The University Of Chicago
Clinical Revenue Supervisor
The University Of Chicago, Chicago, Illinois, United States, 60290
* Assist department managerial and executive staff in the management of successful billing and compliance activities.* Ensure that all professional and hospital charges are posted accurately and timely, and that the department meets chart documentation, CPT and ICD-9-CM/ICD-10-CM requirements.* Review coding procedures, workflow issues, billing infrastructure, and the performance of Coders/Abstractors.* Inform department administrators, physicians, and Abstractor/Coders of regulatory changes.* Assist in departmental compliance efforts by participating in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations.* Develop and maintain standard operating procedures for billing, coding, and charge capture to ensure consistency and compliance.* Monitor work queues, charge lag, and key performance indicators to track and improve accuracy, productivity, and reimbursement.* Serve as the first point of escalation for coding or billing issues and collaborate with internal partners to resolve discrepancies.* Provide ongoing training, guidance, and feedback to Coders and Abstractors to maintain quality and compliance.* Partner with the Revenue Cycle, Compliance, and Finance teams to identify process gaps and implement improvements.* Review and analyze denial trends to identify root causes and implement corrective measures.* Participate in system upgrades, workflow design, and process testing related to billing and coding functions.* Maintain current knowledge of payer requirements, CMS updates, and industry best practices, communicating changes to staff and leadership.* Support departmental planning and budgeting by monitoring workload and staffing needs.* Prioritizes chart documentation and maintaining requirements within the department. Ensures all processes involved in accurately posting professional fees.* Has a moderate/solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.* Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.* Performs other related work as needed.* 4-5 years of experience in (physician) healthcare billing and coding.* Thorough working knowledge of medical terminology, anatomy and physiology.* Strong analytical, problem solving, interpersonal, verbal/written communication, organizational, project management and team development skills are necessary as is knowledge of health information systems and database technology.* Create coding-based curriculum and training materials, deliver effective oral presentations and prepare concise written reports for a variety of audiences and possess basic computer skills.* Comfortable speaking to groups of physicians, coders, or other professional audiences.* Interpret documents such as, but not limited to encounter forms, medical records, physician documentation, lab reports, dictated reports, operating instructions, and policy/procedure manuals.* Thorough working knowledge of federal and state regulations regarding reimbursement.* Comprehensive knowledge of third-party payer rules, procedures, and policies in all areas of billing and collection.* Expertise in decision-making and accountability.* Creativity and ability to recommend new procedures and implementation of said procedures.* PC experience which includes spreadsheets, word processing, presentations, and databases.* Working knowledge of healthcare billing and clinical systems.When applying, the document(s) **MUST** be uploaded via the **My Experience** page, in the section titled **Application Documents** of the application.The University of Chicago is an urban research university that has driven new ways of thinking since 1890. Our commitment to free and open inquiry draws inspired scholars to our global campuses, where ideas are born that challenge and change the world.We empower individuals to challenge conventional thinking in pursuit of original ideas. Students in the College develop critical, analytic, and writing skills in our rigorous, interdisciplinary core curriculum. Through graduate programs, students test their ideas with UChicago scholars, and become the next generation of leaders in academia, industry, nonprofits, and government.To learn more about the university click here
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