Supervisor, Charge Capture

Job Title: Supervisor, Charge Capture
Department: Charge Entry
Location: Texas REMOTE - applicant MUST RESIDE IN TEXAS
Reports To: Manager, Coding & Charge Capture
FLSA Status: Exempt
Summary of Position:
The Supervisor, Charge Capture schedules activities, directs, trains, and reviews the work of personnel in the Interface department; organizes office operations; evaluates production; standardizes and revises procedures; solves problems and improves efficiency; ensures the fastest, most efficient and accurate coding of all services and entry of those services in the PMS, keeping with all deadlines of outside contracts or internal guidelines. Additionally, the supervisor is responsible for ensuring the accurate coding of all PMS system codes. This coding does not include CPT coding but does include insurance codes, provider codes, referring physician codes, POS codes and other codes required to be entered in the PMS for accurate billing and in accordance with published standards. This may also include diagnosis codes as applicable. Works with applicable hospital personnel to ensure appropriate data files are received to process via the interfaces and develops new interfaces as required.

Job Responsibilities:

• First and foremost requirement of this position is to ENSURE ALL CHARGES ARE CAPTURED AND BILLED
• Follow all written procedures. Ensure all employees are following written procedures
• Ensure all employees’ time analysis is accurate
• Ensure all employee quality of work and productivity meet all standards
• Acquires contacts with sites to improve open communication regarding site/report/dictation issues
• Monitor Group Bill and Clinical Research billing
• Direct the work of the department staff and ensure accuracy and timeliness in all areas of responsibility
• Ensure accurate and timely coding of patient demographics and charges. This coding involves all PMS system codes required to bill (i.e. insurance codes, referring physician codes etc)
• Ensure proper training for new employees; cross-train as required to effect smooth operations within the department. Ensure all interfaces have the required backup so that any vacancies in personnel do not adversely affect operations of the interface
• Ensure staff members are properly trained regarding the legal requirements effecting accounts
• Ensure accurate compliance with billing requirements by payer sources which includes working with staff to ensure referring physician codes, providing physician codes and insurance code are assigned appropriately by personnel and that all diagnosis coding that occurs within the department is accurate. Also requires that all referring physician codes are only used if an appropriate NPI has been assigned except in rare circumstances
• Ensure accurate compliance with billing requirements by payer sources. This encompasses processes and policies relative to data entry staff, appropriate use of claim sets for bulk bills and W/C charges, appropriate updates to demographic information and accurate Charge Capture in general
• Perform staff audits to ensure charges are entered accurately
• Perform audits of charges for all locations to ensure charges are captured timely, accurately and completely
• Prepare MD&A bi-weekly and submit on time to CEO/CFO. This includes submitting the appropriate analysis with the detailed data
• Keep other supervisors fully informed of all pertinent billing information. Work with them to resolve problems
• Determine the hiring, transfer, and termination of staff; recommend promotions; approve time sheets, personal time off; recommend disciplinary action and termination of employees
• Present weekly reports including detailed analysis and explanation of changes as required
• Ensure hospital and imaging center charges are coded and entered in the billing system based upon prescribed goals
• Obtain logs from all hospital locations and verify all charges have been captured and that duplicate charges are not entered in the billing system
• Ensure duplicate accounts are not created during the manual entry of charges
• Monitor and ensure all bad address corrections are entered timely and in accordance with established procedures
• Make and implement changes to electronic interfaces as necessary to ensure efficient and effective processing of charges
• Develop and review billing reports to identify irregularities and take appropriate action to correct
• Work with appropriate personnel to design and implement new and/or revised interfaces as necessary
• Requisition office supplies
• Navigate various hospital portals, PACS, RIS databases
• Monitor and enforce compliance with STRG Policy and Procedure Manual
• Maintain strict confidentiality of patient protected health information as mandated by STRG procedures and HIPAA Privacy, Security, and HITECH regulations
• Perform other duties as required

Supervisory Responsibilities:
Supervise non-exempt employees

Experience / Skill Requirements:
Formal training which will probably be indicated by a Bachelor's degree in business administration, or graduation from business school, and/or five years of experience in a supervisory capacity with a medical facility; excellent verbal/written communication skills; proficiency in operation of computers, including medical billing software, Microsoft Excel & Word. Should be able to type 40 WPM.

Education:
Bachelor’s Degree or equivalent

Attendance / Work Schedule:
Maintaining and satisfying minimum attendance requirements is an essential function of this position, including working all full-time regular hours as established for this position and scheduled or emergency overtime. Full-time regular hours are defined as Monday through Friday, with after-hours or weekends as required. All employees in this job classification are required to satisfy this requirement. This job classification does not include "light duty" work or allow unpredictable or unrestricted absences.

Job Type: Full-time