Revenue Integrity/Charge Capture Supervisor - REMOTE

Company: UMass Memorial Health Care
Location: Worcester
Posted on: November 26, 2022

Job Description:

Requisition #:231280



Title:Revenue Integrity/Charge Capture Supervisor - REMOTE



Department:Revenue Cycle



Location: UMass Memorial Medical Center



Shift:Days



Status: Exempt



Hours:40



Shift Length:8



Position Summary:



Provides support to Revenue Integrity (RI) / Charge Capture Manager for the implementation of charge capture related activities and strategic plan. Collaborates with clinical department to facilitate timely processing of downtime encounters. Monitors edit trending and feedback to clinical stakeholders for ongoing improvement.



The duties and responsibilities stated are a general summary and not all inclusive.



Major Responsibilities:



* Responsible for supervising charge entry staff and for ensuring the accurate and timely CPT / ICD coding and charge entry for all physician professional charges for assigned billing areas.

* Assesses coding and charge entry backlog situations and makes adjustments when needed.

* Collaborates regularly with Professional Billing Central Billing Office (PBCBO) to maximize reimbursement and efficiency.

* Collaborates with clinical department to facilitate timely processing of downtime encounters.

* Monitors edit trending and feedback to clinical stakeholders for ongoing improvement.

* Assists in the development and implementation of productivity standards to ensure that accurate charge entry is completed.

* Provides feedback to RI / Charge Capture Manager for continuous improvement.

* Participates in regulatory update discussions.

* Provides support to RI / Charge Capture Manager to ensure compliance with regulatory agencies.

* Monitors auditing procedures and controls to provide feedback to staff based on established standards.



Position Qualifications:



License/Certification/Education:



Required:



* Associate of Arts degree in the medical field (i.e., Medical Assistant, Medical Coding, etc.)



Experience/Skill:



Required:



* Three to five (3-5) years of work experience related to professional billing and coding.

* Two to three (2-3) years of managerial experience, preferably in a healthcare environment.

* Demonstrated leadership ability, initiative, teamwork and assertiveness. Excellent verbal, written and interpersonal communication skills.

* Computer skills and ability to access and use multiple data systems including various PC applications, e.g. Excel, Word, Access and Power Point.

* Extensive knowledge in ICD and CPT / HCPCS coding, 3rd party payer requirements and federal and state guidelines and regulations pertaining to coding and billing practices.

* Proven analytical, research and evaluation skills required to make recommendations and implement operational improvement strategies as part of a cohesive team.

* Ability to effectively interact with various people and adhere to team management concepts.

* Must maintain current knowledge of coding and billing practices through reading of newsletters, publications and attendance at seminars.

* Must have the ability to maintain a positive attitude and professional manner when interacting with team members, management and other staff members.



Preferred:



* Training in professional coding and billing (boot camp).



All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Keywords: UMass Memorial Health Care, Worcester , Revenue Integrity/Charge Capture Supervisor - REMOTE, Other , Worcester, Massachusetts