Pay Grade/Pay Range: Minimum: $68,500 - Midpoint: $89,100 (Salaried E11)
Department/Organization: 208411 - UMC Business Office
Normal Work Schedule: Monday - Friday 8:00am to 5:00pm; occasional evening/weekend hours as needed
Job Summary: The Assistant Director of Billing and Coding Compliance provides analysis and direction for the administration of insurance follow-ups, and accounts receivable activities. Ensures departmental productivity and compliance goals are met. Provides guidance, trains, and supervises billing office staff.
Additional Department Summary: Under the guidance of the Director of Billing Operations and Coding Compliance, assists with revenue cycle management for the College of Community Health Sciences (CCHS). Creates and assigns aging reports and worklog tasks to medical insurance clerks and other billing office staff. Provides guidance and training to build an efficient and effective billing office team, and promotes a strong culture of integrity and responsibility.
Partners with Coding Compliance Supervisor to assign tasks and set completion deadlines. Manages staff schedules, assists in training of new staff and periodic employee performance evaluations, generates monthly employee productivity reports for the Director, monitors the timely completion of AR worklog tasks. Assists the Director in preparing practice management curriculum and other presentations as needed. Works as the billing office liaison to other CCHS departments, including clinical and enterprise departments - Finance, Health IT, Reception, Lab, etc. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Required Minimum Qualifications: Bachelor's degree and six (6) years accounts receivables management, medical billing/collections, clinical operations, and/or healthcare compliance functions experience; OR Master's degree and four (4) years of accounts receivables management, medical billing/collections, clinical operations, and/or healthcare compliance functions experience.
Skills and Knowledge: Knowledge of health care management, clinic philosophy, and policies and operational procedures. Knowledge of medical terminology. Ability to understand diagnoses and physician's remarks on medical reports. Ability to analyze and interpret complex data. Ability to research and prepare comprehensive reports. Ability to monitor quality control standards. Skill in developing and maintaining effective relationships with staff, providers, patients, and regulators. Skill in organizing work to achieve clinic goals and objectives.
Proficient in the use of personal computers, standard application software, and electronic health record systems. Excellent organizational and effective written and verbal communication skills. Excellent customer service skills, ability to communicate with respect, cultural awareness, and sensitivity. Demonstrated expertise in data analysis and report generation using Excel and/or SQL. Demonstrated experience working with electronic medical records.
Ability to cope with stressful conditions. Ability to demonstrate tact, versatility, and adaptability. Ability to demonstrate a high degree of self-motivation and directional initiative. Skill in exercising initiative, judgment, problem-solving, and decision-making.
Preferred Qualifications: Bachelor's degree or higher in Health Care Analytics and 5 years of relevant experience. Supervisory experience to include oversight of billing staff employees. Experience working with clearing houses, EPIC and/or Expanse EMR. Demonstrated knowledge of physician reimbursement in the following areas: CPT-4, ICD-10, HCPCS, and managed care guidelines. Applicants with one or more of the following certifications preferred: Certified Professional Coder (CPC); Certified in Healthcare Compliance (CHC); Certified Compliance & Ethics Professional (CCEP); Certified Professional Compliance Officer (CPCO).
Background Investigation Statement: Prior to hiring, the final candidate(s) must successfully pass a pre-employment background investigation and information obtained from social media and other internet sources. A prior conviction reported as a result of the background investigation DOES NOT automatically disqualify a candidate from consideration for this position. A candidate with a prior conviction or negative behavioral red flags will receive an individualized review of the prior conviction or negative behavioral red flags before a hiring decision is made.
Equal Employment Opportunity: The University of Alabama is an Equal Employment/Equal Educational Opportunity Institution. All qualified applicants will receive consideration for employment or volunteer status without regard to any legally protected basis and will not be discriminated against because of their protected status. Applicants and employees of this institution are protected under Federal law from discrimination on several bases. More information is available in the EEOC’s Know Your Rights: Workplace discrimination is illegal poster.
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