Revenue Cycle Operations Supervisor at Emory Healthcare

Tucker, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Jul, 26

Salary

43.45

Posted On

07 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue cycle management, Charge capture, Medical coding, Denial management, Staff supervision, Performance monitoring, Medical terminology, Billing regulations, Medicare guidelines, NCCI guidelines, Managed care protocols, Data reporting, Clinical documentation, Training and development, GE Centricity Business

Industry

Hospitals and Health Care

Description

Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, and leadership programs And more 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's 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). Preferred skills: Coding certificate through nationally recognized organization (AAPC, AHIMA, etc.): 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; and/or GE Centricity Business experience preferred. Successful completion of the AAPC ICD-10 Proficiency Assessment. 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. Additional Details Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

Responsibilities

This position supervises daily revenue cycle operations, including charge capture, coding, and denial management within a clinical specialty. The supervisor is responsible for monitoring performance metrics, training staff, and ensuring consistent documentation and billing practices.