Supervisor, Process Audit

About Us:

- Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.

Job Summary:

- The Supervisor, Process Audit plays a crucial role in ensuring the accuracy and compliance of medical coding processes within a healthcare organization. This position involves overseeing and leading a team of medical coders, conducting quality assurance audits, providing feedback, and implementing improvement strategies to enhance coding accuracy and efficiency.

Essential Functions and Tasks:
**Team Leadership**:

- Lead and manage a team of medical coders.
- Provide guidance, support, and mentorship to coding staff.
- Foster a collaborative and positive work environment.
- Conduct regular team meetings to discuss updates, challenges, and training opportunities.

**Quality Assurance**:

- Develop and implement a comprehensive medical coding quality assurance program.
- Conduct regular audits of medical coding work to ensure accuracy and compliance with coding guidelines, regulations, and organizational policies.
- Provide constructive feedback to coding staff based on audit findings.
- Collaborate with coding educators to address training needs identified during QA audits.

**Training and Development**:

- Identify training needs for coding staff based on audit results and industry changes.
- Develop and deliver training sessions to improve coding proficiency and compliance.
- Keep the coding team updated on changes in coding guidelines, regulations, and industry best practices.

**Documentation and Reporting**:

- Maintain accurate and detailed records of QA audits, feedback, and training activities.
- Generate reports on coding accuracy, compliance, and productivity.
- Communicate QA findings and trends to relevant stakeholders.

**Process Improvement**:

- Collaborate with coding managers and other stakeholders to identify opportunities for process improvement.
- Implement strategies to enhance coding accuracy, efficiency, and overall performance.

**Communication and Collaboration**:

- Foster effective communication between coding staff, other healthcare professionals, and relevant departments.
- Collaborate with other departments to address coding-related issues and optimize coding processes.

Education and Experience Requirements:

- Bachelor's degree in any Life Science field.
- Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification.
- Minimum of 6 years of experience in medical coding.

Knowledge, Skills, and Abilities:

- Previous experience in a leadership or supervisory role.
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
- Familiarity with healthcare regulations, including HIPAA.
- Excellent communication, interpersonal, and organizational skills.
- Proficient in using coding software and electronic health record (EHR) systems.

Ventra Health:
**Equal Employment Opportunity (Applicable only in the US)**

**Recruitment Agencies**

Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.

**Solicitation of Payment**

Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.