Oncology Revenue Cycle Manager
Job ID: 0009SR
Tupelo
Management - OUTPATIENT INFUSION HOME PROGRAM
Full Time - Day
Posting Description
At North Mississippi Health Services, our mission is to “continuously improve the health of the people of our region.
” Our vision is to “provide the best patient and family-centered care and health services in America.
” We believe that fulfilling our mission and vision calls us to embrace the best people that form incredible connections to our patients and families.
We take pride in celebrating everything that makes you uniquely you – your talents, your perspectives, and your passions.
At North Mississippi Health Services, we believe in connecting your passion with a purpose.
When you are part of our team, you know what connected feels like.
#WhatConnectsYou
Job Description
Management:
Plans and directs personnel to perform pre-verification of patient insurance, registration, time of service collections and charge entry
Ensure accurate patient billing and efficient account collection at the time of service
Manages and Overseas Coders and Admission Discharge Specialist for Medical Oncology and Radiation Oncology for Tupelo and Starkville locations.
Coding/Reimbursement:
Assigns codes for diagnoses, treatment, and procedures according to the appropriate classification system
Utilizes coding principles/guidelines such as ICD-9CM , ICD-10-CM/PCS, and CPT Coding
Reviews provided documentation to determine principal diagnosis, complications, secondary condition, etc.
Assigns present on admission (POA) value for inpatient diagnoses
Reporting/Recordkeeping:
Develops, implements and monitors reports for coding accuracy
Generates reports to provide severity-adjusted data
Leadership:
Develops policies/procedures within patient scheduling, registration, time of service collections, coding and charge entry
Develops work standards and quality monitors
Coordinates with the Clinical Practice Manager to optimize the functionality and integrity of the information system(s)
Works with information technology personnel to ensure timely and accurate administration of work processes within the system to provide optimal system functionality to practice staff
In conjunction with Clinical Practice Manager, acts as liaison with outsourced billing vendor to ensure optimal management of patients’ accounts
Prepares, distributes and trains practice managers to populate a “dashboard of key performance indicators” to be completed monthly by managers
Communication:
Promotes effective communications between front-end staff and claims management and billing follow-up personnel to ensure ongoing education/training and to expedite problem resolution
Ensures that policies are communicated and administered consistently
Education:
Manages Information Systems training personnel assigned to front-end revenue cycle operations
Maintains current knowledge of established policies and procedures including patient confidentiality/patient rights, government and third-party payor regulations
Regulation:
Adheres to NMHS/NMMC Policies/Procedures/Guidelines
Complies with applicable Local/State/Federal policies/procedures/guideline/regulations/laws/statues
Works closely with site personnel and operations managers to monitor compliance to policies and procedures as they relate to the revenue cycle
Job Knowledge
RHIT, RHIA, CPC, CCS or Associate’s Degree required / Bachelor’s Degree preferred with concentration in Business Administration, Finance or Accounting
Minimum of 5 years’ experience in Revenue Cycle operations; required
Minimum of 2 years’ experience in a leadership role involving patient registration, time of service collections and charge entry functions in a multi-specialty setting; required
Managing revenue cycle operations through a system conversion; strongly preferred
Must possess superior oral and written communication skills; required
Excellent interpersonal skills; required
Requirements
The following are requirements in addition to any stated in the above description.
Licenses
You must have the following licenses to apply:
Certified Coding Specialist and Registered Health Information Administrator
Education
You must have the following education to apply:
Associates of Related Field
You must have a Associates or higher