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Job Information

Superior Ambulance Service Medical Billing Supervisor in Elmhurst, Illinois

Overview

Processing and Coding Supervisor

  • Responsible for oversight and audit of all front-end billings, with backup to unassigned states during absences including

  • Production management of staff

  • Charge capture audit and level of service scrubbing

  • CMS and Medicaid requirements met

  • Self-Pay auditing

  • Closing checklists and reports completed by the established deadlines

  • Overtime management

  • Upgrade and Downgrade review

  • Create and maintain a farming system of growth for Coding staff into higher acuity roles, including employee responsibility lists maintained with backup employee listings

  • Articulate system issues including

  • EPCR configuration problems

  • Import deficiencies

  • Reporting parameters

  • Others as realized

  • Maintain a thorough communication channel between claims and support departments in order to support the needs of the business and promote cash collection/compliance initiatives

  • Maintain a training department and trainer position, audit the curriculum and manuals for accuracy, update as required and propose system edits to minimize errors

  • Identify operational deficiencies related to production and develop a plan of action to correct with milestones, identify new initiatives to increase throughput of claims

  • Create a collaborative, service-based environment with positive, trusting culture among team members and departments

  • Establish expert knowledge for the required guidelines (CMS/HFS/Provider manual recall)

  • Maintain average staffing level of 90% or higher, maintain employee turnover of less than 25%

    Coding Supervisor – First year expectations

  • With import enhancements and additional efficiencies, increase quota standards by ten percent over six months; place into policy and manage the change

  • Train backup personnel in areas of need and deploy a full employee responsibility Sharepoint Excel list, develop processes to ensure all closing items are handled by the deadline with accuracy

  • Develop a DRG and PPS audit program, with continuing education and auditing of employee compliance. Reduce inappropriate DRG billing by 90% with support of Analyst and Internal Auditor

  • Implement recurring employee feedback and scorecards with trends, log positive and negative action taken via a Sharpoint page for quarterly & monthly management review

  • After 90 days, present process and change management initiatives which will enhance the production, quality, and morale of the department

    First Year Self Improvement

    Through the use of MOOCs, coursework, or other self-learning, become a resource for AR department use of at least two professional skillsets outside the scope of the current position (i.e. project management & planning, education, report building, process improvement, change management, technical work including Excel/Power BI/SSIS, SSRS). Apply skillsets within group of peers to help the department reach a higher level of efficiency. Report tangible results (i.e. as a result of my training in X, Y items were changed and improved by X percent).

Responsibilities

Qualifications

Pay range $56,000 - $70,000

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