Supervisor, Revenue Cycle Coding
University Hospitals
Supervisor, Revenue Cycle Coding
A Brief Overview Supervises day to day operations of the assigned patient accounts area to ensure the productive and timely submission and resolution of insurance and/or patient claims for all hospital and physician services. Serves as subject matter expert and primary go to person for staff level questions and education. What You Will Do Directly oversees certified coders and billing staff and is responsible for ensuring their work output is satisfactory and their concerns are resolved. This includes conducting routine staff audits for productivity and tracking results. Communicates productivity standards, performs routine audits and measures employee performance accordingly. Leads work flow efforts for assigned area; analyzing, reassigning and adjusting based on work needs. Maintains strict confidentiality in regard to patient's personal, medical and financial information. Acts as a role model for professionalism through appropriate conduct and demeanor at all times. Identifies problem areas and develops plan of action to ensure benchmark standards are obtained and maintained. Generates and analyzes reports for AR review and resolution; continually monitoring fluctuations in department goals/metrics. Maintains knowledge of industry and payer regulations and system software. Keeps current with industry coding standards and changes to maintain compliant billing and escalates as needed. Acts as a liaison for both internal and external customers providing assistance in claims submission and resolution. Contacts patient, guarantors, and/or third-party organizations to secure information; prepares and maintains patient billing records to assist in the adjudication of claims. Analyzes, assists and resolves problem claims; including code corrections. Participates in and leads payer and or departmental meetings. Responsible for all hiring and related personnel decisions, completing routine performance review evaluations, training, scheduling, and process documentation in collaboration with Manager. Meets regularly with direct reports to review accomplishments and set goals. Provides escalated customer support service. Responsible for providing feedback, suggestions and process improvement recommendations to manager and above. Performs and initiates special projects. Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
Education High School Equivalent / GED (Required) and Bachelor's Degree in Business or healthcare (Preferred) Work Experience 3+ years of patient or hospital billing / accounting experience (Required) and Coding experience (Required) and Collection, billing and / or follow-up experience (Required) and Supervisory experience (Preferred) Knowledge, Skills, & Abilities Strong working knowledge of claims submission & claims processing (UB-04s/HCFA1500) and third party payers. Working knowledge of ICD-9, ICD-10, CCI, LCD/NCD, CPT. Knowledge of medical terminology. Detail-oriented and organized, with good analytical and problem solving ability. Notable client service, communication, presentation and relationship building skills. Ability to function independently and as a team player in a fast-paced environment. Strong written and verbal communication skills. High tolerance level for dealing in a potentially stressful environment Demonstrated ability to use PCs, Microsoft Office suite (including Word, Excel and Outlook), and general office equipment (i.e. printers, copy machine, FAX machine, etc.). Knowledge of medical billing software. Licenses and Certifications Certified Professional Coder (CPC) or Certified Professional Coder (CPC) CPC-H or Certified Professional Coder (CPC) CPC-P or Certified Professional Coder (CPC) CPC-A or Certified Coding Specialist (CCS) CCS-P or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) or RCC or ROCC Physical Demands Standing Occasionally Walking Occasionally Sitting Constantly Lifting Rarely up to 20 lbs Carrying Rarely up to 20 lbs Pushing Rarely up to 20 lbs Pulling Rarely up to 20 lbs Climbing Rarely up to 20 lbs Balancing Rarely Stooping Rarely Kneeling Rarely Crouching Rarely Crawling Rarely Reaching Rarely Handling Occasionally Grasping Occasionally Feeling Rarely Talking Constantly Hearing Constantly Repetitive Motions Frequently Eye/Hand/Foot Coordination Frequently Travel Requirements 10%
Primary Location: United States-Ohio-Shaker_Heights Work Locations: 3605 Warrensville Center Road 3605 Warrensville Center Road Shaker Heights 44122 Job: Administrative Support Organization: UHHS_Coding Schedule: Full-time Employee Status: Regular - Shift Days Job Type: Standard Job Level: Supervisor Travel: No Remote Work : Hybrid Job Posting: Sep 7, 2026, 4:00:00 AM
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