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Guidehouse Medical Coding Supervisor- Radiology in Madison, Wisconsin

Overview

Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse.

Responsibilities

The Medical Coding Supervisor- Radiology supervises all activities related to Radiology, Interventional Radiology/Cardiology and medical coding functions of the MSO using the most current CPT/ICD/HCPCS manuals. Assists in developing and administering policies and procedures related to medical coding functions. Implements policies and procedures regarding interviewing, hiring, evaluation, disciplining, and promotion of staff. Routinely monitors employees and area progress to ensure performance goals and billing compliance guidelines are met. Must be self-directed / self-motivated; must have good communication and leadership skills. Must be able to: accept responsibility for the direction, control and planning of staff’s assignments; work independently; recognize the rights and responsibilities of patient, employee and employer confidentiality; relate to others in a manner which creates a sense of teamwork and cooperation; be visible and approachable; exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment; demonstrate a quality work ethic and consistently follow policies and procedures; be exemplary at all times, especially in levels of maturity, responsibility, judgment and conduct. Performs other duties requested by the manager.

Qualifications

Oversees the medical coding of CPT and ICD Codes of Radiology and Cardiology notes

  • Maintains the distribution of work in the Radiology workques within the Optum CAC coding application and manage workflow

  • Forwards information to departmental personnel to educate areas on billing compliance issues

  • Performs monthly QA as required

  • Informs staff when new LCD’s are released

  • Monitors TES Work files to ensure appropriate corrections are made in a timely manner

  • Evaluates all edits or issues that come across the interface and provides needed information to manager or appropriate party.

    Responsible for Optum CAC Pro Administration

  • Adds/ Updates users

  • Submits and updates tickets regarding issues related to the system

  • Evaluates and maintains straight to bill candidates

    Supervises Staff

  • Provides and/or oversee proper training for each employee

  • Distributes monthly performance feedback to employees that is constructive, useful, and timely

  • Documents, observes, and works directly with employees to improve problem areas, provides assistance where possible and follows up with employees to ensure progress is made

  • Follows progressive steps in the disciplinary process

  • Secures the most current ICD books or other appropriate materials are used to achieve the most accurate coding to meet billing compliance and AMA guidelines

  • Sustains effective level of staffing, matching skills to appropriate duties. Re-evaluates priorities and adjust assignments as necessary.

  • Evaluates vacations, breaks, and overtime in order to process coding documents within stated time frame

  • Provides back-up for absent employees and/or when workload dictates

  • Enforces time and attendance rules strictly and uniformly

  • Reports time off accurately in the time management system (e.g., Kronos, ADP)

  • Approves time records as required

    Demonstrates Competence

  • Understands all facets and implications of the job and assists with day-to-day workflow and coding functions

  • Stays abreast of current issues and developments in the operating systems

  • Maintains personal productivity and QA goals within appropriate standards set by management

  • Reads newsletters, publications, and attends audio conferences to maintain and expand current knowledge of billing compliance and AMA guidelines

  • Retains all coding certifications

Additional Requirements

The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

Disclaimer

About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Rewards and Benefits

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance

  • Personal and Family Sick Time & Company Paid Holidays

  • Position may be eligible for a discretionary variable incentive bonus

  • Parental Leave and Adoption Assistance

  • 401(k) Retirement Plan

  • Basic Life & Supplemental Life

  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

  • Short-Term & Long-Term Disability

  • Tuition Reimbursement, Personal Development & Learning Opportunities

  • Skills Development & Certifications

  • Employee Referral Program

  • Corporate Sponsored Events & Community Outreach

  • Emergency Back-Up Childcare Program

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