Overview
Assists the department supervisor by being available to train, educate, and provide answers to partners. Monitor and assist partners with new workflows and work volumes. Provides education to ensure accuracy and compliance with current laws, rules and regulations. Performs other duties as assigned. May be required to work weekends and reasonable amounts of overtime when necessary
Responsibilities
Essential Duties and Responsibilities
- Assists with all coding functions ensuring consistency, uniformity and understanding of coding processes and guidelines.
- Assists supervisor in training, scheduling, evaluating and supervising staff.
- Reports on department quality and prepares recommendations for improvements by coordinating training.
- Ensures appropriate administration of the revenue cycle compliance plan.
- Researches and resolves complex coding issues with all of revenue cycle entities.
- Acts as a subject matter expert on coding and billing concepts.
- Maintains, updates, and clarifies all materials in training and reference materials.
- Performs clinical and partner audits and provides pertinent feedback and education.
- Special projects as assigned.
- Conducts partner and provider coding audits to ensure accuracy and compliance providing education and training if applicable.
- Maintains an in-depth knowledge of Epic billing, ambulatory, and hospital modules.
Culture of Excellence Behavior Expectations
To perform the job successfully, an individual should demonstrate the following behavior expectations:
Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals. Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions. Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals. Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.
Education and Experience
High School graduate or equivalent Four years of experience coding professional services in multiple specialties Proven record of high degree of problem solving and strong leadership skills
Certification and Licensure
Certified Professional Coder (CPC) or other equivalent coding certification required
Skills and Abilities
N/A
Special Physical Demands
The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations. While performing the duties of this job, the partner is regularly required to talk and hear. Eyesight to identify numbers, folders, colors, and computer printouts. Speech to communicate one-on-one and over the telephone. Manual dexterity to operate keyboards, mouse and telephones. Prolonged sitting; use hands to finger, handle, or feel and reach with hands and arms. The partner is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The partner must occasionally lift and/or move up to 25 pounds.
Level of Supervision
N/A
Supervises
N/A
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