Employment Type:

Full time

Shift:

Description:

Position Purpose:

Provides direct day-to-day leadership of professional coding team for simple and/or complex coding; monitors charge router, charge review, and claim edit WQs; identify appropriate ICD-10, CPT, HCC, HCPCS, and modifier usage for assigned region. Provides guidance and supervision to ensure services rendered are coded and charged appropriately and achieving key performance metrics. Ensures policies and procedures are followed and timely addresses barriers as they arise. Responsible for written and verbal communications, ongoing monitoring of work queues, productivity and quality measurements of staff members.  

What you will do:

• Supervises the work of assigned staff including the monitoring of competencies.  Develops with manager goals and objectives, conducts annual performance appraisals with manager and the utilization of performance resolution process when needed including but not limited to performance enhancement plans, corrective actions, etc.

• Monitors work queues in Epic daily to identify escalated volumes, escalated charge lag and work queue aging days, barriers to achieving goals, and other trends that drive key performance metrics.

• Assists manager with recruitment and hiring.  Responsible for orientation, training and coaching of new team members in accordance with local and Trinity guidelines in order to ensure training is completed and documented and that training materials are continuously updated and organized. 

• Assists with complex coding technical and business issues and aligns action plans with local and Trinity goals and objectives.

• Identifies coding and charge capture priorities and enhances workflow to minimize Pre-AR, AR, and Denial days.

• Maintains a working knowledge of applicable Federal, State, and local laws/regulations, the Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Minimum Qualifications:

• Must possess a CPC certification, comprehensive knowledge of CPT, ICD-10-CM (ICD-9-CM) and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery system or revenue cycle or consulting experience, as normally obtained through an associate degree in related field and three (3) to five (5) years of professional coding experience or equivalent combination of education and professional coding experience.

• Previous supervisor or leadership experience, includes team leader or educator role

• Using Epic preferred. 

• Four (4) to six (6) years of experience in multi-specialty coding, with comprehensive knowledge of Medicare, Medicaid, and other third-party billing rules and regulations preferred.

• Demonstrated ability to work independently and to effectively supervise and manage functional area within the team, supervise processes, support more complex issues, and provide feedback and guidance to staff.

• Broad-based knowledge of healthcare insurance, patient billing and collection practices, and at-risk and capitated payments.

• Ability to work remotely from home following Trinity remote work guidelines

• Ability to teach/instruct/train coders on processes and procedures, both one-on-one and group settings.

• Ability to use Excel and other Microsoft 365 tools.

Position Highlights and Benefits:

• Comprehensive benefit packages available, including medical, dental, vision, paid time off, 403B, and education assistance.

• We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

• We live and breathe our guiding behaviors: we support each other in serving, we communicate openly, honestly, respectfully, and directly, we are fully present, we are all accountable, we trust and assume goodness in intentions, and we are continuous learners.

Ministry/Facility Information:

• A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-service, not-for-profit, Catholic, teaching