Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today. 

This position seeks an experienced and collaborative leader to supervise the daily operations of data entry of the charges in EPIC and resource management for Infusion Chemotherapy and radiation oncology codes. Successful candidate to have experience with monitoring CPT/HCPCS codes and add/update new and existing facility and community Fee pricing in EPIC. Work collaboratively utilizing tools, intermediate excel experience, and reports provided, ensuring staff is compliant with internal and external policies, and providing consistent feedback through QA Reviews. Have experience with interpreting Medicare Physician Fee Schedule, ASP HCPCS and AWP HCPCS Drug Schedules. Work with staff individually and cumulatively to counsel, coach, motivate, delegate, and mediate activities, interactions, and processes. Create and develop current policies and procedures to improve CPT reconciliation. Experience with EPIC to create work queues and workflows and provides input to Manager and completes performance evaluation. Candidate to be certified in coding preferably in oncology with experience in billing and exposure to NDCs and determination of units of drugs in relation to a variety of payors.

As a successful candidate, you will: 

Provide supervision, direction, and expertise to Leads.Develop, implement, and enforce policies and procedures to ensure quality and accuracy ofcollection functionPerforms annual employee performance appraisals of Leads.  Provides significant input on performance appraisals, hiring/selection, termination, and promotion of staff and Leads. In partnership with the Manager and Director of Revenue Cycle, recruits, on-boards, and trains new employees. Actively takes steps to retain qualified collectors. Ensures that staff and Leads keep abreast of all new changes in billing guidelines set forth by the regulatory agencies and conducts monthly employee performance incentive bonus review.Provide technical expertise and inputs to members of the Revenue Cycle and Operations management teams to improve quality of billing operation and appeal process and assure organization's compliance to billing guidelines set forth by CMS and Medi-Cal.Assures compliance with all regulatory bodies, including OSHPD, CMS, etc. Acts as an internal consultant for all issues related to practice management software or other systems used by Billing and Collections staff. Ensures billing accuracy, maintaining continuous compliance with billing guidelines set forth by CMS and Medi-Cal.

Qualifications

Your qualifications should include: 

High School Diploma.Minimum of 5 years revenue cycle experience.3+ years in leadership capacity in a revenue cycle.Preferably:  Bachelor’s Degree in healthcare, business, or related field. 

City of Hope is an equal opportunity employer.  To learn more about our commitment to diversity, equity, and inclusion, please click here.   To learn more about our Comprehensive Benefits, please CLICK HERE.