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Form of workJOB SUMMARY:
The Revenue Cycle Department at UT Southwestern Medical Center has an available opportunity for a Coding Supervisor. The primary duties and responsibilities will include but not limited to the following:
- Initiative-taking and meticulous EPIC experience is strongly preferred for this role.
- A certification for Certified Professional Coder (CPC), Certified Coding Specialist Physician-based (CCS-P), or Certified Coding Specialist (CCS) is highly preferred.
- Overseeing critical components of the front-end Revenue Cycle coding process; including CD coding denials, CRM, and Credit Inquires for the departments of Neurosurgery, Orthopedics and Spine Surgery.
- Preferred strong Professional Fee coding skills in all three specialties or more for surgical coding.
- Commitment to a love-based culture, and the ability to lead a team.
- 9 direct reports and 3 contract indirect reports employees.
- Work From Home (WFH): This is a WFH position. The applicant must live within a one (1) hour radius of Dallas/Fort Worth and be available to come to the office for equipment pickup exchange, office meetings, and training, etc. Additional details in regard to WFH shall be discussed as part of the interview process.
- Shift: 8-hour flex shift between 6am to 6pm Monday through Friday
Team Production and Quality Audit Reviews: Maintain and track quality and productivity standards for team of coders, optimizing revenue streams and compliance.
Coding Support: Support and guide the team in their coding concerns to identify, analyze, and resolve encounters for payer release.
Training: Provide training for new hires and any new communicated coding changes and guidelines when needed, ensuring adherence to payer policy guidelines, and maximizing revenue.
Clinical Coding Denials Management: Manage the submission, correction of claim edits and follow-up clinical denials related to coding, ensuring accurate and timely reimbursement.
Patient Account Resolution Inquires: CRM reviews to address patient concerns regarding the billing and coding of services rendered.
Credit Refund Inquires: Help with efforts to identify, analyze, and resolve credit refund inquiries related to department claims.
Collaboration: Collaborating with internal teams to address issues and streamline processes and workflows.
Quick tip(s):
Please review the section entitled experience/education and focus on the job requirements. Make sure you include the experience listed under the requirements section on your application.
Why UT Southwestern?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued patients and employees. With over 20,000 employees, we are committed to continuing our growth with the best professionals in the healthcare industry. We invite you to be a part of the UT Southwestern team where you'll discover teamwork, professionalism, and consistent opportunities for growth.
EXPERIENCE | EDUCATION: REQUIRED:- Bachelor's Degree in Health Information Management or closely related field and three (3) years progressive coding experience
- Or Associate Degree in Health Information Management and/or closely related field and five (5) years progressive coding experience
- Or High school diploma or equivalent and seven (7) years progressive coding experience;
- Experience must include at least one (1) year in a lead capacity.
- Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), CMC, RHIT, RHIA, or Certified Coding Specialist (CCS) preferred. Knowledge of Correct Coding Initiatives (CCI), Epic electronic health record systems and 3M coding software is preferred.
- May consider education in lieu of experience, or experience in lieu of other criterion.
- Supervises all coding specialists which includes hiring, onboarding, performance appraisals and disciplinary action. Coordinates work schedules and tasks for optimal productivity and cross coverage. Assures consistent/annual education training and certification of all staff members.
- Performs accurate and timely review, coding and abstracting of UTSW accounts utilizing, ICD-10-CM, HCPCS, and CPT code sets as indicated and according to coding team procedures.
- Performs coding activities in a manner that meets productivity and quality standards as established by the coding leadership.
- Maintains current understanding of anatomy and physiology, medical terminology, disease processes, and coding guidelines and grows knowledge through participation in continuing education programs. Maintains understanding of teaching physician documentation guidelines.
- Maintains a thorough understanding of the intricacies of the various types of subspecialties providing care at UTSW so work assignment adjustments can be made with little workflow disruption and coding coverage can be appropriately provided.
- Assists in upholding coding team expectations, customer service standards, professionalism, operating procedures, processes and other team strategies and goals. Assist in promoting a culture of support, continuous learning and team work. Adheres to all UTSW and departmental policies and procedures to include the Remote Coding Agreement where applicable.
- Performs other duties as assigned.
Work is performed primarily in office area.
SECURITY:This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
