Under direct supervision, assumes responsibility for all aspects of staffing, organization and prioritization of work, auditing, production and quality tracking, and communication to the assigned team.

Education:
Associate’s degree in related field or equivalent work experience
 

Licensures/Certifications:
AAPC Certification
 

Experience:
5 years experience in medical billing. 2 years experience in a leadership/management role.
 

Skills:
• Knowledge of: standard code sets (e.g. CPT, ICD-9, HCPCS, Modifiers), medical terminology and anatomy, third-party payer policies and billing, procedures and requirements Medicare, BCBS and Medical Assistance policies, procedures and requirements
• Skill in using basic computers and personal productivity applications
• Skill in written and oral communication
• Skills in research, analysis and problem solving
• Skill in goal setting and policy development
• Ability to develop and balance a budget
• Ability to assess, analyze, and trouble-shoot workflows and processes
• Ability to contribute to the development of training material
• Ability to manage many assigned tasks simultaneously

Principal Duties and Responsibilities:
• Manages human resources within established productivity guidelines and the personnel budget. Facilitates training and development efforts. Maintains employee competencies. Monitors and reviews work performance of the staff. Interviews and selects personnel.
• Reviews financial and operational reports to identify areas of success and improvement. Reassigns work as needed to maintain consistent levels of performance. Conducts periodic audits of employee work to ensure quality performance.
• Ensures optimal revenue for all physician departments through collaborative efforts with Client Services and Operations.
• Monitors charges on a daily basis to maintain revenue. Monitors all open charge reports to ensure all charges are being closed/captured and keeps practice managers informed of providers that are not closing/signing notes.
• Works closely with Compliance department to review audits with the practice managers and physicians. Provides additional training to physicians regarding the results of audits to ensure improvement.
• Works with Compliance to keep abreast of any coding updates throughout the year as well as the yearly AAPC updates.
• Holds meetings with provider groups to provide training and coding updates on individual department levels. Works closely with onboarding physicians to go over coding rules and regulations as well as new practices during the onboarding process.
• Assists the Applications Trainer in developing training documentation relevant to the assigned team/area. Look for additional opportunities for coding staff to develop and enhance coding skills.
• Researches coding related issues and works with compliance to enhance charge entry processes for all departments.
• Works with the Epic team to provide information on new CPT codes, charge edits, and new providers. Provides information on fee changes when necessary.

All roles must demonstrate GBMC Values:

Respect

I will treat everyone with courtesy. I will foster a healing environment.

• Treats others with fairness, kindness, and respect for personal dignity and privacy

• Listens and responds appropriately to others’ needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

• Meets and/or exceeds customer expectations
• Actively pursues learning and self-development
• Pays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

• Sets a positive, professional example for others
• Takes ownership of problems and does what is needed to solve them
• Appropriately plans and utilizes required resources for various job duties
• Reports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

• Works cooperatively and collaboratively with others for the success of the team
• Addresses and resolves conflict in a positive way
• Seeks out the ideas of others to reach the best solutions
• Acknowledges and celebrates the contribution of others

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

• Demonstrates honesty, integrity and good judgment
• Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

• Embraces change and improvement in the work environment
• Continuously seeks to improve the quality of products/services
• Displays flexibility in dealing with new situations or obstacles
• Achieves results on time by focusing on priorities and manages time efficiently

Pay Range

$60,150.49 - $102,255.84

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

Equal Employment Opportunity

Gilchrist Inova and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.