Medical Billing & Coding Supervisor

J  o  b    D  e  s  c  r  i  p  t  i  o  n

Job Information

Title:

Medical Billing & Coding Supervisor

Market Range:

MR17

Approved Date:

2/16/2021 8:42:52 AM

FLSA:

Non-Exempt

EEO Code:

PROFESSIONALS

Career Level:

M1

Career Level Description:

Management Level 1

Job Code:

100534

Job Family:

Fiscal and Business Management

Sub Family:

Accounting

Primary Purpose

Performs a wide variety of medical billing functions in support of the Billing and Coding Manager and Client Accounting Unit. Processes, generates and submits accurate claims to insurance programs. Works on appeals and with claim adjudication. Trains and assists staff from various divisions with insurance clinical guidelines, proper coding of services, referrals and other billing related items. Coordinates and oversees coding information related to billing and reimbursement cycle of the Division.

•

Directs the day to day activities of the Medical Billing Operation, including but not limited to denial management, charge management; monitoring the overall workload of individual unit staff to insure timely submission and billing to Medicaid, Medicare, and commercial insurance companies. Work with staff on specific unit issues, where established and coding guidelines are not being followed.

1

35%

•

Actively works through any denied claims and actively gathers any needed information to take the proper action to ensure the claim is paid. Facilitates any appeals need by correcting the claims or facilitating an appeal. Identifies coding errors and insures that charges are properly bundled or unbundled. Understands the coding requirements for the governmental and commercial payers.

2

20%

•

Monitors the accounts for any registration/front end errors and makes the supervisor and practice informed of repetitious ones as well as assists with training the practice to reduce these type errors.

3

15%

•

Reviews daily batch reports and monthly accounts receivables (self pay, guarantor etc); reconciles EOBs, ACH and direct client payments.  

4

10%

•

Works on problems of moderate and complex scope where analysis of situations or data requires a review of variety of factors.

5

10%

•

Provides staff support through effective supervision, coaching and performance management. 

6

10%

Position(s) may perform other duties in addition to the above as assigned by management.

•

Attends state coding trainings, work sessions, local meetings and attend various clinical meetings to provide updates to clinical staff.

*IMPORTANT* In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.

Career Level Dimensions

Career Level:

M1

Career Level Description:

Management Level 1

•

Plans and establishes operational objectives for a team of support employees within a Work Group.

•

Typically does not have budget accountability but may manage day-to-day elements of the budget (e.g., overtime for staff).

•

Responsible for making basic improvements to processes, systems or standards to enhance performance of the Work Group or team.

•

Communicates within and outside the Work Group.

•

Explains policies, practices, and procedures and may justify and gain cooperation of other parties.

•

Supervises support roles. Leads, directs and reviews the work of team members in order to accomplish operational plans and results.

•

Has hiring, firing, promotion, performance and rewards decisions for direct reports.

•

Understands basic management approaches such as work scheduling, prioritizing, coaching and process execution. Typically requires advanced knowledge of job area typically obtained through advanced experience.

Qualifications

•

Bachelor's degree in Business Administration, Accounting, Finance or related field

•

Three years of job-related experience

•

Equivalent education and experience are accepted

•

3 Years

Billing experience within a healthcare environment.

And

•

3 Years

Supervisory Experience

•

Certified Coder-AHIMA or AAPC

•

Ability to work independently in carrying out oral and written instructions

•

Apply knowledge of CPT and ICD-10 coding guidelines, billing documentation and documentation standards to daily claims management.

•

Excellent problem solving, analysis, organizational and time management skills

•

Excellent communication and customer service skills with the ability to cooperatively resolve end user issues quickly and accurately, while building relationships with internal personnel and external contacts

•

Strong attention to details, accuracy and completeness of work products and thoroughness of research, data entry and recordkeeping. 

•

Computer proficiency with Microsoft (Word, Excel, Outlook, Power point) and Internet applications.

