Vendor Resource Management Profee Team Lead

Job Summary

As a work from home Vendor Resource Management Pro-Fee Team Lead, you will support the vendor production teams to ensure proper workflow, consistency, and efficiency in relation to code assignment for reimbursement and reporting purposes. You will monitor and perform inventory reviews for vendor coding staff in order to validate inventory is completed within the Service Level Agreement (SLA) timeframe. You will assist 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.

Qualifications

• Minimum two years Inpatient/Outpatient and/or professional fee coding experience required
• Experience in multi-specialty coding preferred
• Supervisory experience in healthcare related field preferred
• Current coding certification through AHIMA or AAPC required, CCS or CPC preferred

What You Will Do in This Role

• Assists in managing coding vendor daily workflow (e.g., work queues, worklists, turnaround times)
• Daily PRP review and resolution
• Attends and/or leads meetings as needed
• Investigate and provide feedback on Vendor and Team access issues
• Pre-Inventory Review of Upcoming Vendor Supported Go Lives
• Works in conjunction 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 providers and coders 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
• Prepares and presents coder education as needed based on trends and/or problematic areas identified by practices or the PSC
• 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 coding, abstracting, and process questions from vendors
• Fosters an environment of teamwork and work excellence within the vendor coding teams

Benefits

Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• 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

Note

The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Vendor Resource Management Profee Team Lead opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.