About the role
Area Of Responsibilities
Analyzes work on hand for Coders and Charge Posting staff on a daily basis.
Works TMG CBO Operations Manager to troubleshoot workflow issues.
Works with appropriate TMG CBO staff to ensure 95% clean claim submission.
Analyzes individual accounts within area of responsibility and develops workflow which will result in payment of benefits in the shortest time possible. Success in this area will contribute to lower AR days and improved cash flow for Tanner Medical Group.
Provides high quality service to all customers, which includes, but is not limited to patient, physicians, physician practice employees, coworkers, and insurance companies.
Works with Providers and physician practices in suggesting workflow improvements. Recommends process improvements which may reduce denials.
Maintains good relationships with physician practices for the purpose of resolving billing, coding, and charge posting problems.
Develops and maintains working knowledge of Commercial and Government payer rules and regulations for medical billing, Maintains expertise knowledge of CPT and ICD coding.
Participates in IT and Operational conference calls and meetings.
Remains alert for process improvements and recommends changes when change would be beneficial.
Assists with special projects, coding audits, and account analysis when asked.
Maintains strict confidentiality.
Remains up to date on coding, insurance rules and regulations for all insurances by subscribing to newsletters, attending seminars and webinars.
Participate in educational activities and communicate denial trends and promote educational awareness.
Provides comprehensive analysis and provides feedback to TMG CBO Operations Manager regarding issues that impact financial viability.
Communicate with third party coding company and participate in provider audit exit meetings.
Employee performs within the prescribed limits of Tanner Health System's Ethics and Compliance program. Is responsible to detect, observe, and report compliance variances to their immediate supervisor, the Compliance Officer, or the Hotline.
Required Knowledge & Skills
Education: High School Diploma or GED & CPC
Experience: Four years of supervision experience. Requires broad knowledge of complex systems and procedures.
Licenses and Certifications
CPC
Supervision
Lead the Coding and Charge Posting Team to ensure proper coding and 95% clean claim submission.
Qualifications
Four years’ experience in coding supervision
Definitions
The Coding Team Lead coordinates the functions coding and charge posting responsibilities.
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