•

Knowledge of third-party physician billing along with a demonstrated understanding of automated processes and claims submission

An individual must be able to perform each essential duty satisfactorily to perform this job successfully. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Competencies

Quality Assurance

Produces results or provides service that meets or exceeds organizational standards. May audit the work of others to ensure quality standards are met.

Reliability

Demonstrates a high level of dependability in all aspects of the job.

Customer Service

Balances interests of a variety of clients, and readily readjusts priorities to respond effectively to pressing and changing demands for information, advice and assistance.  Anticipates and meets the needs of clients; achieves quality end products; and commits to continuous improvement of services.

Coaching & Mentoring

Works to improve and reinforce performance of others. Facilitates their skill development by providing clear, behaviorally specific performance feedback, and making or eliciting specific suggestions for improvement in a manner that builds confidence and maintains self-esteem.

Team Leadership

Willingly cooperates and works collaboratively toward solutions that generally benefit all involved parties; works cooperatively with others to accomplish organizational objectives. Manages staff in ways that improve their ability to succeed on the job.

Relationship Building

Builds constructive working relationships characterized by a high level of acceptance, cooperation, and mutual respect.

Integrity

Act with honesty, transparency and respect in our interactions with co-workers and those we serve. Adhere, without exception, to laws, policies, procedures and professional standards.

Accountability

Establish high-quality standards for work. Add value. Measure results and hold self and others accountable for making progress toward desired outcomes. Take a logical and data-driven approach to decision-making.

Diversity

Believe that different backgrounds and experiences strengthen the organization and produce better results. Value inclusion across race, gender, age, religion, identity and experience, and strive to reflect in our workforce the diversity of our community.

Collaboration

Foster a work culture in which different ideas and opinions are encouraged and expected. Listen carefully and speak thoughtfully. Work together toward shared goals with mutual respect and cooperation.

Continuous Improvement

Continuously improve work processes and products. Provide a safe environment to be innovative and creative and try new things. When things don't go as planned, use it as an opportunity to learn, regroup and begin again. Provide time and resources for individuals to grow and develop both personally and professionally.

Wellness

Take proactive steps to be physically fit and healthy, emotionally strong, financially secure and socially fulfilled, while inspiring and empowering others to do the same.

Service Orientation

Commit to making a difference within the community. Actively engage in and enjoy our work. Deliver services that exceed expectations, with courtesy, politeness and sensitivity to the experiences, concerns and feelings of all co-workers and customers.

ADA Checklist

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

Standard ADA Selection:

Office Environment

Standing

X

Walking

X

Sitting

X

Lifting/Carrying 0-10 pounds

X

Lifting/Carrying 10-20 pounds

X

Lifting/Carrying 20-50 pounds

X

Lifting/Carrying 50-100 pounds

X

Pushing

X

Pulling

X

Climbing

X

Balancing

X

Stooping

X

Kneeling

X

Crouching

X

Crawling

X

Reaching

X

Handling

X

Grasping

X

Fingering

X

Feeling

X

Talking

X

Hearing

X

Visual Perception

X

Repetitive Motions

X

Eye/Hand/Foot Coordination

X

Memorization/Concentration

X

Learning/Knowledge Retention

X

Preparing/Analyzing Numerical Figures

X

Use of Interfaced Commmunication Devices (Phone, Computer, Radio etc.)

X

Analyzing/Examining/Testing Data

X

Emotional/Behavioral Self-Regulation

X

Interacting with Others

X

Comprehension

X

Organization

X

Decision Making

X

Comprehension

Understand and apply non-routine verbal and/or written instructions

Organization

Organize and prioritize the work schedules of others to manage multiple tasks and/or projects

Decision Making

Make decisions that have an impact on the immediate work unit's operations and/or services

Communication

Communicate in-depth information for the purpose of interpreting and/or negotiating

Extreme cold

X

Extreme heat

X

Humid

X

Wet

X

Noise

X

Hazards

X

Temperature Change

X

Atmospheric Conditions

X

Vibration

X

Computers/Monitors

X