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Elmhurst

    Medical Billing Supervisor - Elmhurst, United States - Superior Ambulance Service, Inc.

    Superior Ambulance Service, Inc.
    Superior Ambulance Service, Inc. Elmhurst, United States

    1 week ago

    Default job background
    Description
    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

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