CRC Clinical Supervisor

JOB SUMMARY

• Supervision and leadership of a team of clinicians and/or coding auditors as they evaluate accounts for appeal
• In conjunction with the clinical educator, identify needs and schedule training sessions and acquires access to electronic systems as needed for team members
• Work closely with operations manager for inventory and performance management activities
• Support team members via providing answers and resolution to escalated issues / questions
• Identify performance deficiencies and work with leadership / educator team to address

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

• Performance Targets – Monitors quality, productivity, and daily inventory.  Provides coaching and instruction as needed to ensure team members achieve targets
• Operations – Daily inventory management / assignment.  Timely completion of accounts referred by staff or management.  Resource for questions encompassing all aspects of processes and procedures; collaborates with internal customers to ensure delivery of quality service.  Works with external partners on special projects
• Issues & Escalations – Identifies and escalates issues and possible solutions related to areas of assignment
• Collaboration – Attends meetings with AR teams as needed.  Works with CRC leadership to provide updates to team members.  Supports leadership team in client-facing meetings as needed.  Is the subject matter expert for clients / markets within area of responsibility
• Strategizing – Leads new client implementations by becoming a subject matter expert and collaborating with the Clinical Educator to provide team training and facilitate access
• Goals – Communicates operational goals to team members and monitors progress toward completion
• Training and Development – Schedules training for team as needed.  Leads team to obtaining new skills.  Participates in succession planning
• Performance Management – Directly supervises team member work and performance.  Provides feedback (minimum monthly) to individual team members.  Manages team member time and attendance.  Identifies opportunities for improvement and enlists the assistance of the Operations Manager when disciplinary action is needed
• Culture - Maintains an environment that supports high-motivation, positive morale, employee engagement and growth opportunities
• Leadership Support – Engages team members in the identification and gathering of information for internal and client discussions

SUPERVISORY RESPONSIBILITIES 

If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. 

• Direct Reports (titles)        Coding Auditor, Appellate Clinician
• Indirect Reports (titles)     N/A

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Government and Commercial Payers – NCDs/LCDs and ability to research payer specific policies
• Technology – Experience with multiple CM / HIM technology solutions and MS Word, Excel and PowerPoint
• Coding and DRG – Familiar with DRG classification and reimbursement structures
• Communication – Written and verbal communication skills 
• Revenue Cycle – Understanding of healthcare and revenue cycle services as it relates to payer denials
• Teaching – Ability to conduct on-line education sessions
• Other – Flexible, innovative, and highly adaptable to dynamic business environment, catalyst for change.  Highly engaged and supportive of leadership.  Role model for Conifer values and guiding behaviors.
• Analytics & Performance Improvement – Interpret data for the purpose of providing team member feedback and identification of performance improvement activities.
• Organizational Skills – Ability to multit