Supervisor Mid Revenue Cycle - Integrity Operations Coding Denials

Monday through Friday 8:00am to 5:00pm

Pay Range

Major Responsibilities:

• Operational Leadership: Oversee daily operations within assigned function, ensuring team performance aligns with organizational and regulatory expectations.
• Process Improvement & Standardization: Identify, implement, and monitor process improvements to enhance efficiency, productivity, and accuracy across the Mid-Revenue Cycle.
• Regulatory Compliance & Confidentiality: Ensure compliance with all applicable laws, regulations, and accreditation standards. Maintain confidentiality of patient records and escalate concerns as necessary.
• Performance Monitoring & Reporting: Track and analyze key performance indicators (KPIs) to assess operational effectiveness and drive continuous improvement.
• Technology Utilization: Leverage healthcare technology and analytics tools to optimize workflows, improve data accuracy, and enhance decision-making processes.
• Collaboration & Stakeholder Engagement: Serve as a liaison between Mid-Revenue Cycle functions and other departments, facilitating communication, problem-solving, and cross-functional collaboration.
• Team Leadership & Development: Supervise and develop team members by providing coaching, performance feedback, and professional development opportunities. Conduct hiring, training, and performance evaluations to ensure a skilled and engaged workforce.
• Issue Resolution & Quality Assurance: Monitor quality standards, address operational challenges, and implement corrective actions to maintain a high level of service delivery.

Licensure, Registration, and/or Certification Required:

• Relevant industry certification from an approved accrediting body such as AAPC or AHIMA 

Education Required:

• Based on function areas, may include bachelor’s degree in health information management, Healthcare Administration, or a related field, or equivalent experience 

Experience Required:

• ​​Mid-Revenue Cycle Expertise: Demonstrated knowledge of facility coding, professional coding, and/or HIM operational guidelines and workflows necessary to scope of work. Understanding of third-party reimbursement programs, state and federal regulatory requirements, national and local coverage decisions, and coding classification systems (ICD-10, CPT, HCPCS).
• Experience in process improvement, performance management, and operational efficiency initiatives
• Proficiency in EHR systems and Microsoft 365 applications
• Excellent leadership and team development skills
• Ability to collaborate across departments and within a matrix organizational structure
• Strong problem-solving skills with the ability to work within deadlines and maintain accuracy
• Effective communication skills to engage and manage diverse stakeholders
• Ability to manage teams, coach staff, and foster a culture of continuous improvement and accountability. 
• Ability to identify and solve problems creatively, work within deadlines, and maintain a high-level of accuracy and attention to detail.

Knowledge, Skills & Abilities Required:

• Mid-Revenue Cycle Expertise: Demonstrated knowledge of facility coding, professional coding, and HIM operational guidelines and workflows necessary to scope of work. Understanding of third-party reimbursement programs, state and federal regulatory requirements, national and local coverage decisions, and coding classification systems (ICD-10, CPT, HCPCS).
• Financial & Data Analysis: Ability to organize, compile and analyze data from various sources in order to detect patterns, and identify areas for improvement.
• Technology & Systems Proficiency: Strong understanding of EHR systems and other revenue cycle technology solutions. Proficient in Microsoft 365 products, including Teams, SharePoint, Word, Excel, PowerPoint, and Access.
• Process Improvement & Standardization: Experience in optimizing workflows and improving operational effectiveness within a complex healthcare environment. Skilled in prioritizing business needs and resource management to develop efficient and scalable processes.
• Leadership & Team Development: Proven ability to manage teams, coach staff, and foster a culture of continuous improvement and accountability. Ability to work effectively across multiple departments and within matrix organizational structures.
• Collaboration & Cross-Functional Communication: Strong interpersonal skills with the ability to engage clinicians, finance, IT, and revenue cycle teams to align goals, facilitate integration, and drive strategic initiatives.
• Problem-Solving & Attention to Detail: Ability to identify and solve problems creatively, work within deadlines, and maintain a high level of accuracy and attention to detail.

Physical Requirements and Working Conditions:

• ​​​​Exposed to normal office environment.
• Job may require travel, therefore, may be exposed to road and weather hazards.
• Must be able to lift up to 40 lbs. occasionally.
• Sits the majority of the workday, but also may lift, reach, and bend throughout the day.
• Operates all equipment necessary to perform the job.

Preferred Qualifications:

• Leadership & Team Development: Proven ability to manage teams, coach staff, and foster a culture of continuous improvement and accountability. Ability to work effectively across multiple departments and within matrix organizational structures
• Collaboration & Cross-Functional Communication: Strong interpersonal skills with the ability to engage clinicians, finance, IT, and revenue cycle teams to align goals, facilitate integration, and drive strategic initiatives
• Problem-Solving & Attention to Detail: Ability to identify and solve problems creatively, work within deadlines, and maintain a high level of accuracy and attention to detail

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

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Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program