Coding Supervisor - Atrius Health

Requisition number: 2371309 Job category: Medical & Clinical Operations Explore opportunities at Atrius Health , part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians, AP/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within our group practice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together. Supervises the Coding Department staff and serves as the primary coding resource for the department. Responsible for the supervision and day-to-day instruction of assigned employees and activities to ensure efficient and accurate claims coding and denials. Assists in maintaining department operations and acts as a leader in Manager's absence. Monitors coding denial trend with coding staff to improve the capture of billable charges and maximize reimbursement. Has thorough understanding of CMS (Centers for Medicare and Medicaid Services) regulations, as well as technical knowledge of Procedural (CPT-4, HCPC) and Diagnosis (ICD-9CM, ICDIOCM) classification systems. Reviews Ingenix (claims scrubber software) data and insurer denials to ensure reimbursement maximization. Primary Responsibilities: Assist Management with the daily operations of the coding and denials teams to ensure efficient productivity and quality standards. Distributes and monitors the flow of work for assigned staff. Directs and supervises assigned personnel including performance evaluations, scheduling, orientation, training, and payroll processing. Make recommendations on staffing levels, employee hires transfers, promotions, salary changes, discipline, terminations, and other similar actions. Resolves grievances and other personnel problems within position responsibilities Coordinates and prioritizes the assignment of tasks and helps resolve technical and operational problems. Evaluates the impact of solutions to ensure goals are achieved Provides effective direction, guidance, and leadership over the staff for effective teamwork and motivation and fosters the effective integration of efforts with organization-wide initiatives. Provides training and technical assistance to employees within assigned work area Assist Manager in ensuring that assigned employees are provided with appropriate resources and materials. Ensures appropriate follow-up of coding-related payer rejections and denials. Monitors and communicates trends to Manager. Maintains and reports on productivity, quality standards and processing timelines as established by Revenue Operations Metrics. Responds to coding related inquiries from providers and support staff and others, as requested. May perform the duties of the Coding Specialist, as needed, due to employee absence or business need. Coordinates team member time off in a manner the does not negatively impact necessary daily functions. Must keep abreast of governmental and other payer coding and reimbursement rules and requirements. Ensures compliance with payer filing deadlines. Adheres to all governmental and third-party compliance issues as directed. Cooperates fully with all governmental and third-party insurer audits. Ensures compliance with regulatory agencies Develop and maintain procedures necessary to meet regulatory requirement. Identifies and reports compliance related issues to the Compliance Manager in a timely manner. Ensures adequate equipment and supplies for assigned area. Maintains CEU's required for coding certification. Regular, reliable and predicable attendance is required. Complies with all Atrius Health and departmental privacy policies, procedures and protocols. Follows HIPAA privacy guidelines without deviation when handling You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or other related professional billing/ coding (not hospital billing) certification Demonstrated leader with 3+ years of supervisory experience In-depth knowledge of coding, compliance, medical terminology, billing operations and computer systems Firsthand knowledge of current health care coding issues and familiarity with professional billing and coding rules within a general, multi-specialty physician group practice Excellent communication skills Solid PC skills in word processing and presentation applications (Microsoft Word, Excel, PowerPoint etc.) Solid skills in the use of the Internet Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. UnitedHealth Group