Xtend Healthcare, LLC, is located just 20 miles north of Nashville, Tennessee, Xtend provides entirely revenue cycle-based projects which range from complete business office outsourcing to A/R legacy cleanup, self-pay and third-party CBO safety net engagements as well as coding and consulting engagements.
We serve clients of all types and sizes in all 50 states -- from critical-access hospitals to those with more than 2,000 patient beds, and from individual facilities to multi-hospital, university-affiliated health systems.
In 2015, Xtend was acquired by Navient which is the nation's leading loan management, servicing and asset recovery company. By joining forces with Navient, the Xtend team will be bolstered by the strength, stability and resources of an industry leader, and leverage the parent company's large scale business process outsourcing capabilities.
POSITION IS LOCATED IN CHICAGO, ILLINOIS.
Xtend Healthcare is looking for a Coding Supervisor who will be responsible for leading a team of coders for five to ten projects that provides hospital and physician (provider) coding and auditing. Must have the ability to accurately audit and code (ICD-10-CM, ICD-10-PCS, CPT, HCPCS, Level I & II modifiers) all of the following service types: facility inpatient, emergency room, outpatient surgery, observation, ancillary, recurring therapy, clinic, professional, and billing/coding edit resolution. Will be working with multiple facility specific, state billing and coding guidelines as well as various Medicare Administrative Contractors nation-wide.
1. Personnel Management:
- Hiring, orientation, and training coders
- Leading coding auditors on completion of daily work tasks
- Evaluating performance and carrying out improvement activities
2. Project Work:
- Reviews staff audit reports and summaries to ensure appropriateness
- Professional or Facility coding
- Acts as a back up to coding staff for clients as needed
3. Record Keeping:
- Completion of staff productivity and scoring
- Completion of Time Allocation reports daily and bi-weekly
- Completion of Masterlog of accounts coded daily
- Identifies trends and reports to Coding director
- Identifies educational webinars/documentation for staff
- Identifies staff who do not meet productivity of 85% weekly
5. Customer Service:
- Client liaison to communicate account inquiries
- Client liaison to report accuracy to clients as requested
- High School Diploma or equalivant.
- Ten or more years of experience with coding and/or billing in health care revenue cycle. This should include hospital and physician practice.
OTHER HELPFUL EDUCATION OR EXPERIENCE:
- An understanding of healthcare billing practices and compliant claims preparation for both governmental and commercial payers.
Revenue Cycle Certifications: The following are recognized professional certifications: Certified Professional Account Representative (CPAR), Certified Revenue Cycle Representative (CRCR) or Certified Professional Biller (CPB).
- Electronic health record (EHR) expertise, including knowledge of a variety of vendors.
- Specialty Coding Certifications: The following are recognized professional certifications: Ambulatory Surgical Center (CASCC), Anesthesia and Pain Management (CANPC), Cardiology (CCC), Cardiovascular and Thoracic Surgery (CCVTC), Chiropractic (CCPC), Dermatology (CPCD), Emergency Department (CEDC), Evaluation and Management (CEMC), Family Practice (CFPC), Gastroenterology (CGIC), General Surgery (CGSC), Hematology and Oncology (CHONC), Internal Medicine (CIMC), Interventional Radiology and Cardiovascular (CIRRC), Obstetrics Gynecology (COBGC), Orthopaedic Surgery (COSC), Otolaryngology (CENTC), Pediatrics (CPEDC), Plastics and Reconstructive Surgery (CPRC), Rheumatology (CRHC), Surgical Foot & Ankle (CSFAC), and Urology (CUC).
KNOWLEDGE, SKILLS and ABILITIES:
- Coding Certifications: The following are recognized professional certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Coding Associate (CCA); Certified Professional Coder (CPC); Certified Outpatient Coder (COC); Certified Inpatient Coder (CIC); Certified Coding Specialist (CCS); or Certified Coding Specialist -- Physician (CCS-P); Certified Professional Medical Auditor (CPMA). Coding Auditor III team members are required to possess at least one of the above professional services coding certifications.
