Supervisor Revenue Integrity - Telecommute - Must Reside in TX

PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental Scope of Service and Provision of Care plans as applicable for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

• Provide personalized care and service by consistently demonstrating our I CARE values:
  • INTEGRITY: We are honest and ethical in all we say and do.
  • COMPASSION: We embrace the whole person including emotional ethical physical and spiritual needs.
  • ACCOUNTABILITY: We hold ourselves accountable for all our actions.
  • RESPECT: We treat every individual as a person of worth dignity and value.
  • EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

• Practices the Caring and Serving Model

• Delivers personalized service using HM Service Standards

• Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET Managing Up Key Words)

• Intentionally collaborates with other healthcare professionals involved in patients/customers or employees experiential journeys to ensure strong communication ease of access to information and a seamless experience.

• Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

• Actively supports the organizations vision fulfills the mission and abides by the I CARE values

• Participates in management responsibilities of selection scheduling supervision retention and evaluation of employees in the department. Provides development and mentoring of staff. Ensures that all department staff are properly trained and comply with all policies and procedures. Assists with meeting or exceeding threshold goal for department turnover.

• Consults with department leadership on coaching/corrective counseling and staff performance to achieve desired outcomes. Conducts new hire feedback sessions and provides recognition/commendations as appropriate.

• Creates and maintains an environment of collaboration by role modeling teamwork within the department. Effectively interacts within and between departments ensuring seamless flow of information/communication. Role models clear and professional communication to facilitate problem resolution to achieve mutual understanding. Teaches others to critically think by verbally expressing rationale for decisions and follows up consistently.

• Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators

• Oversees daily department operations schedule and activities. Sets priorities and functional standards giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.

• Organizes the workflow proactively problem solves anticipates needs and manages multiple ongoing priorities. Provides reports to management of needs issues to be addressed and all important information necessary to ensure department success. Serves and actively participates on various committees as directed.

• Generates and presents reports to accurately identify members and providers appropriate for chart review. Oversees coding reviews with department coders and physicians.

• Coordinates with Managed Care to complete onboarding process for new physicians and departments. Provides continuous physician education as it relates to coding charge capture and physician onboarding

• Ensures a safe and effective working environment; assists in monitoring and/or revising the department safety plan and/or any specific accreditation/regulatory agency required safety guidelines.

• Uses and optimizes information systems to enhance operations; participates in performance improvement and data management/analysis functions as directed.

• Employs a proactive approach in the optimization of positive outcomes by monitoring and improving the department workflow supporting peertopeer accountability and identifying solutions via collaboration. Role models situational awareness using teachable moments to improve safety. Participates in investigations as a result of the root cause analysis process as assigned by manager.

• Monitors self and ensures employee compliance with policies procedures and System HR Standards of Practice and performs associated actions upon noncompliance (i.e. focal point review requirements disaster plan in services influenza immunization wage and hour standard hours timely termination submission timely timecard approval etc.

• Assists in the management of essential and nonessential department expenditures to achieve financial target through optimization of productivity supply/resource efficiency minimizing incidental overtime and overtime percentage and other areas according to department specifications.

• Manages staffing needs including scheduling time off requests and time keeping.

• Identifies coordinates and implements projects programs and procedures to improve the quality and costeffectiveness of coding and charge capture operations.

• Gathers and evaluates patient reimbursement data analyzes results and prepares reports. Investigates trends in reimbursement from identical codes and instances of low reimbursement

• Implements change demonstrating the ability to motivate employees and follow through to ensure change in behavior has actually occurred. Supports Houston Methodist and department goals and vision. Identifies industry trends and implements innovative solutions for practice or workflow changes to improve department operations.

• Develops skills of team members and continually assists with improving competencies performance and outcomes. Fosters a positive and constructive teaching environment by engaging staff/team members in learning opportunities that are valuable and in alignment with business objectives. Conducts conversations with staff on their development and My Development Plan (MDP).

• Seeks opportunities to identify self developmental needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates MDP on an ongoing basis

• Bachelors degree in healthcare business accounting or related field

• Five years of experience as a coding supervisor; for internal candidates three years of certified coding experience or team lead experience of which one year must have been in a role with progressive responsibility preferably in a medical practice or professional billing department

• Three years of auditing experience

• CPC Certified Professional Coder (AAPC) OR
• CCS Certified Coding Specialist (AHIMA) OR
• an approved Specialty Society Coding Certification

• Demonstrates the skills and competencies necessary to safely perform the assigned job determined through ongoing skills competency assessments and performance evaluations

• Sufficient proficiency in speaking reading and writing the English language necessary to perform the essential functions of this job especially with regard to activities impacting patient or employee safety or security

• Ability to effectively communicate through a variety of channels with patients physicians family members and coworkers in a manner consistent with a customer service focus and application of positive language principles; engages the recipient(s) and helps them understand and retain the message

• Demonstrates the ability to interact with others in a way that gives them confidence in ones intentions and those of the organization

• Demonstrates leadership qualities and critical thinking through selfdirection initiative effective interpersonal skills and oral/written communication skills

• Ability to identify and understand issues problems and opportunities; and recommend solutions

• Ability to work effectively in a fast paced environment

• Demonstrates flexibility and adaptability in the workplace

• Thorough understanding of managed care contracting CPT/ICD9/ICD10 coding third party and governmental payers billing and compliance regulations and computerized billing and collection management systems

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

• Uniform No
• Scrubs No
• Business professional Yes
• Other (department approved) No

ONCALL*
*Note that employees may be required to be oncall during emergencies (ie. DIsaster Severe Weather Events etc) regardless of selection below.

• On Call* Yes

TRAVEL**
**Travel specifications may vary by department**

• May require travel within the Houston Metropolitan area Yes
• May require travel outside Houston Metropolitan area No

Houston Methodist Specialty Physician Group As one of the nations leading hospitals and academic medical centers Houston Methodist has brought together some of the nations leading experts in multiple specialties to serve our patients. As part of Houston Methodist Specialty Physician Group (HMSPG) these specialists not only provide excellent clinical care but are on the forefront of research developing leadingedge technologies and treatments and teaching the medical pioneers of tomorrow. This combination of clinical service research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient care. Established as a nonprofit corporation and certified by the Texas State Board of Medical Examiners HMSPG enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.