CBO Team Lead

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary

The CBO Team Lead assists the Billing Manager as a working leader for their assigned CBO service area(s). Supports the goals of the department and assists in ensuring the department standards are met, revenue enhanced and customer satisfaction is high. Maintains a daily coding and charge review workload. Assists manager with quality review/auditing and provides feedback on performance improvement and education needs, assisting with the coordination and development of training materials and coordinates the implementation of training to targeted users as needed. Also acts as a Process Improvement Coordinator on all Epic Optimization opportunities including Pre-Arrival and Registration processes and provides project management support as needed.

Responsibilities

• Assists manager as a working leader for assigned CBO service area. Coordinates and performs quality review of coding/abstracting/charging functions. Performs a higher level of coding duties, including providing support and education for coding and Medicare compliance, audits, identifies and resolves coding related edits by reviewing the medical record and ensuring that all data and codes are consistent with guidelines including ICD10, HCPCS, and CPT codes on all professional and hospital-based procedural services to ensure compliance with federal and state regulatory bodies. Responsible for training and orientation of new employees as directed by manager. Acts as resource for peers for day-to-day procedural questions and concerns. Assists with project management as assigned.

• Assists manager with coordinating and developing training with providers, clinical staff, team members and management, creates educational materials and policies/procedures to assist with the new regulatory or payer policies, and reviews and distributes coding related information to clinical and financial staff, including CPT and ICD-10 code changes, medical necessity policies, and coding/billing information regarding new procedures and pharmacy items.

• Acts as the CBO point person for assigned Service Lines and anticipates potential areas of concern within the charge capture function, Pre-Arrival and Registration Processes; notifies clinic and revenue cycle manager of ongoing process issues or concerns beyond designated scope of authority to rectify independently; assists with unusual, unprecedented and/or escalate issues as necessary and researches coding questions and opportunities as requested. Identifies and assists with implementation of documentation and revenue enhancement opportunities, reports compliance problems appropriately and identifies and reports edit trends to provide feedback for improved documentation and revenue cycle. Notifies manager of error trends in data to enable correction of errors, tracking and training. Uses tact and diplomacy when communicating with employees, physicians, administration, and public, under complex or emotional situations.

• Assumes a Process Improvement Coordinator role while participating in the day-to-day implementation and optimization, in collaboration with Pardee Hospital and Network leadership overall, of Epic Optimization opportunities.

PARDEE

Other information

Qualifications

Required

• High School Diploma or equivalent.

• Five (5) years of coding experience.

• Strong verbal and written communication.

• Certification from America Academy of Professional Coders (AAPC)

Preferred

• Associates Degree

• Experience performing in a supervisory role

01.9050.7911

Job Details

Legal Employer: Pardee - HCHC

Entity: Pardee UNC Health Care

Organization Unit: Patient Accounting

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Remote

Work Schedule: Day Job

Location of Job: PARDEEHOSP

Exempt From Overtime: Exempt: No

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.