Must be fully vaccinated for COVID-19 including two doses of a 2-dose series or a single dose of a 1-dose series prior to start date. Fully vaccinated is defined as 14 days post series completion date.

Responsible for the supervision of insurance coding appeals, and pre-accounts receivable; including but not limited to charge review, and charge entry. Supervises appeals analysts, specialty coders, and coding apprentices; monitors work production; identifies problems and implements resolutions; coordinates staff schedules. The Supervisor participates in program development and department performance improvement, performance evaluations. Ensure performance standards are met for quality, productivity, and timeliness.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Monitor work production of Appeals Analysts in insurance follow up activities, Specialty Coders and Coding Apprentices


• Assures staff provides accurate, sensitive, timely responses to patient questions and concerns


• Acts as second level of escalation for customer complaints


• Monitors Pre- Accounts Receivable (Pre-AR) levels and coding related Accounts Receivable (AR), identifying problems and recommends changes to effectively reduce Days in Pre-AR/AR


• Ensures the Clinic collects reimbursement in accordance with payor contracts


• Ensures the Clinic brings coding related denials to resolution with the goal of reimbursement


• Perform trend analysis of coding denials to conduct process improvements to eliminate/reduce denials


• Collaborates with IT and Training, monitors workflows and system-enhancement opportunities to optimize efficiency and effectiveness


• Coordinate schedules of staff to ensure adequate coverage


• Calculates and reports productivity measurements to Manager, Coding and Charge Capture Management


• Recommends, monitors and reports individual and team goals


• Write and perform employees' performance evaluations and makes recommendations for disciplinary actions


• Interviews and selects new staff


• Develops, maintains and assures compliance with Policies and Procedures for the team


• Assure staff are trained, meet competency standards and follow existing policies


• Assures staff are trained in insurance regulations, compliance, CPT and ICD-10 coding


• Meets weekly with the Manager, Coding and Charge Capture Management to review the status of KPIs, departmental goals and projects


• Trains staff on Epic system upgrades


• Participates in Epic system testing


• Leads and participates in ad hoc teams to improve clinic-wide and business services processes

• Excellent written and verbal communication skills


• Working knowledge of ICD-9, ICD-10, CPT, and HCPCS coding and Correct Coding Initiatives (CCI)


• Proficient in Microsoft Word and Excel software required

EDUCATION AND EXPERIENCE:

• Minimum of an Associate's Degree or equivalent combination of education and experience in healthcare billing, coding, and collections required


• AHIMA (CCA, CCS, CCS-, or RHIT); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the relevant AAPC specialty-specific coding credentials required


• Experience in medical insurance billing regulations and requirements required


• Experience in a medical business environment required


• Experience with reimbursement payment methods required


• Experience with patient collections and customer service preferred


• Experience with effective cash handling procedures required


• Previous supervisory experience strongly preferred

Pay Range:
$63,583.00 - $95,375.00

The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.

We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, with employer contributions after your first year of employment. Benefits-eligible employees accrue PTO and Personal Time based on hours worked and State worked, totaling 120 hours in the first year for full time staff and 200 hours in the first year for full time supervisors and above, increasing in subsequent years. PTO and Personal Time accruals are pro-rated by FTE/hours worked. Non-benefits eligible employees will accrue Personal Time based on hours worked and State worked. Employees will also enjoy up to six paid holidays per year, depending on schedule. Contact your recruiter for more information.

Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of drug screen, background screen, and immunization requirements.