1) Supervise the activities of the professional billing staff by recruiting and training, monitoring workloads, setting priorities for completion of tasks, and ensuring quality and timely output
2) Oversee and provide strategic direction of the Departmentâ™s professional fee billing efforts to ensure regulatory compliance and appropriate charging and collection activities. This consists of, but should not be limited to: working with faculty and staff to ensure proper medical record documentation for services provided and proper coding of services billed, developing and maintaining billing database for use by staff, and improving processes as needed
3) Represent the interests of the clinical department to colleagues in the Biological Sciences Division and University of Chicago Medicine. Act as a departmental liaison with University of Chicago Physicians Group (UCPG) to facilitate the flow of data into the UCPG system. Serve as a liaison with UC Medicine Medical Records, Hospital Administration, Finance, Admitting, Quality Assurance, Medical Center Information Systems, and the Medical Staff Office
4) Keep senior departmental administrators and faculty apprised of regulatory changes and their impact. Coordinate long-range planning of implementation of new procedures as a result of these changes
5) May participate in facilitating seminars and workshops on coding techniques, medical records documentation, and regulatory compliance to staff and providers, as needed
6) Develop departmental policies relating to billing activities and practices
7) Develop and prepare/utilize reports to track financial and operational performance of the revenue cycle process
8) Research/analyze data to resolve charge capture and reimbursement issues, identify and select alternatives to address outstanding issues and implement solutions for improvement, Work with department leadership, finance, physicians, and administrators to educate and train providers and staff about coding and other outstanding revenue cycle issues
1) Thorough working knowledge of federal and state regulations regarding reimbursement
2) Demonstrated ability in financial analysis and modeling
3) Thorough working knowledge of medical terminology validated by testing or certification
4) Knowledge of third party payer rules, procedures, policies, and industry trends in all areas of billing and collection
5) Familiarity with electronic billing and medical records systems, specifically Epic
6) High levels of decision-making skill, accountability, and creativity
7) PC experience that includes knowledge of spreadsheet, word processing, presentation, and database software
8) Communicate technical information to departmental faculty and staff
9) Excellent ability to read, understand and interpret, analyse and apply complex regulatory requirements
10) Work efficiently under pressure
11) Apply appropriate supervisory, management, and leadership techniques
12) Work independently and take initiative
13) Deal effectively with change, and be a change agent
14) Deal effectively with difficult situations
15) Set priorities and use food judgement for self and staff
16) Work with changing deadlines and shifting priorities
1) Bachelorâ™s degree in business, economics, or related field
Licenses and Certifications
1) Certification through a nationally accredited body (e.g., AAPC, AHIMA) strongly preferred
1) Five (5) years working in a healthcare (professional) billing, health insurance, Coding or equivalent operations work environment
2) Two (2) years of previous supervisory experience
3) Previous coding and charge capture experience strongly preferred, as well as thorough working knowledge of ICD-10CM and CPT-4 coding systems.
4) Previous experience with charge capture management and gross revenue management
6) Prior experience in a hospital finance setting (i.e. reimbursement, charge master, patient financial services, hospital operations, etc.).
2) Cover Letter
NOTE: When applying, all required documents MUST be uploaded under the Resume/CV section of the application.
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Staff Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via the Applicant Inquiry Form.
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