Job Description

DescriptionJOB DETAILSDepartment: Professional Billing CodingFTE: 1.00 (80 hours per pay period)Workdays: Monday - FridayShift(s): DaysShift Length: 8 hoursLocation: Remote**Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin.Purpose of this position: First line supervisory position typically responsible for supervising professional billing coding employees who are providing professional fee coding and billing services for provider services. Under the direction of the Physician Billing Manager. Position supports the coordination and development of processes which support Providers in creating clinical documentation which is an effective and consistent reflection of the care provided and ensures compliance, quality, and financial viability. Training, participating in evaluation of team and team processes, and supporting organizational documentation initiatives. Position requires considerable knowledge, experience, judgment, and ability to resolve problems related to coding and billing responsibilities of a work unit.RESPONSIBILITIESParticipates in the selection, training, and evaluation of staff engaged in the performance of Professional Fee Coding and Billing functionsReviews work for accuracy and conformance with departmental policies and procedures; tracks and monitors production goals and standardsDetermines priorities, schedules, and assigns work as requiredDevelops, revises, and maintains work unit policies and proceduresMay compose correspondence or prepare reports on own initiativeMaintains necessary office supplies, materials, or inventoryDemonstrates maturity and accountability for job performance, supports the philosophy, objectives, and goals of the HIM department, and assesses areas of personal and professional growthMaintains licensure/certification and skills by obtaining required professional continuing educationPerform other duties as assigned, but only after appropriate trainingAnalyze provider documentation and billing practices through financial and coding activity reports, as well as documentation review, to identify potential opportunities for revenue capture and recognize areas of compliance concernDevelop and execute departmental review projects with measurable financial and/or compliance goals per analysis findingsManage in-clinic review projects, including mitigation of risk, tracking and resolution of issuesOrganize, analyze, and present data for the purpose of working with Department Chiefs, Practice Managers and other stakeholders throughout the organization to outline and institute strategies for improvementPresent education points and/or findings to Providers regarding coding and billing trends and related quality metricsCollaborate with key stakeholders to determine trends and educational needsWorks with Health Information team to ensure standard processes related to preparing documentation efficiently and accurately for compliance with documentation requirements as defined by CMS, The Joint Commission and HCMC internal policies are supported in teaching and training of providersWorks with manager to develop annual education plan based on analysis of reports for revenue opportunities, known compliance risks and documentation trendsConducts formal meetings and/or team meetings in lieu of Manager when requestedEvaluates self and team processes to ensure individual, team and organizational goals are metParticipates in creation of group training materials, leading organizational documentation initiatives, training and evaluation of Coding staffOther duties as assignedQualificationsQUALIFICATIONSMinimum Qualifications:Associates degree in business and /or healthcare administration, Health Information Management or Health Information TechnologyMinimum of 2 years healthcare experience-OR-Bachelor’s degree-OR-Three (3) years external coding/reimbursement experience-OR-An approved equivalent combination of education and experienceCertification/License Required: RHIT, RHIA, CCS, CCS-P or CPC Preferred Qualifications:Prefer Bachelor’s in health related fieldE/M Auditing ExperienceRegistered Health Information Administrator (RHIA) or Registered Health Information Technologist (RHIT) in an active status with the American Health Information Association (AHIMA) preferredKnowledge/ Skills/ Abilities:Experience with Epic electronic medical record functionality and encoder and reimbursement systems recommendedMust have extensive and demonstrated expertise in CPT-4, HCPCS, and ICD-CM coding classification systemsKnowledge of state and federal legislation for HIPAA Privacy, medical record access, and regulatory and accreditation agenciesKnowledge of current medical record technology, statistics, data presentation and reportingOrganize, delegate and monitor work assignmentsCommunicate effectively in oral or written communications; initiate, lead, mentor and coach staffJob Level: SupervisorEmployee Status: Regular

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