Supervisor, Revenue Cycle Coding

University Hospitals; Shaker Heights (OH); On-site; USD 70,000 - 95,000; Full time

Job summary

University Hospitals is seeking a Operations Supervisor for patient accounts to oversee daily coding and billing activities across hospital and physician services. You will lead certified coders and billing staff, ensure productive output, and resolve staff concerns while maintaining PHI confidentiality.

You will analyze AR metrics, generate reports, stay current with payer regulations, and act as a liaison for internal and external customers.

Qualifications

• Experience supervising coding and billing staff.
• Knowledge of payer regulations and coding standards.
• Ability to analyze AR and rejection trends.

Responsibilities

• Oversee day-to-day operations of patient accounts billing.
• Directly supervise certified coders and billing staff; conduct routine staff audits.
• Communicate productivity standards and measure employee performance.
• Lead workflow adjustments based on work needs and priorities.
• Maintain confidentiality of PHI and ensure professional conduct.
• Identify problem areas and implement action plans to meet benchmarks.
• Generate and analyze AR reports and monitor metrics.
• Stay current with payer regulations and coding standards.
• Serve as liaison for internal and external customers regarding claims submission and resolution.
• Coordinate with patients/guarantors and third-party entities for information.
• Assist and resolve problem claims; perform code corrections as needed.
• Lead payer/department meetings and drive process improvements.

Skills

Staff supervision

Audits & productivity

AR analysis

Communication

PHI confidentiality

Regulatory knowledge

Billing & claims knowledge

Tools

Billing software

Healthcare coding systems

Job description

Supervises day to day operations of the assigned patient accounts area to ensure the productive and timely submission and resolution of insurance and/or patient claims for all hospital and physician services. Serves as subject matter expert and primary go to person for staff level questions and education.

What You Will Do

• Directly oversees certified coders and billing staff and is responsible for ensuring their work output is satisfactory and their concerns are resolved. This includes conducting routine staff audits for productivity and tracking results. 20%
• Communicates productivity standards, performs routine audits and measures employee performance accordingly 5%
• Leads work flow efforts for assigned area; analyzing, reassigning and adjusting based on work needs. 5%
• Maintains strict confidentiality in regard to patient's personal, medical and financial information.
• Acts as a role model for professionalism through appropriate conduct and demeanor at all times.
• Identifies problem areas and develops plan of action to ensure benchmark standards are obtained and maintained. 15%
• Generates and analyzes reports for AR review and resolution; continually monitoring fluctuations in department goals/metrics. 15%
• Maintains knowledge of industry and payer regulations and system software. Keeps current with industry coding standards and changes to maintain compliant billing and escalates as needed.
• Acts as a liaison for both internal and external customers providing assistance in claims submission and resolution. 5%
• Contacts patient, guarantors, and/or third-party organizations to secure information; prepares and maintains patient billing records to assist in the adjudication of claims. 5%
• Analyzes, assists and resolves problem claims; including code corrections.5%
• Participates in and leads payer and or departmental meetings.5%

Additional Responsibilities

• Responsible for all hiring and related personnel decisions, completing routine performance review evaluations, training, scheduling, and process documentation in collaboration with Manager. 2.5%
• Meets regularly with direct reports to review accomplishments and set goals. 2.5%
• Provides escalated customer support service. 2.5%
• Responsible for providing feedback, suggestions and process improvement recommendations to manager and above.2.5%
• Performs and initiates special projects. 2.5%
• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.