Coding Supervisor
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- Norfolk, VA
- Children's Hospital of The King's Daughters - Main Hospital
- Health Information Mgt
- Full -time - Days
- 36618
Summary
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GENERAL SUMMARY
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The Coding Supervisor manages and oversees the overall efficiency and effectiveness of coding and middle revenue integrity operations throughout the organization. Responsibilities include but not limited to, oversight, leadership, training, and providing education and support to the providers, hospital and revenue cycle leadership teams, coding staff, and denial management team. The Coding Supervisor reviews and analyzes processes to improve revenue cycle and increase accuracy and standards within the department. The manager has overall responsibility for the daily planning, work scheduling and coordination, and operational performance of the defined work unit. Reports to the Coding Manager.
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ESSENTIAL DUTIES AND RESPONSIBILITIES
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Ensures the productivity and quality standards, consistency, and timeliness of the facility coding, abstracted health data, and health record documentation in compliance with federal and state regulations.
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Responsible for the strategic planning of risk adjustment, compliance, and process improvement to ensure data and revenue appropriately reflect the severity of illness of the organizations population health.
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Oversees the quality of the organization’s data through various internal and external comparative databases.
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Assesses viability of current direction/projects/operations/software systems and recommends future business needs.
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Actively seeks and identifies opportunities to minimize denials towards optimum revenue/reimbursement.
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Assists with the performance of special studies per audits, quality reviews, office site visits and medical records reviews, ensuring resolution regarding coder and provider questions and requests in a timely manner.
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Audits, manages, monitors, and reports on trends and recommends education to address coding and billing regulations and processes.
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Provides educational feedback and submits summary reports.
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Works collaboratively with multidisciplinary teams to report assessments to various committees.
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Develops, implements, and maintains departmental goals, organizational wide policies, procedures, and reports to monitor success and take appropriate steps to correct deficiencies.
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Attracts, motivates, and coaches talent to achieve the health information management goals of the organization; participates in interviewing, hiring, scheduling, training and evaluation of staff.
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Delegates, supervises personnel, solves problems, makes decisions and develops systems and processes for successful integration and implementation.
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Develops, promotes, and monitors a culture of efficient results and customer oriented services.
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Seeks guidance from the coding manager/director and/or upper management given unusual or unanticipated circumstances that require deviation of policy/practice or allocation of funds to resolve.
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Performs other duties as assigned by senior leadership.
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LICENSES AND/OR CERTIFICATIONS
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Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) required.
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Certified Coding Specialist (CCS) credential preferred.
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MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS
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Associates degree in Health Information Manager through an AHIMA approved program required. Bachelor’s degree preferred.
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Three to five years of progressively more responsible hospital based coding and related activities necessary.
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Minimum of one year of management experience required.
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Two to three years of hospital management experience preferred.
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ICD 10 CM/PCS training a plus.
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Demonstrated knowledge of coding/classification systems appropriate for inpatient, outpatient, diagnosis-related group (DRG) prospective payment systems; APR-DRG, MS-DRG and EAPG prospective payment systems a plus.
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Considerable experience and knowledge in federal, state and commercial billing, compliance and reimbursement regulations and areas of scrutiny for potential fraud and abuse.
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Thorough knowledge of billing, reimbursement, anatomy, physiology, disease processes, medical terminology, ICD-CM/PCS and current procedural terminology (CPT) coding system, Ambulatory Payment Classifications (APCs), local coverage determination/ national coverage determination (LCDs/NCDs), Medicare Administrative Contractor / Fiscal Intermediary (MACs/FIs), and Recovery Audit Contractor (RACs) required.
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Must demonstrate and apply advanced knowledge of Official Coding Guidelines, AHA Coding Clinic and AMA CPT Assistant.
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Demonstrated knowledge of hospital information systems, database management, electronic medical records system, encoder and data abstracting software.
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Proficient in MS Office Suite. Knowledge of CMS, DNV-GL requirements, HIPAA and federal/state guidelines as applicable.
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Extensive critical and analytical thinking skills required with ability to organize and coordinate multiple functions and tasks.
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Highly developed leadership skills, interpersonal skills and the ability to work collaboratively in a matrix model.
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Ability to effectively communicate and articulate outcomes from data analysis individually or in a group setting including, but not limited to, providers, management and hospital leadership.
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Ability to work independently and meet deadlines.
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Must be able to motivate, train and teach individuals.
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Demonstrated skills in interpersonal relationships with honesty and a high level of professional integrity.
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Willingness to evaluate current processes, offer suggestions for improvement and adapt to change.
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Must pass a coding proficiency pre-hire test with 85% accuracy or higher.
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WORKING CONDITIONS
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Normal office environment with little exposure to excessive noise, dust, temperature and the like.
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PHYSICAL REQUIREMENTS
