Country: Kansas City, MO, United States
Full-time • Work From Home
Job Summary and Qualifications
The Vendor Resource Management Pro-Fee Team Lead supports the vendor production teams to ensure proper workflow, consistency, and efficiency in relation to code assignment for reimbursement and reporting purposes. The Team Lead monitors and performs inventory reviews for vendor coding staff in order to validate inventory that is completed within the Service Level Agreement (SLA) timeframe. The Lead also assists the VRM Manager with vendor management including monitoring processes and services for improvement, coding quality, trending/analyzing data, creating and presenting education, answering coding questions, and account follow up/resolution.
What you will do in this role:
- Assists in managing coding vendor daily workflow (e.g., work queues, worklists, turnaround times)
- Daily Service Central review and resolution.
- Attends and/or leads meetings as needed.
- Assist in facilitating resolution of vendor access issues
- Performs pre-inventory review of upcoming vendor supported Go Lives
- Works in collaboration with Central Coding Unit on follow up and resolution of coding related denials and rejections to address any issues.
- Assists in performing chart reviews for vendors as needed.
- Keeps manager informed regarding any billing issues and updates on charge entry
- Actively participates in the review and improvement of processes and services
- Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy
- Communicates as appropriate with the vendor staff and CCU to ensure proper account resolution
- Answers abstracting and process questions from vendors.
- Fosters an environment of teamwork and work excellence within the vendor coding teams.
- Maintains good working relationships with the coding vendors and Parallon stakeholders
- Meets all educational requirements as stated in current Company policy.
- Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources, to include relevant federal regulations, to ensure coding knowledge and skills remain current.
- Performs related work and projects as required.
What qualifications you will need:
- High school diploma or GED required
- Minimum of two years of Inpatient/Outpatient and/or professional fee coding experience required.
- Experience in multi-specialty coding preferred.
- Supervisory experience in healthcare related field preferred
- Coding certification through AHIMA or AAPC required, CCS or CPC preferred
Benefits
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
Wellbeing support, including free counseling and referral services
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
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