Atrium Health Musculoskeletal Institut

We are currently accepting applications from candidates residing in these states: AL, CO, FL, GA, ID, KS, KY, ME, MI, NC, SC, VA, VT

Salary: $78,000 to $117,000 annual

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

Job Summary

Monitors and oversees the day to day operations within the department. Accountable for the charge capture and claim resolution portion of the revenue cycle. The Manager must have thorough knowledge of ICD, CPT, and HCPCS coding principles.

Essential Functions

• Coaches and develops of supervisory team members.
• Works with leadership team to address provider needs and ensures communication is helpful, effective, and consistent.
• Ensures adherence to all departmental policies.
• Develops, implements, and monitors quality assurance reviews.
• Assesses, implements, and continuously monitors workflow and volumes to ensure workload is balanced among team members.
• Assesses and reacts to workflow changes related to departmental growth.
• Ensures effective communication with both internal and external customers.
• Develops, implements, and monitors a comprehensive training program to include career ladder development. Addresses departmental training needs based on team member performance and quality reviews.
• Conducts quality assurance reviews as needed. Provides education as a result of these reviews.
• Stays abreast and communicates coding changes (i.e. new codes, new technology, payor requirements).
• Monitors key performance indicators (KPIs) to include, but not limited to, denials, AR Trends, edit volumes, and charge lag.
• Participates in strategic planning and design in coding, regulatory, and system changes that impact coding, reimbursement, and compliance.
• Oversight of medical necessity work queues to address CCI, LCD, NCD, MUE, etc. edits prior to claims submission.
• Reviews denials for medical necessity to facilitate department review as needed, add modifiers, and make adjustments per payer policy

Physical Requirements

Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending. Some travel may be required.

Education, Experience and Certifications

Bachelor’s degree or 8 years related experience required. 1-3 years supervisory experience preferred. CPC or coding credential required. Demonstrates professional presence and effective presentation skills.

Atrium Health is one of the nation’s leading healthcare organizations, connecting patients with on-demand care, world-class specialists and the region’s largest primary care network. A recognized leader in healthcare delivery, quality and innovation, our foundation rests on providing clinically excellent and compassionate care.

We’ve been serving our community since 1940, when we opened our doors as Charlotte Memorial Hospital. Since then, our network has grown to include more than 40 hospitals and 900 care locations ranging from doctors’ offices to behavioral health centers to nursing homes.

Our focus: Delivering the highest quality patient care, supporting medical research and education, and joining with partners outside our walls to keep our community healthy.

Our Mission Statement, Vision and Values

Our Mission: To improve health, elevate hope and advance healing – for all.

Our Vision: To be the first and best choice for care.

Our Values: We recognize that employees are our most valuable asset. We have identified four core values we hold in the highest regard: caring, commitment, integrity and teamwork.