Full-Time Reimbursement Supervisor-Patient Accounting

At Ashe Memorial Hospital, we are driven by our Mission Statement, "To meet the needs of the community by delivering patient‑centered, high quality health care." Ashe Memorial Hospital is proud to be voted Ashe’s Best Place to Work 2022, 2023, 2024 & 2025. Come be a part of our dynamic team; you will join Ashe’s 2022 & 2023 Best Hospital, Best Surgeon, Best Physician, Best Nurse, and Best Medical Practice! This is your opportunity to make a large difference in a small community. Job Summary The Reimbursement Supervisor is responsible for supporting the organization’s revenue cycle through comprehensive oversight of revenue integrity processes, denial prevention and resolution, and Charge Description Master (CDM) maintenance and optimization. This position serves as a key resource in identifying revenue leakage, ensuring compliance with regulatory and payer requirements, improving charge capture accuracy, and collaborating with operational departments to strengthen reimbursement outcomes. The role will act as a subject‑matter expert, provide guidance on departmental operations, manage, supervise, and train assigned team members, and assist with analysis for third‑party reimbursement to ensure payer contract compliance. Minimum Job Qualifications Associate degree in Healthcare Administration, Business, Finance, Health Information Management, or related field required. Bachelor’s degree preferred. Minimum of 3–5 years of revenue cycle, billing, coding, denial management, or revenue integrity experience in a healthcare setting required. Critical Access Hospital or hospital‑based experience preferred. Experience with CDM maintenance and billing compliance is highly preferred. Certified Revenue Cycle Representative (CRCR) preferred. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) preferred. HFMA Revenue Cycle Certification preferred. Revenue Integrity Certification preferred. Employees hired without a certification may be required to obtain an approved certification within twelve (12) months of hire. Primary Job Responsibilities Monitor charge capture to identify missed revenue, billing errors, and compliance issues. Audit charge processes, Charge Description Master (CDM), and reimbursement methods. Review charging workflows to ensure accurate and compliant billing. Identify revenue leakage trends and recommend process improvements. Evaluate payer contracts, reimbursement rates, and payment methodologies. Provide analytical support for managed care contract negotiations and maintenance. Review and resolve denied or underpaid claims. Analyze denial trends and implement corrective actions. Work with Coding, Billing, Clinical departments, and payers to resolve claim issues. Stay current on payer regulations affecting reimbursement. Assist with appeals and supporting documentation. Maintain the accuracy and integrity of the hospital CDM. Ensure compliance with CPT, HCPCS, ICD‑10, revenue codes, modifiers, and payer requirements. Coordinate annual and ongoing CDM updates. Partner with departments to add new services, supplies, medications, and procedures. Verify pricing, revenue codes, and charge mappings. Lead and participate in semiannual CDM reviews with departments including Materials Management, Laboratory, Pharmacy, Coding, Same Day Care, Rehabilitation, Emergency, Inpatient, and Outpatient Services. Serve as a resource for charging, billing, reimbursement, and documentation questions. Ensure compliance with federal, state, payer, and organizational billing regulations. Prepare reports on denials, revenue integrity audits, and CDM findings. Track trends, corrective actions, and financial outcomes. Support revenue cycle improvement initiatives. Complete required orientation and training. Follow facility policies and OSHA safety standards. Maintain HIPAA compliance and protect patient confidentiality. Respect patients' cultural and religious beliefs. Maintain reliable attendance and punctuality. Vaccination Requirement Must be willing to receive all required vaccinations (i.e., flu shot, etc.). All new employees working must be fully vaccinated as a condition of employment (unless the new hire has requested and received an exemption). Candidates for employment will be notified of this policy requirement prior to the start of employment. After receiving an offer of employment, new employees must provide proof of vaccination or request and receive an exemption before beginning work. Equal Opportunity Statement Ashe Memorial Hospital is an equal opportunity employer and considers individuals for employment according to their abilities and performance. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care. Employment decisions are made without regard to race, age, religion, color, sex, national origin, physical or mental disability, marital or veteran status, sexual orientation, genetic information, or any other classification protected by law. All employment requirements mandated by local, state, and federal regulations will be observed. #J-18808-Ljbffr Ashe Memorial Hospital