CBO Practice Services Manager

• JOB SUMMARY
• This position contributes and supports revenue cycles mission towards strengthening the interface between clinical departments and revenue cycle process. Under the direction of the Director of CBO, the CBO Practice Services Manager plays an important role in a high-profile group tasked with improving revenue results. This position is integral to the Revenue Cycle Team to assist in ensuring providers are enrolled in governmental payers, ensures patient services are accurately charged, appropriately coded, supported by clinical documentation and that the related revenue is recorded in the proper department. This role is responsible for educational support in the practices along with data reporting. In turn, this promotes revenue enhancement and compliance with laws and regulations with feedback and education to the hospital departments as needed. This position is responsible for assisting Revenue Cycle Services, Coding, Clinical Documentation Improvement (CDI), and Provider Enrollment, PHP along with other departments with resolution of billing issues and/or denials requiring clinical/coding expertise, participating in external audit requests, CDM maintenance and special projects as needed. This position also serves as an audit outcome educator with clinical staff in clinic and department settings.
• GENERAL REQUIREMENTS
• Adheres to the hospital and departmental attendance and punctuality guidelines.
• Performs all job responsibilities in alignment with the core values, mission and vision of the organization.
• Performs other duties as required and completes all job functions as per departmental policies and procedures.
• Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs).
• Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.
• Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
• Maintains working knowledge of current home health laws, regulations, agency guidance, admission criteria, documentation requirements, coding guidelines, and care planning with care management / discharge planning.
• Must be able to utilize good judgement, demonstrate patience and maintain a professional demeanor at all times.
• WORKING CONDITIONS
• General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
• May be exposed to high noise levels and bright lights.
• May be exposed to limited hazardous substances or body fluids, or infectious organisms.
• May be required to change from one task to another of different nature without loss of efficiency or composure.
• Periods of high stress and fluctuating workloads may occur.
• May be scheduled as needed including overtime.
• Long-distance or air travel as needed - not to exceed 10% travel.
  

OSHA CATEGORY

• OSHA Category III - Employees will have no occupational exposures to hazards.
  
  

Qualifications

• EDUCATION REQUIREMENTS
• 4-year/ Bachelor’s Degree in Healthcare, Business, Finance, Information Systems or a related field. (Required)
• EXPERIENCE REQUIREMENTS
• Required Certification: Applicable professional certification through AHIMA (RHIA, RHIT,CCS) or AAPC (COC, CPC), RN or LPN with vast coding backgrounds considered
• CERTIFICATIONS AND LICENSURES
  

7-10 years of experience in the hospital setting, healthcare industry or coding with a focus in one or more of the following areas: coding, charge integrity; charge reconciliation; charge compliance; charge auditing; CDM management, physician enrollment, and provider credentialing