Continuing Education Requirements: Medical coders shall maintain the required continuing education hours in order to maintain current and proper national certification(s) requirements for this position.
Coding Test. Pass a pre-employment coding test that is provided, developed and administered by candidate management instructions, with a score of 80% or higher.
- Complete working knowledge and understanding of the full revenue cycle.
- Responsible for analyzing, reviewing and resolving coding and documentation issues that are related to reimbursement, compliance and revenue enhancement for each client.
- Responsible for reporting to the Director the coding statuses per client and type of service daily prior to 10am CST.
- Directs all coding functions for each client including: Work volume, daily DNFB management, error resolution and feedback to client.
- Responsible for reporting to Director for each of the clients and each type of service the productivity of coding staff on a monthly basis.
- Acts as a Client Liaison to each project for questions, meetings, etc. Significant customer interface responsibilities with hospital employees, physicians, mid-level providers, nursing, clinical, IS, patient financial services and registration.
- Responsible for employee time management, maintaining employee daily time sheets per pay period per month, time allocations per project, reviewing and approving PTO requests; making sure the clients are covered during PTO dates.
- Responsible for team member annual evaluations and career tracking.
- Works hand in hand with Auditing regarding educational needs for team members. Recommend improvements and corrections as identified.
- Holds team meetings and attends all departmental management meetings. Prepares reports for meeting presentations.
- Performs special projects for Director.
- Must possess a working knowledge of Medicare and Local Medical Review Policy Guidelines.
- Ability to function independently and as a team player in a fast-paced environment required.
- Knowledge of inpatient and DRG coding.
- Knowledge of computing observation hours.
- Knowledge of coding infusions and injections.
- Knowledge of surgical coding.
- Knowledge of Evaluation and Management coding.
- Must be able to maintain the company accuracy rating of 95%.
- Must meet set weekly quota for productivity.
- Knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT).
- Knowledge of reimbursement systems, including Prospective Payment System (PPS); Ambulatory Payment Classifications (APCs); and Resource-Based Relative Value Scale (RBRVS).
- Practical knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.
- Practical knowledge of medical specialties; medical diagnostic and therapeutic procedures; ancillary services (includes, but is not limited to, Laboratory, Occupational Therapy, Physical Therapy, and Radiology).
- Make well-informed, effective, and timely decisions, even when data are limited or solutions produce unpleasant consequences; perceives the impact and implications of decisions.
- Utilize medical computer software programs to abstract, analyze, and/or evaluate clinical documentation and enter/edit diagnosis, procedure codes and modifiers.
- Clearly express information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information.
- Display courtesy, empathy, and tact, developing and maintaining effective relationships with others; effectively work with individuals who are difficult, hostile, or distressed to resolve differences; and be able to relate well to people from varied backgrounds and in different situations.
- Work with internal and external customers to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations.
- Contribute to maintaining the integrity of the organization; display high standards of ethical conduct and understand the impact of violating these standards on an organization, self, and others.
- Be open to change and new information; adapt behavior or work methods in response to new information, changing conditions, or unexpected obstacles; effectively deals with uncertainty.
- A high level of effort and commitment towards performing the work, using efficient learning techniques to acquire and apply new knowledge and skills; uses training, feedback, or other opportunities for self-learning and development.
- Understand and interpret written material, including technical material, rules, regulations, instructions, reports, charts, graphs, or tables; applies what is learned from written material to specific situations. Working Excel knowledge.
- Attention to detail and completeness with a thorough understanding of government rules and regulations, medical coding and reimbursement guidelines, and potential areas of risk for fraud.
All offers of employment are contingent on standard background checks. Navient and certain of its affiliated companies are federal, state and/or local government contractors. Should this position support a federal government contract, now or in the future, the successful candidate will be subject to a background check conducted by the U.S. Government to determine eligibility and suitability for federal contract employment for public trust or sensitive positions. Positions that support state and/or local contracts also may require additional background checks to determine eligibility and suitability.EOE Minority/Female/Disability/Protected Vet/Sexual Orientation/Gender Identity. Navient Corporation and its subsidiaries are not sponsored by or agencies of the United States of America. Navient is a drug free workplace.