70158 Atrium Health Cleveland - Ambulatory Surgery Center

Full time

Yes

40

Remote position- Mon- Fri - Business Hours EST.

Responsible for overseeing coding/charge entry, remittance posting, A/R collections, & denial management work done by fully remote team dedicated to Ambulatory Surgery Center processes in the Atrium Greater Charlotte Market. Extensive knowledge of full Revenue Cycle workflows required- ASC specific experience preferred.

Pay Range

$30.15 - $45.25

Essential Functions

• Reconciles processes to ensure all charges are captured.
• Reviews ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered.
• Processes automated or manually enters charges in the applicable billing system.
• Researches and analyzes coding and payer specific issues.
• Supervises coders and makes sure department guidelines for timeliness of processing charges are met and communicates with team members and leadership team management on an ongoing basis.
• Communicates with providers, either verbally or in writing, related to coding issues that are of high complexity. Including face to face interaction and education with providers.
• Assigns E/M or other procedural codes from provider documentation.
• Applies appropriate modifiers and basic knowledge of Relative Value Units as well as appropriate ranking of CPT codes.
• Coaches providers on documentation improvement
• Develops and mentors teammates and serves as a resource.
• Conducts quality assurance reviews to determine where additional training opportunities should be implemented.
• Monitors productivity and redirect workflow as volumes require for assigned teammates.
• Monitors daily edits/work queues related to charge entry,
• Oversees reconciliation processes to ensure complete.
• Maintains relationships with physicians, residents and medical staff.
• Builds relationships and network with others across the enterprise.
• Assists Manager in completion of Employee Reviews and Individual Development Plans.li>
• Plans staffing, adjusts as needed for coverage of all functions and to ensure charges and payments complete for month end deadline
• Trains and/or sets up training schedule with other teammates for new employees. Oversees orientation period and performs check point reviews toward orientation/ training goals
• Identifies performance issues and works with teammates to resolve. When needed, performs coaching and re-education steps with documentation.
• Responsible for educating team on provided Revenue Cycle performance metrics and oversees progress to goals and standards. Collaborates with Director on concerns or resources needed
• Responsible for auditing revenue cycle processes to ensure compliance with policies, guidelines and standards on an ongoing basis.
• Stays up to date on all team functions and how to support each individual facility
• Provides leadership to team, monitors culture and teamwork and intervenes as needed to address communication issues or optimize remote team collaboration
• Develops relationships with onsite facility leaders and business office teammates to facilitate communication between Rev Cycle team and onsite processes.
• Meets with Rev Cycle teammates (collectively and individually) regularly to assess workload, resources needed, questions or concerns, barriers and provides updates to Director
• Provides back up for position vacancies and time off.
• Works with Director to establish department priorities based on data/ metrics and communicate to team and connect rev cycle function to larger ASC strategy and goals.
• Serves as point of contact for escalated patient billing questions/ concerns
• Audits accounts presented for patient refunds to ensure transaction posting accuracy before forwarding with documentation to Director for refund processing.

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Physical Requirements
Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending.

Education, Experience and Certifications

High School Diploma or GED required. AAPC or AHIMA certification, minimum of 5 years of experience of coding experience required, previous management experience preferred, strong knowledge of revenue cycle systems required. Maintain coding certification (CPC, CCS, RHIT, RHIA). Extensive knowledge of coding, medical terminology, anatomy, and physiology. Extensive knowledge of and the ability to apply the payer specific rules regarding coding, bundling, and adding appropriate modifiers. In depth knowledge of claim editing rationale and revenue cycle. Excellent written and verbal communication skills. Demonstrates expertise in multiple areas of coding.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program