Ambulatory Charge Review and Coding Manager
Franciscan Health Munster Campus701 Superior Avenue Munster, Indiana 46321WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest.
Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT Quality Assurance:
Reviews patient charts to verify all services provided are accurately captured.
Reviews procedure codes and diagnosis codes for accuracy.
Audits documentation to confirm support for charges.
Prepares corrections as needed for provider charges to process correctly.
Audits and analyzes software system and charts to identify trends and issues.
Researches, resolves, or escalates, as appropriate.
Subject Matter Expert:
Serves as Subject Matter Expert and resource to direct staff on inquiries and consultation on developing/mapping workflows, technology issues, and unique or complicated coding situations.
Audits the staff's work to comply with standards.
Collaboration:
Collaborates and communicates with management regarding all aspects related to charge review and coding, including but not limited to workflows, updates, errors, and trends.
Identifies solutions to resolve widespread issues where appropriate.
Compliance:
Monitors updates to Medicare, Medicaid, and commercial insurance payer guidelines.
Remains current on any changes to internal policies and procedures.
Remains knowledgeable ICD-10 update and other revenue cycle changes.
Communicates applicable trends, updates, and changes to staff.
Achieving Target Outcomes:
Ensures achievement of department goals and deadlines, including completion of charges for month-end financial closing.
Performance Management:
Supervises direct reports and manages the performance of individuals through ongoing coaching, feedback, education, and development to motivate, engage and drive a high performing team.
Budget and Policies:
Implements and manages policies and a budget, ensuring cost control and expenses are in alignment with the budget.
Effective Working Relationships:
Builds and maintains relationships with other practices and departments.
Collaborates with Human Resources on recruitment, hiring, orientation, performance evaluations, and corrective action.
Living Franciscan Mission and Values:
Creates and sustains a culture in the practice that reflects the Franciscan Mission and Values.
Creates an atmosphere that is conducive to and fosters motivation of coworkers.
QUALIFICATIONS Associate's Degree in Health Care or Health Care related field- Required Bachelor's Degree - Preferred 3 years Coding Manager - Required Certified Coding Specialist (CCS) - Required -OR- Certified Professional Coder (CPC) - Required -OR- Registered Health Information Administrator (RHIA) - Required -OR- Registered Health Information Technician (RHIT) - Required TRAVEL IS REQUIRED:
Up to 20%EQUAL OPPORTUNITY EMPLOYERIt is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Recommended Skills Auditing Certified Coding Specialist Certified Professional Coder Consulting Corrective And Preventive Action (Capa) Finance Estimated Salary: $20 to $28 per hour based on qualifications.
Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT Quality Assurance:
Reviews patient charts to verify all services provided are accurately captured.
Reviews procedure codes and diagnosis codes for accuracy.
Audits documentation to confirm support for charges.
Prepares corrections as needed for provider charges to process correctly.
Audits and analyzes software system and charts to identify trends and issues.
Researches, resolves, or escalates, as appropriate.
Subject Matter Expert:
Serves as Subject Matter Expert and resource to direct staff on inquiries and consultation on developing/mapping workflows, technology issues, and unique or complicated coding situations.
Audits the staff's work to comply with standards.
Collaboration:
Collaborates and communicates with management regarding all aspects related to charge review and coding, including but not limited to workflows, updates, errors, and trends.
Identifies solutions to resolve widespread issues where appropriate.
Compliance:
Monitors updates to Medicare, Medicaid, and commercial insurance payer guidelines.
Remains current on any changes to internal policies and procedures.
Remains knowledgeable ICD-10 update and other revenue cycle changes.
Communicates applicable trends, updates, and changes to staff.
Achieving Target Outcomes:
Ensures achievement of department goals and deadlines, including completion of charges for month-end financial closing.
Performance Management:
Supervises direct reports and manages the performance of individuals through ongoing coaching, feedback, education, and development to motivate, engage and drive a high performing team.
Budget and Policies:
Implements and manages policies and a budget, ensuring cost control and expenses are in alignment with the budget.
Effective Working Relationships:
Builds and maintains relationships with other practices and departments.
Collaborates with Human Resources on recruitment, hiring, orientation, performance evaluations, and corrective action.
Living Franciscan Mission and Values:
Creates and sustains a culture in the practice that reflects the Franciscan Mission and Values.
Creates an atmosphere that is conducive to and fosters motivation of coworkers.
QUALIFICATIONS Associate's Degree in Health Care or Health Care related field- Required Bachelor's Degree - Preferred 3 years Coding Manager - Required Certified Coding Specialist (CCS) - Required -OR- Certified Professional Coder (CPC) - Required -OR- Registered Health Information Administrator (RHIA) - Required -OR- Registered Health Information Technician (RHIT) - Required TRAVEL IS REQUIRED:
Up to 20%EQUAL OPPORTUNITY EMPLOYERIt is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Recommended Skills Auditing Certified Coding Specialist Certified Professional Coder Consulting Corrective And Preventive Action (Capa) Finance Estimated Salary: $20 to $28 per hour based on qualifications.
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