Clinical Revenue Supervisor at The University of Chicago in Chicago, Illinois

Job Description:

Department

BSD UCP - Professional Billing Coding - Medical Specialty



About the Department

The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree granting committees, and research centers and institutes. The BSD is located on the University's main campus in Hyde Park, ten minutes south of downtown Chicago. BSD's patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. The University of Chicago Practice Plan (UCPP) is the central organization that supports the clinical activity of nearly 850 clinically active faculty practicing at the University of Chicago. These clinically active faculty collectively form the University of Chicago Physicians Group (UCPG). The University of Chicago Physicians' Group (UCPG) is a component of the physician practice plan for the University of Chicago. The UCPG department provides billing services for medical services provided by University physicians and manages the accounts receivable collection and reporting processes for the Biological Sciences Division (BSD) departments. Each physician is a faculty member and is based in a specified department in the BSD.



Job Summary

The job provides professional support and solves straightforward problems in projects related to revenue cycle operations, including activities related to charging, billing, and collecting. Coordinates the management of successful billing and compliance activities with department managerial and executive staff.



Responsibilities

• Assist department managerial and executive staff in the management of successful billing and compliance activities.
  
  


• Ensure that all professional and hospital charges are posted accurately and timely, and that the department meets chart documentation, CPT and ICD-9-CM/ICD-10-CM requirements.
  
  


• Review coding procedures, workflow issues, billing infrastructure, and the performance of Coders/Abstractors.
  
  


• Inform department administrators, physicians and Abstractor/Coders of regulatory changes.
  
  


• Assist in departmental compliance efforts by participating in training sessions, performing audits, and promoting an understanding of procedures, policies and expectations.
  
  


• Prioritizes chart documentation and maintaining requirements within the department. Ensures all processes involved in accurately posting professional fees.
  
  


• Has a moderate/solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.
  
  


• Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.
  
  


• Performs other related work as needed.
  
  

Minimum Qualifications




Education:

Minimum requirements include a college or university degree in related field.



Work Experience:

Minimum requirements include knowledge and skills developed through 2-5 years of work experience in a related job discipline.



Certifications:




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Preferred Qualifications




Education:

• Bachelor's degree.
  
  

Experience:

• 4-5 years of experience in (physician) healthcare billing and coding.
  
  


• Thorough working knowledge of medical terminology, anatomy and physiology.
  
  

Licenses and Certifications:

• Certification through a nationally accredited body (e.g., AACP or AHIMA).
  
  


• Registered Health Information Administrator [RHIA] or Registered Health Information Technician [RHIT].
  
  


• Certified Coding Specialist-Physician-based [CCS-P], Certified Professional Coder [CPC], or Certified Coding Specialist [CCS]).
  
  

Preferred Competencies

• Strong analytical, problem solving, interpersonal, verbal/written communication, organizational, project management and team development skills are necessary as is knowledge of health information systems and database technology.
  
  


• Create coding-based curriculum and training materials, deliver effective oral presentations and prepare concise written reports for a variety of audiences and possess basic computer skills.
  
  


• Interpret documents such as, but not limited to encounter forms, medical records, physician documentation, lab reports, dictated reports, operating instructions, and policy/procedure manuals.
  
  


• Thorough working knowledge of federal and state regulations regarding reimbursement.
  
  


• Comprehensive knowledge of third-party payer rules, procedures, and policies in all areas of billing and collection.
  
  


• Expertise in decision-making and accountability.
  
  


• Creativity and ability to recommend new procedures and implementation of said procedures.
  
  


• PC experience which includes spreadsheets, word processing, presentations, and databases.
  
  


• Working knowledge of healthcare billing and clinical systems.
  
  

Working Conditions

• Office/Hybrid.
  
  

Application Documents

• Resume (required)
  
  


• Cover Letter (required)
  
  

When applying, the document(s) MUSTbe uploaded via the My Experience page, in the section titled Application Documents of the application.



Job Family

Financial Management



Role Impact

Individual Contributor



Scheduled
Weekly Hours

40



Drug Test Required



No



Health Screen Required



No



Motor Vehicle Record Inquiry Required



No



Pay Rate Type

Salary



FLSA Status

Exempt



Pay Range

$70,000.00 - $85,000.00
The included pay rate or range represents the University's good faith estimate of the possible compensation offer for this role at the time of posting.



Benefits Eligible

Yes
The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in the Benefits Guidebook.



Posting Statement



The University of Chicago is an Affirmative Action/Equal Opportunity/Disabled/Veterans and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, national or ethnic origin, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.


Staff Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form.


We seek a diverse pool of applicants who wish to join an academic community that places the highest value on rigorous inquiry and encourages a diversity of perspectives, experiences, groups of individuals, and ideas to inform and stimulate intellectual challenge, engagement, and exchange.


All offers of employment are contingent upon a background check that includes a review of conviction history. A conviction does not automatically preclude University employment. Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.


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