Ambulatory Operations Support Coordinator Full Time Days

Description

DMC Rehabilitation Institute of Michigan is one of the nation’s largest hospitals specializing in rehabilitation medicine and research. RIM is known for its clinical expertise in spinal cord injury, brain injury, stroke, amputee, orthopedics and catastrophic injury care. The Institute houses the Center for Spinal Cord Injury Recovery and the Southeastern Michigan Traumatic Brain Injury System (SEMTBIS), one of only 16 federally designated model systems of care for brain injury care and research. RIM also operates 31 outpatient sites throughout southeast Michigan specializing in sports medicine and orthopedics.

Summary Description:

Under general supervision, and according to established policies and procedures, provides business administrative support to the Ambulatory Services function for assigned hospital(s).

Monitors work flow, processing, maintenance and follow-up of various registration, coding and billing actions including charge description master (CDM) maintenance, data entry of clinic charges into the billing system, coding, and correction of bill scrubber edits for physician facility and satellite charges. Serves as a liaison between physician and satellite clinics for registration and charge entry errors.

Recommends corrective action to department leadership to reduce future billing errors. Coordinates monthly meetings with front end staff to provide education and training, share department performance metrics and resolve outstanding issues. Provides technical guidance and support for the billing software used in physician offices. Provides billing software training and support to the clinic staff.

Provides interpretation and training to front end staff for all third party regulations and protocols. Ensures compliance with third party regulatory changes. Monitors and tracks third party authorization denials. Interprets the impact of regulatory and third party contractual changes on the business process of the practice. Responsible for physician charge capture. Proposes corrective mechanisms and actions for charge capture problem areas.

Identifies opportunities for physician and satellite revenue enhancement. Assists leadership with the implementation of new business plans and policies. Provides assistance with the standardization of processes and procedures, as well as the implementation and evaluation of continuous improvement and quality assurance standards. As directed, provides input into procedure/protocol development, ensures compliance therewith and provides interpretation of procedural intent as requested.

Minimum Qualifications

1. Bachelor’s degree in Business Administration, Health Care Administration, Finance or related field, or the equivalent combination of education and/or experience.
2. Three years of progressively more responsible experience providing related administrative / operational / financial support.
3. Performance Improvement/Quality Assurance data analysis experience preferred.
4. Billing certification preferred.

Skills Required

1. Analytical ability required to research, gather, review and disseminate information for management review and to understand and relay information regarding substantive business/clerical issues related to area(s) of responsibility. Ability to interpret complex financial reports, studies and processes and to present findings to management.
2. Communication and/or interpersonal skills necessary to effectively communicate with various levels of health care personnel on a daily basis. Courtesy and listening skills are required. The ability to read and comprehend procedures and technical literature in specific functional area(s) are necessary.
3. Technical understanding of various computer software packages such as spreadsheets, word processing, statistical analysis, database management, work flow and graphics programs.