Assistant Director Billing and Coding Compliance 529180

Pay Grade/Pay Range:Minimum: $68500 - Midpoint: $89100 (Salaried E11)

Department/Organization:208411 - UMC Business Office

Normal Work Schedule:Monday - Friday 8:00am to 5:00pm; occasional evening/weekend hours as needed

Job Summary:The Assistant Director of Billing and Coding Compliance provides analysis and direction for the administration of insurance follow-ups and accounts receivable activities. Ensures departmental productivity and compliance goals are met. Provides guidance trains and supervises billing office staff.

Additional Department Summary:Under the guidance of the Director of Billing Operations and Coding Compliance assists with revenue cycle management for the College of Community Health Sciences (CCHS). Creates and assigns aging reports and worklog tasks to medical insurance clerks and other billing office staff. Provides guidance and training to build an efficient and effective billing office team and promotes a strong culture of integrity and responsibility.

Partners with Coding Compliance Supervisor to assign tasks and set completion deadlines. Manages staff schedules assists in training of new staff and periodic employee performance evaluations generates monthly employee productivity reports for the Director monitors the timely completion of AR worklog tasks. Assists the Director in preparing practice management curriculum and other presentations as needed. This position works as the billing office liaison to other CCHS departments including clinical and enterprise departments - Finance HealthIT Reception Lab etc. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Required Minimum Qualifications:Bachelors degree and six (6) years accounts receivables management medical billing/collections clinical operations and/or healthcare compliance functions experience; OR Masters degree and four (4) years of accounts receivables management medical billing/collections clinical operations and/or healthcare compliance functions experience.

Skills and Knowledge:Knowledge of health care management clinic philosophy and policies and operational procedures. Knowledge of medical terminology. Ability to understand diagnoses and physicians remarks on medical reports. Ability to analyze and interpret complex data. Ability to research and prepare comprehensive reports. Ability to monitor quality control standards. Skill in developing and maintaining effective relationships with staff providers patients and regulators. Skill in organizing work to achieve clinic goals and objectives.

Proficient in the use of personal computers standard application software and electronic health record systems. Excellent organizational and effective written and verbal communication skills. Excellent customer service skills ability to communicate with respect cultural awareness and sensitivity. Demonstrated expertise in data analysis and report generation using Excel and/or SQL. Demonstrated experience working with electronic medical records.

Ability to cope with stressful conditions. Ability to demonstrate tact versatility and adaptability. Ability to demonstrate a high degree of self-motivation and directional initiative. Skill in exercising initiative judgment problem-solving and decision-making.

Preferred Qualifications:Bachelors degree or higher in Health Care Analytics and 5 years of relevant experience. Supervisory experience to include oversight of billing staff employees. Experience working with clearing houses NextGen EPM and EMR Meditech and/or IngeniousMed. Demonstrated knowledge of physician reimbursement in the following areas: CPT-4 ICD-10 HCPCS and managed care guidelines. CPC medical coding certification.

Background Investigation Statement: Prior to hiring the final candidate(s) must successfully pass a pre-employment background investigation and information obtained from social media and other internet sources. A prior conviction reported as a result of the background investigation DOES NOT automatically disqualify a candidate from consideration for this position. A candidate with a prior conviction or negative behavioral red flags will receive an individualized review of the prior conviction or negative behavioral red flags before a hiring decision is made.