What are the responsibilities and job description for the Professional Coding Supervisor position at UC Davis Health?
The Health Information Management Department is committed to the University of California Davis Health Systems’ mission of quality education, research and community service by facilitating patient care through the availability of well documented, current medical record and clinical data bases, and providing education and training.
The HIM Department is comprised of many complex multi-faceted units. This position is responsible for complex analysis and development of all systems associated with the Medical Services Abstracting, Centralized Clinic Coding, Centralized Ancillary Coding and Centralized Coding Float Units.
This position includes unit operations, human resource management, system/process design, report development, problem resolution and project management. These functions have direct impact on School of Medicine/Hospital revenue and accounts receivable. The position supports the clinical enterprise, and clinicians/doctors.
- Certified Coding Specialist – Physician Based (CCS-P) with coding experience.
- Bachelor’s degree in a related field and/or a combination of experience, education and/or training required.
- Previous experience in leadership/supervision of a medium to large team required.
- Experience with coding and/or auditing in a Healthcare environment for hospital and/or professional fee services for multi-specialty departments.
- Strong knowledge of the clinical applications systems, including planning, design, development, testing, system integration, programming, data integrity and security, and user support and training.
- Proven ability to organize, manage multiple priorities, meet deadlines, and delegate clinical applications work efficiently, with strong human resources management skills and knowledge.
- Demonstrated leadership skills managing technical staff and collaborating with clinicians. Proven managerial, skills in planning and delegating work, deploying staff, resource management, budgeting, and financial management.
- Strong critical-thinking, project-management, and problem-solving skills, with the ability to troubleshoot, analyze, and interpret complex data and systems, to quickly identify problems and implement solutions.
- Proven ability to work effectively with senior management on operational and performance issues in developing goals, objectives, policies, strategies, quality improvement programs, systems for monitoring and ensuring user competence on clinical applications.
- Strong interpersonal skills, with the ability to effectively train users and to successfully manage extensive cross-functional interactions between the clinical applications team, users, related personnel, and outside vendors. Ability to convey complex information in a clear, concise, and specific manner, and to cultivate a strong commitment to quality and achievement of goals.
- Strong knowledge of healthcare information technology, clinical workflow and processes and medical terminology. Comprehensive understanding of clinical applications and integration with clinical processes and workflows.
- Ability to organize and prioritize work to accommodate special projects, deadlines and multiple priorities. Skills to assess learning needs of staff and to participate in training and development to promote growth within their position and the University.
- Proficient with medical terminology at college level with the ability to understand disease processes, anatomy and physiology necessary for assigning accurate numeric and alphanumeric codes.
- Presentation skills to organize media methods for education and training faculty, staff and Department and Division leadership that may include the ability to communicate technical concepts in non-technical terms.
- Experience with development, preparation, analysis and delivery of reports.
- Experience with analysis, build, implementation and support of healthcare information systems.
- Academic institution or large integrated health system experience preferred.
- Experience working with clinical information systems or system implementation teams for complex projects and/or application development is required.
- Experience with and knowledge of instructional notations and conventions of ICD-9-CM, ICD-10-CM, CPT, HCPCS classification systems; and ability to follow the detailed guidelines related to their use in assigning single, and sequencing multiple, diagnosis and procedure codes for appropriate reimbursements and data collection.
- Knowledge of and ability to read and interpret University UCD and UCDHS policies and procedures.
- Knowledge of and ability to interpret federal, and state laws, regulations, directives and other relevant resources to effectively apply requirements to billing, documentation, privacy and security requirements.
- Demonstrate skill and experience in analytical writing to produce accurate, useful reports and summaries.
- Knowledge of and experience with billing and claims processing to effectively carry out compliance monitoring and audit functions.
- Subject Matter Expert (SME) and high level understanding of electronic billing and medical record systems.
- Demonstrated ability to gather information from multiple sources and analyze applicability and appropriateness, and develop an efficient workflow and subsequent computerized process.
- System analysis and design knowledge needed to understand functional requirements and translate these functions as applicable to computerized processing.
- Knowledge of analytical methods, statistics, sampling theory and quality control. Demonstrated abilities to interpret quantitive and qualitative analysis results. Proven ability to determine key business issues and develop effective action plans from multi-disciplinary perspectives.
- One or more of the following are preferred, but not required, CPC, CPC-H, and CCS.
- Experience with ICD-10 diagnosis, ICD-10 procedures, HCPCS level I and II codes, and CPT coding.
- Strong understanding of hospital workflows, and Clinical Decision Support.
- Experience with Epic application, EpicCare, Epic Resolute preferred; Epic Certification preferred.
- This position may be subject to a criminal background investigation, drug screen, Live Scan fingerprinting, medical evaluation clearance, and functional capacity assessment.
- The University of California has implemented a SARS-CoV-2 (COVID-19) Vaccination Program SARS-CoV-2 Vaccination Policy (ucop.edu) covering all employees. To be compliant with the policy, employees must submit proof of vaccination or a University-approved exception or deferral.
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