Centura Health connects individuals, families and neighborhoods across Colorado and western Kansas with more than 21,000 of the most talented hearts and minds in medicine.
Through Centura Health’s 17 hospitals, two senior living communities, health neighborhoods, physician clinics, Flight for Life® Colorado, home care and hospice services, we offer a diverse range of work settings in a Colorado or Kansas community you will love to call home.
Enjoy amazing people, competitive pay, some of the best benefits in the industry and plenty of opportunity for professional growth and development.
If you’re ready to discover the difference of working for a fully-integrated health system with a non-profit, faith-based mission to care, we look forward to receiving your application.
Manages professional fee coding operations for assigned area (Primary Care or Specialty Care) for CHPG employed providers as well as designated PSA and other practices. Key duties to include, but not limited to, coding, abstracting, charge posting, audit and education in the physician practice in the hospital inpatient and outpatient settings. Manages coding and support staff, and monitors charge lag by collaboratively working with the revenue management team and clinic administrators to minimize denials, coordinate services and implementations, monitoring performance and reports, performing quality reviews, training and education, and interacting routinely with the customers and vendor(s) to resolve issues in a timely and effective manner. Examines and re-engineers operations and procedures, and implements new strategies and procedures to achieve objectives. Develops, implements, and monitors policies, procedures, and systems for proper coding, compliance, and quality assurance. Responsible for personnel management, scheduling, productivity, quality, and problem resolution. Interacts with providers to resolve coding issues and discrepancies. Responsible for close and constructive communication with Director and co-managers/supervisors to contribute to department-wide problem solving and short and long-range planning. Performs other duties as assigned.
• Bachelor’s Degree or equivalent work experience in lieu of degree
• Advanced coding knowledge for professional services to include ICD-9 and 10, CPT-4 , HCPCS and 1500 billing
• Anatomy and physiology, and medical terminology required
WORK EXPERIENCE REQUIREMENTS
• A minimum of 5 years of experience in health care and revenue cycle experience required; within a physician practice. Professional coding experience required.
• 3 years supervisory experience required.
• Must demonstrate advanced competency of professional coding and coding guidelines.
• Experience with the electronic health record (EHR) and health care applications required.
• Demonstrate advanced computer skills, including Microsoft Office applications to include Word, Excel, PowerPoint and troubleshooting computer problems.
• Demonstrate excellent leadership, interpersonal, organizational and communication skills.
• Oversees the supervision of personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
• Maintains a unit environment that encourages retention, development of staff and customer service.
• Facilitates staff competency by identifying, measuring, and evaluating desired performance and holding staff accountable.
• Demonstrates skills in team building that allow empowerment of staff through delegation.
• Uses interpersonal skills effectively to build and maintain good teamwork and cooperative working relationships.
POLICY AND PROCEDURE – 10%
• Develops and establishes policies and objectives consistent with those of the organization to ensure efficient operation of individual operating units.
• Develops and implements systems and processes to establish and maintain records for the operating unit.
• Manages projects designed to improve coding practices and increase revenues.
• Participates in development, implementation and maintenance of policies, objectives, short and long-range planning; develops and implements projects and programs to assist in accomplishment of established goals.
BILLING AND CODING – 35%
• Manages processes within system to verify coding completion timelines are maintained.
• Evaluates work flows across various offices and systems to identify best practices and works to implement these as appropriate.
• Attends regular meetings with various departments to communicate any regulatory updates impacting coding and the associated
processes as well as resolve issues.
• Meets with individual providers, as needed, to assist in resolving coding issues and concerns; as well as provide ad hoc education.
• Trains technical and other staff on coding practices, policies and procedures, system, and payer regulations.
• Assists physicians and others with questions and problems related to coding and billing.
• Working knowledge of AR operations to effectively direct staff and improve processes throughout the revenue life-cycle.
QUALITY CONTROL – 15%
• Conducts quality control studies of coding and other aspects of billing; identifies and corrects problems; implements quality control
• Works with supervisors to implement and maintain staff quality control for coding to achieve 95% accuracy rates.
• Responsible for identification, preparation and presentation of quality improvement reports and opportunities; responsible for process
improvement to facilitate excellent service and outcomes.
• Helps with coordination of external and internal audits and provides feedback to management and compliance.
BUDGET – 15%
• Assists director in preparation, monitoring and management of operational budget.
• Manages limited resources
• Oversees statistical tracking and data management for unit(s).
COMPETENCIES AND ANNUAL REQUIREMENTS
• ANNUAL COMPLIANCE/INTEGRITY TRAINING
• ANNUAL EDUCATION
• MAINTENANCE OF REQUIRED CREDENTIALS VIA OBTAINING CEU’S
Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally)
Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.
Find your ideal career at Centura Health! With 16 hospitals, physician clinics, hospice services, home care and senior living communities, Centura Health's vast network of care spans Colorado and Western Kansas so you can experience a balanced lifestyle and enjoy a fulfilling career anywhere you want to work, live and play in Colorado. From the fast pace of a Denver-area Level 1 Trauma Center to a... smaller rural or mountain hospital – we proudly offer a more diverse range of work settings and locations than any other health care employer in the state. Centura is an equal opportunity employer.