Coding Supervisor In-Patient - HIM Operations

Assist in the management and supervision of Hospital (facility) coding in the outpatient, outpatient surgery and inpatient coding setting. Assists with reimbursement supporting billing ensuring compliance along with efficiency. Ensures established goals and ICD-10-CM, ICD-10-PCS & CPT guidelines along with coding conventions are adhered to.

Supervises and monitors in-house and remote coding personnel activities ensuring accurate and timely processing in accordance with state and federal regulation.

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Perform related duties as assigned by Manager. Follows North Oaks Health System’s compliance programs and all federal and state regulatory guidelines. Provides day-to-day supervision and direction of coding activities.

Oversees duties and responsibilities of the facility coding staff on a day-to-day basis. Supervises all functions including scheduling, training, payroll monitoring and approval, Performance Improvement/Corrective Action process. Serves as primary point of contact for coders.

Establishes work schedules and monitors/approves time off requests and time worked. Works with the various departments for resolution and education of coding, documentation issues. Identifies cases, monitors timeliness of data collection, aggregates, analyzes, and trends data.

Provides summary and individual feedback to coding staff for performance improvement and compliance purposes. Maintains a knowledge base of various payment methodologies, grouping classifications and ICD-10 CM and ICD-10 PCS, as well as CPT and HCPCS. Provides or coordinates ongoing training for coding staff to support coding quality compliance.

Assists the Coding Manager with monthly management report preparation and distribution on productivity, turn-around time, and quality. Provides input on performance reviews, recommends and/or initiates employee selection. Coordinates coding staff meetings in the direction of Coding Manager, keeps staff informed of NOHS, AHIMA, and regulatory changes, developments, and events.

Provides expertise in the areas of coding, compliance, reimbursement, and reporting of coded data. Understands flow of health information in the electronic health record from registration through documentation, discharge, coding, and billing. Maintains knowledge of OIG, CMS, state Medicaid third party payer, RAC and additional state and federal auditing contractor regulations regarding coding and data reporting.

Abides by the Standards of Ethical coding set forth by AHIMA and monitors coding team for violations and reports as areas of concern are identified. Assists Coding Manager with weekly metrics report. Non-Essential Duties and

• Must be skilled in multi-tasking and being able to identify and set priorities.
• Must be highly motivated, an initiative-taker and work independently
• Use interpersonal skills effectively to build and maintain cooperative working relationships Education, Licensure and/or Work Experience

• Experience Required : minimum of 3 years’ experience with outpatient and Inpatient coding.
• Education Required : High school diploma or equivalent or higher degree in a health care or allied health care discipline.
• Licensure/Certifications Required: CCS or CPC
• Experience Preferred: At least 1 year of supervisory experience, Previous experience with Epic and 3M
• Education Preferred : Complete courses in all the following topics: anatomy & physiology, pathophysiology, pharmacology, medical terminology, reimbursement methodology, intermediate/advanced ICD-10 diagnostic coding, and procedural coding and medical services (CPT/HCPCS).
• Licensure/Certifications Preferred: CPC, RHIT, RHIA
• Drives North Oaks Vehicle: o YES × NO
• For insurance purposes, must be 21 years of age or older
• Drives Personal Vehicle: o YES × NO
• Must sign Drivers Acknowledgement Policy
• Safety Sensitive Position: o YES × NO Physical Requirements and Work Environment:
• Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
• Physical Demands: (occasionally, frequently, constantly or SLMHV) o Strength: occasionally o Push: occasionally o Pull: occasionally o Carry: occasionally o Lift: occasionally o Sit: frequently o Stand: occasionally Walk: occasionally