Supervisor, Education/Audit, Physician Billing

Hackensack Meridian Health; Edison (NJ); Remote; USD 87,000 - 107,000; Full time

Job summary

Hackensack Meridian Health is seeking a Supervisor, Education/Audit, Physician Billing for a remote role. You will supervise the Coding Education and Audit team, conduct audits, and ensure documentation compliance per CMS and OIG guidelines.

Strong leadership and coding expertise are required to drive quality improvements and education initiatives. The ideal candidate has a Bachelor's or higher (or GED with 5 years coding experience) plus 3+ years in physician coding and audits, with proven

Qualifications

• Bachelor's degree or higher; or High School diploma, GED, and/or GED equivalent programs plus 5 years of coding experience.
• Minimum of 3 years of physician coding experience in a multi-specialty practice.
• Minimum 3 years of quality improvement audit experience.
• Advanced coding education and training with a strong foundation in E/M Coding.
• Excellent written, verbal, and interpersonal communication skills.

Responsibilities

• Monitor Coding Educators and Auditors to ensure workflows are followed.
• Ensure productivity aligns with departmental goals.
• Counsel teams on actions to meet performance requirements.
• Create/lead educational programs for Providers & Staff on coding concepts.
• Prepare annual coding updates communications for providers and staff.
• Provide coaching on performance and task prioritization.
• Participate in hiring and address team performance needs.
• Conduct investigations/audits and revise workflows to ensure compliance.
• Research issues using various tools and online resources.
• Provide manager coverage as needed.
• Adhere to organizational competencies and standards.

Skills

Communication skills

Project management

Coding & auditing knowledge

MS Office / Google Suite

Problem solving

Education

Bachelor's degree or higher

GED equivalent + 5 years coding experience

Job description

Description

Our team members are the heart of what makes us better.

Description

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. Under the general direction of the Physician Billing (PB) Director of Coding and Manager of Education and Audit, the Supervisor, Education/Audit, Physician Billing will supervise the Coding Education and Audit team and conducts audits for medical provider documentation while adhering to Centers for Medicare and Medicaid Services (CMS) and Office of Inspector General (OIG) guidelines for Hackensack Meridian Health (HMH). Works professionally, exercising good judgment and ethical standards. Interacts effectively and builds respectful working relationships across the organization. Demonstrates integrity by adhering to high standards of personal and professional conduct. Reliable and maintains a high level of confidentiality within all aspects of job functions and performance.

This is a remote position.

Responsibilties

A day in the life of an Supervisor, Education/Audit, Physician Billing at Hackensack Meridian Health includes:

• Monitor all Coding Educators and Auditors in the department to ensure internal workflows are being followed.
• Ensure that the productivity and actions of the Coding Educators and Auditors meet and support the overall operational goals of the department and institution.
• Counsel Coding Education and Audit teams on actions required to meet minimum performance requirements.
• Create and facilitate educational programs/presentations for Providers & Staff as they relate to new coding concepts.
• Prepare educational communications of annual coding updates for all Providers and Staff.
• Provide coaching and advice to team members for performance and effectiveness including helping team members prioritize daily tasks and resolve complex coding issues.
• Participate in hiring employees and address individual and team performance needs.
• Conduct investigations/audits and communicate, educate, and work with the leadership team to troubleshoot issues and/or revise workflows to ensure documentation compliance.
• Research assigned issues through the use of research skills, automated analysis tools, online research tools, etc.
• Provide manager coverage as needed.
• Other duties and/or projects as assigned.
• Adhere to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Bachelor's degree or higher; or High School diploma, general equivalency diploma (GED), and/or GED equivalent programs plus 5 years of coding experience.
• Minimum of 3 years of physician coding experience in a multi-specialty practice.
• Minimum 3 years of quality improvement audit experience.
• Exhibit strong project management and presentation skills.
• High-level understanding of coding and auditing concepts, American Medical Association (AMA)/Centers for Medicare and Medicaid Services (CMS)/Office of Inspector General (OIG)/Federal/State regulations & guidelines.
• Must have advanced coding education and training with a strong foundation in E/M Coding.
• Knowledge of data reporting requirements and proficiency in computer skills.
• Excellent written, verbal, and interpersonal communication skills.
• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Education, Knowledge, Skills And Abilities Preferred

• Prior Supervisory experience.

Licenses And Certifications Required

• Certified Professional Medical Auditor within 1 years of entering position.
• Registered Health Information Technician or Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Coding Specialist - Physician Based or Certified Professional Coder.

Job Duties

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.Minimum rate of $97,011.20 Annually

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.