Supervisor PB Coder Quality Integrity

Advocate Health; Allenton (WI); On-site; USD 65,000 - 80,000; Full time

Job summary

Advocate Health is seeking a Supervisor PB Coder Quality Integrity to oversee daily operations and ensure compliance within the Mid-Revenue Cycle. The role focuses on process improvement, performance monitoring, and team leadership, requiring a bachelor's degree in health information management and relevant certifications. Candidates must possess strong problem-solving, leadership, and collaboration skills, with a focus on optimizing healthcare technology and workflows.

Qualifications

• 3+ years in Mid-Revenue Cycle with coding experience.
• Relevant industry certification such as AAPC or AHIMA required.
• Proficient in analytics and performance management.

Responsibilities

• Oversee daily operations within assigned function.
• Monitor KPIs to assess operational effectiveness.
• Ensure compliance with laws and maintain confidentiality.

Skills

Leadership

Data Analysis

Problem-Solving

Collaboration

Education

Bachelor’s degree in health information management or related field

Tools

EHR systems

Microsoft 365

Job description

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• Operational Leadership: Oversee daily operations within assigned function, ensuring team performance aligns with organizational and regulatory expectations.
• Process Improvement & Standardization: Identify, implement, and monitor process improvements to enhance efficiency, productivity, and accuracy across the Mid-Revenue Cycle.
• Regulatory Compliance & Confidentiality: Ensure compliance with all applicable laws, regulations, and accreditation standards. Maintain confidentiality of patient records and escalate concerns as necessary.
• Performance Monitoring & Reporting: Track and analyze key performance indicators (KPIs) to assess operational effectiveness and drive continuous improvement.
• Technology Utilization: Leverage healthcare technology and analytics tools to optimize workflows, improve data accuracy, and enhance decision-making processes.
• Collaboration & Stakeholder Engagement: Serve as a liaison between Mid-Revenue Cycle functions and other departments, facilitating communication, problem-solving, and cross-functional collaboration.
• Team Leadership & Development: Supervise and develop team members by providing coaching, performance feedback, and professional development opportunities. Conduct hiring, training, and performance evaluations to ensure a skilled and engaged workforce.
• Issue Resolution & Quality Assurance: Monitor quality standards, address operational challenges, and implement corrective actions to maintain a high level of service delivery.
  
  

Major Responsibilities

• Operational Leadership: Oversee daily operations within assigned function, ensuring team performance aligns with organizational and regulatory expectations.
• Process Improvement & Standardization: Identify, implement, and monitor process improvements to enhance efficiency, productivity, and accuracy across the Mid-Revenue Cycle.
• Regulatory Compliance & Confidentiality: Ensure compliance with all applicable laws, regulations, and accreditation standards. Maintain confidentiality of patient records and escalate concerns as necessary.
• Performance Monitoring & Reporting: Track and analyze key performance indicators (KPIs) to assess operational effectiveness and drive continuous improvement.
• Technology Utilization: Leverage healthcare technology and analytics tools to optimize workflows, improve data accuracy, and enhance decision-making processes.
• Collaboration & Stakeholder Engagement: Serve as a liaison between Mid-Revenue Cycle functions and other departments, facilitating communication, problem-solving, and cross-functional collaboration.
• Team Leadership & Development: Supervise and develop team members by providing coaching, performance feedback, and professional development opportunities. Conduct hiring, training, and performance evaluations to ensure a skilled and engaged workforce.
• Issue Resolution & Quality Assurance: Monitor quality standards, address operational challenges, and implement corrective actions to maintain a high level of service delivery.
  
  

Licensure, Registration, And/or Certification Required

• Relevant industry certification from an approved accrediting body such as AAPC or AHIMA
  
  

Education Required

• Based on function areas, may include bachelor’s degree in health information management, Healthcare Administration, or a related field, or equivalent experience
  
  

Experience Required

• Mid-Revenue Cycle Expertise: Demonstrated knowledge of facility coding, professional coding, and/or HIM operational guidelines and workflows necessary to scope of work. Understanding of third-party reimbursement programs, state and federal regulatory requirements, national and local coverage decisions, and coding classification systems (ICD-10, CPT, HCPCS).
• Experience in process improvement, performance management, and operational efficiency initiatives
• Proficiency in EHR systems and Microsoft 365 applications
• Excellent leadership and team development skills
• Ability to collaborate across departments and within a matrix organizational structure
• Strong problem-solving skills with the ability to work within deadlines and maintain accuracy
• Effective communication skills to engage and manage diverse stakeholders
• Ability to manage teams, coach staff, and foster a culture of continuous improvement and accountability.
• Ability to identify and solve problems creatively, work within deadlines, and maintain a high-level of accuracy and attention to detail.
  
  

Knowledge, Skills & Abilities Required

• Mid-Revenue Cycle Expertise: Demonstrated knowledge of facility coding, professional coding, and HIM operational guidelines and workflows necessary to scope of work. Understanding of third-party reimbursement programs, state and federal regulatory requirements, national and local coverage decisions, and coding classification systems (ICD-10, CPT, HCPCS).
• Financial & Data Analysis: Ability to organize, compile and analyze data from various sources in order to detect patterns, and identify areas for improvement.
• Technology & Systems Proficiency: Strong understanding of EHR systems and other revenue cycle technology solutions. Proficient in Microsoft 365 products, including Teams, SharePoint, Word, Excel, PowerPoint, and Access.
• Process Improvement & Standardization: Experience in optimizing workflows and improving operational effectiveness within a complex healthcare environment. Skilled in prioritizing business needs and resource management to develop efficient and scalable processes.
• Leadership & Team Development: Proven ability to manage teams, coach staff, and foster a culture of continuous improvement and accountability. Ability to work effectively across multiple departments and within matrix organizational structures.
• Collaboration & Cross-Functional Communication: Strong interpersonal skills with the ability to engage clinicians, finance, IT, and revenue cycle teams to align goals, facilitate integration, and drive strategic initiatives.
• Problem-Solving & Attention to Detail: Ability to identify and solve problems creatively, work within deadlines, and maintain a high level of accuracy and attention to detail.
  
  

Physical Requirements And Working Conditions

• Exposed to normal office environment.
• Job may require travel, therefore, may be exposed to road and weather hazards.
• Must be able to lift up to 40 lbs. occasionally.
• Sits the majority of the workday, but also may lift, reach, and bend throughout the day.
• Operates all equipment necessary to perform the job.
  
  

Preferred Qualifications

• Leadership & Team Development: Proven ability to manage teams, coach staff, and foster a culture of continuous improvement and accountability. Ability to work effectively across multiple departments and within matrix organizational structures
• Collaboration & Cross-Functional Communication: Strong interpersonal skills with the ability to engage clinicians, finance, IT, and revenue cycle teams to align goals, facilitate integration, and drive strategic initiatives
• Problem-Solving & Attention to Detail: Ability to identify and solve problems creatively, work within deadlines, and maintain a high level of accuracy and attention to detail
  
  

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance

• Industries

  Hospitals and Health Care

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