Vendor Resource Management Pro-Fee Lead

About the role

The Vendor Resource Management Pro-Fee Team Lead supports vendor production teams to ensure proper workflow, consistency, and efficiency in relation to code assignment for reimbursement and reporting purposes. 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.

Responsibilities

• Affords assistance 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
• Assists 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
• Maintains 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

Qualifications

• 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