Supervisor Coding

Responsible for, supervising staff to ensure timely and compliant coding to support a complete and accurate clinical picture, queries to capture comorbidity/complication, mandated reporting, quality measures, and reimbursement.  Collaborates with other departments to assist the maintenance of the revenue cycle, quality programs and services.  Supports the coordination of the Clinical Documentation  Improvement Program (CDIP).

Requirements:

• 3 to 5 years of Supervisory/Management experience
• Post-Secondary Education or equivalent
• Certified in coding: COC, CCS, RHIT or RHIA or equivalent
• 4 years direct experience required; Ability to embrace change; make independent decisions; multi task with high attention to detail; Demonstrated ability to effectively lead a team as well as be a team member Clinical Documentation Specialist (CCDS) preferred.

Responsibilities:

1. Supervises and leads staff, ensuring consistency with department and hospital policies. Coaches and assists in developing team members; supervises performance and counsels staff as necessary. Reviews and recommends updates to current job descriptions and monitors staff goals and objectives regularly.  Ensure all departmental initiatives support the mission, vision and values of the organization.
2. Applies broad guidelines to specific coding situations.  Proficient in one or both of ICD 10 CM and CPT coding classification systems, diagnosis and procedure selection, and sequencing guidelines and coding clinics.
3. Coordinates the communication, filing, and distribution of Medicare's LMPs & Bulletins.  Meets with Department heads to communicate documentation requirements to provide compliance with LMRPs/Bulletins.
4. Coordinates and facilitates the follow up to issues generated by the Patient Accounts Department (denials, charge corrections, coding questions, backlogs).
5. Provides training and oversight to coders in all levels.  Conducts performance evaluations with Director oversight. Facilitates the distribution of work for the coding team including vendor support as needed.  Assists with determining coverage needs during other coders planned and unplanned absences.
6. Has or skill with DRG and APR assignment, as well as, determining Present on Admission Indicators in collaboration with the DRG Validator. Demonstrates competence with Coding Guidelines and knowledge of APC prospective payment systems.
7. Assist all Coders with claims resolution and by monitoring the Coders Mailbox for identification of accounts that need additional follow up.
8. Coordinates and participates in testing updates to the Meditech ABS module and assists with IT issues when needed.
9. Performs and/or coordinates all internal and external audits as assigned by the Director of HIM and performs other duties as assigned.