33.66 - $67.05 Hourly