JOB SUMMARY

The Coding Supervisor is responsible for supervising one or more service lines of Health Information Management (HIM) coding. The Supervisor possesses an in-depth knowledge and is able to interpret health record documentation to identify procedures and services for accurate code assignment. The Coding Supervisor utilizes the International Classification of Disease (ICD-10CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Physicians Current Procedural Terminology (CPT) coding systems and other coding references to ensure accurate coding.

WORK MODEL

100% Remote

The pay range for this position is $37.35 (entry-level qualifications) - $57.89 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience

ESSENTIAL FUNCTIONS OF THE ROLE

Plans, organizes, develops and manages a staff of coders.

Ensures accuracy and consistency of coded data for records that may include professional fee surgical or interventional/invasive procedures, day surgery, emergency department, regular outpatient, clinic visits, observation or inpatient records. Reviews records to validate diagnoses, procedures, modifiers, Ambulatory Payment Classifications (APC) assignment, and/or Diagnosis Related Group (DRG). Identifies areas of high risk in coding and documentation practices.

May conduct focused quality reviews on HIM coding staff; apart from those conducted by the BSWH HIM Audit team. All coding is to be completed utilizing the official coding guidelines as published in the American Hospital Associate (AHA) Coding Clinic, American Medical Association (AMA) CPT Assistant, AHA Coding Clinic for Healthcare Common Procedure Coding System (HCPCS) and Centers for Medicare and Medicaid Services (CMS) publications. 

Provides training to coding staff, and cross-trains staff as needed.

Ensures all staff record productivity daily as assigned. Monitors staff member overall quality and production scores, managing up or coaching them toward improvement. Takes performance improvement steps per policy when indicated.

Monitors daily unbilled reports and work queues for outstanding or un-coded accounts and adjusts staff assignments as needed. Manages workload to meet daily un-coded accounts receivable. 

Is a resource in the resolution of billing edits utilizing the National Correct Coding Initiative and the Local and National Coverage Determinations. Facilitates billing issues with Physician Fee Schedules (PFS) and informs PFS when charges need to be moved on patient accounts.

Attends coding and reimbursement trainings and ensures staff attend when assigned as well.

Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area. Stays abreast new technology in coding and abstracting. Stays informed about transaction code sets, Health Insurance Portability and Accountability Act (HIPAA) requirements, and other future issues impacting the coding and abstracting function.

Serves as a resource to coding staff and other departments to answer coding and documentation related questions. 

Maintains a positive working relationship with physicians, nurses, clinic leaders, and other departmental contacts to ensure that work related encounters are productive and issues are resolved.

KEY SUCCESS FACTORS

Knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. 

Knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.

Demonstrated competency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.

Strong knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. 

Ability to interpret health record documentation to identify procedures and services for accurate code assignment.

Ability to lead and perform in a team environment. 

Seeks a win-win situation and builds relationships.

Outstanding communication skills to keep others well informed and encourages open dialogue.

Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-
negotiables.

BENEFITS

Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level

 

QUALIFICATIONS

- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification

- EXPERIENCE - 3 Years of Experience

- CERTIFICATION/LICENSE/REGISTRATION - 
 This position requires one of the following: 

Certified Coding Specialist (CCS), or
Certified Coding Specialist-Physician Based (CCS-P), or
Certified Professional Coder (CPC), or
Reg Health Info Administrator (RHIA), or
Reg Health Info Technician (RHIT).