Coding Supervisor | HIM | HYBRID (ON-SITE/REMOTE)

Key Responsibilities:

· Complies with all policies and procedures that pertain to HIPAA including minimum necessary requirements for this position. Must maintain 100% patient confidentiality for e-PHI during the course of work functions

· Responds to inquiries from Business Office on patient claims resolution

· Assists coding team with inquiries from departments to achieve timely resolution

· Assists coding team to ensure coding accuracy, completeness, and adherence to established guidelines and standards

· Participates in meetings with Revenue Cycle Committee and coding team

· Abides by the Standards of Ethical Coding set forth by AHIMA and monitors coding staff for violations and reports as areas of concern are identified

· Assists HIM Director in maintaining compliance with applicable regulations (e.g., ICD-10, CPT, or internal standards)

· Train new staff and existing staff on coding standards, tools, and updates

· Maintains knowledge of current professional coding certification requirements and promotes recruitment and retention of certified staff in coding positions

· Develops reports and collects and prepares data for studies involving cases for clinical evaluation purposes, fiscal impact, and profitability

· Assists HIM Director with developing and implementing coding policies, procedures, and best practices

· Assist HIM Director with tracking key performance metrics such as accuracy rates, productivity, and turnaround times

· Keeps abreast of recent technology in coding software and other forms of automation and stays informed about transaction code sets, HIPAA requirements and other future issues impacting the coding function

· Demonstrates competency in the use of computer applications and grouper software, medical edits, and all coding software and hardware

· The supervisor should demonstrate initiative and discipline in time management and assignment completion

· The supervisor must be able to work in a virtual setting under minimal supervision

Qualifications:

• Required Education:

  • Associate or bachelor’s Degree and accredited by AHIMA 

• Required Licenses and/or Certifications:

  • Certified Coding Specialist (CCS) and Certified Professional Coder (CPC) Certifications  

• Required Work Experience:

  • Five (5) years in relevant working field, with one (1) year of supervisory experience 
• Required Knowledge, Skills, and Abilities:

  · Advanced knowledge of ICD-10-CM and CPT coding principles and rules

  · Strong leadership and communication skills

  · Problem solving

  · Good knowledge of medical records systems

  · Excellent computer applications knowledge including Microsoft Word and Excel

  · Must be fluent in general information technologies

  · Significant level of autonomy, must be self-directed

  · Intermediate to advanced knowledge of disease pathophysiology and drug utilization

  · Intermediate to advanced knowledge of MS-DRG and APR-DRG classification and reimbursement structures

  · Advanced knowledge of APC, OCE, NCCI classification and reimbursement structures

  · Excellent organizational skills for initiation and maintenance of efficient workflow

  · Regular and reliable attendance and time reporting per Gritman Medical Center Telecommuting program requirements

  · Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment

  · Good visual acuity

  · Ability to operate computer keyboard, mouse, and other peripherals as appropriate to accomplish coding

• Preferred Qualifications:

  • Prefer five (5) years' experience in a supervisory role in healthcare with extensive knowledge of ICD-10-CM, CPT, HCPCS, and documentation guidelines;

  • EPIC experience, including HB and PB billing.