Assistant Manager Patient Accounts, Coding - AZ - Clinic Finance

Assistant Manager Patient Accounts, Coding - AZ - Clinic Finance

Join to apply for the Assistant Manager Patient Accounts, Coding - AZ - Clinic Finance role at Midwestern University

The Assistant Manager of Patient Accounts, Coding reports directly to the Manager of Patient Accounts for Central Billing Office and is responsible for coding processes for Midwestern University Clinics. This position oversees staff responsible for coding edits, ensuring that they are providing excellent customer service, and following departmental policies and procedures for coding and claim submissions.

Summary

The Assistant Manager of Patient Accounts, Coding is responsible for organizing, directing, coordinating, and evaluating the daily activities of the clinic patient account specialists. The role includes hiring, training, managing, and evaluating patient accounts staff members, as well as ensuring timely and accurate billing of accounts receivable and prompt claim follow-up.

• Organize, direct, coordinate, and evaluate the daily activities of the clinic patient account specialists including work associated with claim processing.
• Hire, train, manage, and evaluate patient accounts staff members.
• Ensure timely and accurate billing of accounts receivable and prompt claim follow-up through the daily supervision of the Patient Accounts staff.
• Review coding used for Midwestern University Clinics to ensure coding is in accordance with legal requirements, compliance standards, official coding rules, guidelines, and definitions.
• Review electronic health records (EHR) to determine what information is appropriate for coding purposes.
• Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process, and reconciliation of charges as it relates to E&M coding guidelines.
• Train and educate finance staff on billing and coding.
• Participate in clinic coding assessments/audits, both internal and with external vendors.
• Participate in development of coding policies and procedures as needed.
• Identify key issues and take appropriate action to ensure revenue maximization on individual accounts.
• Ensure all documentation (ABNs, letters of medical necessity, Medicare Wellness forms, etc) are on file and properly filled out for patients when required.
• Research coding/billing guidelines for all specialties.
• Work in conjunction with the Manager of Patient Accounts, University Administration, and Clinic Administration to reach and maintain financial and accounts receivable goals ensuring compliance of policies and procedures, HIPAA, and HiTech.
• Ensure that all Federal, State, and other third-party billing, collecting, and follow-up requirements/regulations are achieved.
• Implement changes directed by regulatory agencies.
• Assist patients with concerns and complaints regarding billing.
• Promote, develop, and maintain excellent customer service with patients.
• Assist with month-end reporting.
• Participate as a member on various clinic committees.
• Assist patients applying to the MWU hardship program and assist in managing the program for various clinics.
• Other duties may be assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• High school diploma or GED required. Associate degree preferred.
• Certified Professional Coder (CPC) required.
• A minimum of 5-7 years of clinic finance experience including a minimum of 3-5 years accounts receivable experience working in a healthcare setting or medical office environment required.
• Knowledge of ICD-10, CPT, HCPCS, and medical terminology required.
• Experience working with Medicare, Medicaid, Third-party payers is also required.
• 1-2 years of supervisory or lead experience preferred.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication skills are a must.
• Must be able to work independently and multi-task working on several projects at once.
• Knowledge of Federal and State guidelines, managed care contracting, payer filing, and appeal limits, and credit and collection policies is also required.

Computer Skills

Computer proficiency in MS Office (Word, Excel, Outlook). Experience with Medical Practice Management systems, EHR, payer websites, clearinghouses.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Midwestern University is an Equal Opportunity/Affirmative Action employer that…