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Emory Healthcare/Emory University Supv, Revenue Cycle Ops in Decatur, Georgia

Overview

At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. We’re empowered to influence change for, and with, our patients, their families, the community and each other.

As one of the leading academic medical systems, we’re eager to share what we learn with hospitals around the country, and the world. We’ve got the backing, knowledge, experience and permission to lead the way in developing new and better approaches to preventing and treating disease, and our patients get treatments years before anyone else.

We’re defining a new standard of care for humankind. Are YOU ready to join us?

Description

JOB DESCRIPTION:

  • This position supports and coordinates clinic revenue cycle functions that include charge capture, coding, and edit/denial management; provides recommendations to optimize resources and aligning them with best-in-class performance metrics in specific categories of revenue cycle (productivity, compliance, accuracy, effectiveness, timeliness, and efficiency).

  • The role is responsible for meeting and exceeding operational work flow, productivity and results standards related to the above functions.

  • Coordinates and aligns the resources deployed to revenue cycle functions across the clinical specialty in an effort to build consistency of work flow and optimize resource usage.

  • The position also organizes, manages, and monitors the performance productivity of revenue cycle.

  • Supervises staff, providing work assignments, performance feedback and corrective action as necessary.

  • Hires and trains new employees.

  • Works with manager to formulate a plan for professional development.

  • Attends educational in-services as appropriate.

  • Supervises daily revenue cycle operations in assigned clinical specialty and monitors revenue cycle metrics for area of responsibility.

  • Provides data and reports as required by management.

  • Works with physicians to ensure consistent coding and documentation practices are followed.

  • Trains staff as appropriate on revenue cycle activities, coding, billing and reimbursement practices.

  • Acts as a resource to clinical specialty staff on matters pertaining to revenue cycle.

MINIMUM QUALIFICATIONS:

  • High School diploma or equivalent with four (4) years of revenue cycle experience, preferably in physician billing, coding, and/or medical management; OR any combination of equivalent education and experience; OR successful completion of the TEC Operations Development Program (ODP).

  • Coding certificate through nationally recognized organization (AAPC, AHIMA, etc.) required: CCS-P, CPC, RHIA, RHIT, CCS, CPC-H; advanced knowledge of medical terminology, anatomy and physiology, billing regulations, Medicare & NCCI guidelines, insurance coverage limitations and managed care protocols preferred; GE Centricity Business experience preferred.

  • Successful completion of the AAPC ICD-10 Proficiency Assessment.

  • The Emory ICD-10 Exam will need to be completed after hire and additional training.

  • This component should be completed within the first ninety (90) days of employment.

  • Non-compliance will be grounds for voluntary separation from Emory Clinic.

PHYSICAL REQUIREMENTS:

1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS:

Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

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Division The Emory Clinic

Campus Location Decatur, GA, 30030

Campus Location US-GA-Decatur

Department TEC PFS Denails Unit

Job Type Regular Full-Time

Job Number 41366

Job Category Revenue Cycle & Managed Care

Schedule 8a-5p

Standard Hours 40 Hours

Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.

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