Manager - Revenue Cycle Coding Coordinators

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, andinnovate.Webelieve that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

This job manages all operational and personnel management functions associated and related to the charge master functions for the Revenue Integrity Team across the organization; leads and performs tasks related to all functions of performing and leading the concurrent proactive/prospective chargemaster reviews, retrospective reviews requested by internal departments including but not limited to Operational Departments, Reimbursement and Managed Care Departments and the Nurse Auditing Team in the Corporate Revenue Integrity Departmen. This job develops and/or helps coordinate chargemaster educational programs for the Clinical Departments, Managers and Directors as well as chargemaster personnel; responds to questions of patients, staff, and third party payers with respect to hospital charges, CPT Codes, HCPCS Codes, Revenue Codes and modifiers; helps identify opportunities, document findings, and recommend solutions to improve overall system efficiency and revenue optimization. This job assists, advises, and provides expert consultation with the clinical departments to ensure all charges in the chargemaster accurately reflect the services performed and are compliant for billing purposes; works in coordination with the Nurse Auditor Manager with issues related to charge capture and documentation related issues; assumes responsibility for oversight of internal consulting projects such that results will provide timely, accurate and compliant recommendations to management to ensure full billing compliance and increased billing efficiencies; helps identify opportunities, document findings, and recommends solutions to improve Internal Systems efficiency and user operational efficiency. Assists in conducting internal training sessions where applicable as needed to ensure competency in all aspects of the revenue cycle including compliance with all applicable regulatory agencies; and assists management with the development and implementation of new policies and procedures required for success under the direction of Business Service and HIM Administration.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education

Required -High school diploma or equivalent

Preferred -Bachelor's degree; Master's degree in Finance, Accounting, Business/Health Administration, Nursing or related field

Work Experience

Required -11 years of related healthcare experience OR 7 years of related healthcare experience with a Bachelor's degree in a related field OR 3 years of related healthcare experience with a Master's degree in Finance

Knowledge Skills and Abilities (KSAs)

• Accounting, Business/Health Administration, Nursing or related field
  Clinical (nursing or allied health) or Coding background with Medicare and Managed Care reimbursement, Managed Care contractual arrangements and patient accounting/billing background.
• Strong analytical andinterpretive skills.
• Advanced judgment and decision making skills.
• Strong leadership, interpersonal skills and time management skills.
• Self-directed and skills to work with little or no supervision and skills to easily handle multiple tasks, even under the pressure of deadlines and constant interruptions.
• Skills to prepare and present findings and results to diverse audiences, including physicians, operational administrators, directors, VPs, managers, vendors, and third party payors.
• Skills to lead, plan, coordinate, and review staff work on projects involving complex business and technical matters.
• Time management skills should include the skills to prioritize, organize and coordinate multiple areas and assignments under fast-paced and changing conditions to meet deadlines.
• Skills to anticipate issues that adversely impact the mission of the department as well as the ability to use deductive reasoning skills to solve system, process, and people problems.
• Proficient in the use of personal computers, CRTs, and associated software applications (Microsoft Office, Visio, and internal and external email functions).
• Excellent decision-making and technical writing skills.
• Skills to develop and facilitate presentations, seminars, and workshops and detail oriented.
• Effective verbal and written communication skills.

Job Duties

• Manages and leads the chargemaster function in the creation of, and on-going maintenance of, a system-wide chargemaster function / department focused on chargemaster maintenance and education.
• Serves as a liaison between Business Office, HIM and the Nurse Audit Team in coordinating, researching and resolving patient accounts and pre and post billing edits related to the chargemaster.
• Serves as a liaison between the Revenue Integrity Department and the Finance - Reimbursement and Managed Care Departments to assist in audits/analysis related to third party payor audits and contract negotiations as well as research budgetary and cost reporting matters for both private and governmental payors.
• Provides and manages education and feedback to medical and ancillary staff as well as Departmental leadership to improve the overall quality of the chargemaster.
• Develops and manages performance management reports and documents and quantify the gross and possibly net impact of issues/matters discovered and rectified based on chargemaster analysis and reviews.
• Other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

Must be able to work a flexible schedule (e.g. 24/7, weekend, holiday, on call availability)
Must be able to travel throughout and between facilities.
Must be able to stand for prolonged periods of time.

Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.

There is no occupational risk for exposure to communicable

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Maryland, New York, Washington, and Washington D.C.

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We are proud to be an Equal Employment Opportunity and Affirmative Action employer. We are committed to the principles of equal employment opportunity and providing a workplace that is free from discrimination based on race, color, creed, religion, pregnancy status, pregnancy-related conditions, national origin, ancestry, mental or physical disability, medical condition, age, veteran status, military status, citizenship status, marital status, familial status, sexual orientation, gender, gender identity or expression, genetic information, political affiliation, unemployment status, or any other characteristic protected under applicable federal, state or local law. These protections extend to applicants and all employment related decisions. View theEEO is the Law posterand itssupplement, as well as thepay transparency policyfor more information.

Affirmative Action Policy Statement