Supervisor Coding (Evaluation & Management)
Are you looking for a rewarding career with a top-notch health care company? We’re looking for a qualified Supervisor (Evaluation & Management) like you to join our Texas Health family.
Position Highlights
- Work location: Remote work, however, may occasionally need to report to DFW in person
- Work hours: Monday – Friday, days
HIMS Coding Department Highlights:
- Flexible hours/scheduling once training is complete
- Work life balance
- Opportunities for advancement
Qualifications
Education
Bachelor’s Degree Healthcare admin or HIM related REQUIRED or
Associate’s Degree Healthcare admin or HIM related 2 Years Relevant experience in lieu of Bachelor’s Degree REQUIRED or
H.S. Diploma or Equivalent 7 Years Relevant experience in lieu of degree REQUIRED
Experience
3 Years With Bachelor’s Degree – Experience with coding (charge capture and coding denials) and billing of professional services (Part B) healthcare experience REQUIRED or
5 Years With Associate’s Degree – Experience with coding (charge capture and coding denials) and billing of professional services (Part B) healthcare experience REQUIRED or
7 Years With High School Diploma – Experience with coding (charge capture and coding denials) and billing of professional services (Part B) healthcare experience REQUIRED and
2 Years Managing a team or as a lead preferred
Licenses and Certifications
CPC – Certified Professional Coder Upon Hire REQUIRED or
CCS-P – Certified Coding Specialist – Physician-based Upon Hire REQUIRED and
Other Advanced or specialty coding credentials (e.g. CPMA) and/or Billing (e.g. CPB) Upon Hire preferred
Required Skills
- Ability to function in a leadership role influencing coding/billing staff.
- Expertise in physician coding and billing requirements and regulations.
- Knowledge of insurance regulations and reimbursement requirements.
- Excellent communication (verbal and written) and interpersonal and conflict resolution skills.
- Comfortable speaking in front of groups
- Excellent business management and developmental skills.
- Effective problem solving skills.
- Knowledge of computer systems (Microsoft Office), and applications.
- Knowledge state and federal regulations.
- Possess a strong work ethic and a high level of professionalism.
- Preferred Knowledge of EPIC’s electronic medical record and practice management system.
Position Responsibilities
- Ensures success of CRD initiatives through oversight of day to day operations.
- Provides staff support and training as well as WQ back up as needed. Monitors WQ volumes and ageing to ensure that team stays within department KPIs.
- Assists with ongoing analysis of routing rules, charge review/claim edits and denials to improve efficiencies and clean claims as well as reduce coding related denials. This includes feedback to the EPIC team as well as feedback to providers/clinics regarding workflows in EPIC, coding and billing practices.
- Ensures compliance with federal and local regulations ad payor reimbursement polies as related to coding and billing. Confirms that National Correct Coding Initiatives (NCCI manual and edits), CPT Categories I-III and ICD-10 Official Guidelines are followed.
- Works with the CRD Director – to develop and implement performance goals and objectives. Assist with the development and implementation of long-range plans/objectives.
Additional perks of being a Texas Health Supervisor
- Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
- A supportive, team environment with outstanding opportunities for growth.
- Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we’ve won and more.
Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.
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