About The Position

The Coding Audit Supervisor performs under the guidance of the Director of Coding. The Coding Audit Supervisor supervises the coding audit workflow; monitors employee performance; addresses complaints and resolves problems; and actively oversees and supervises production and quality control efforts. This position monitors coder compliance with national coding guidelines and NGHS coding policies for complete, accurate and consistent coding that result in appropriate reimbursement and data integrity. Works with the team to ensure minimal variation in coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments. Provides coder specific education based on review findings and trends.

Requirements

  • Licensure or other certifications: RHIA, RHIT, CCS, CCS-P, or CPC and an AAPC specialty credential required.
  • Candidates with only a CPC must attain their CEMC or CPMA within six (6) months of hire.
  • Educational Requirements: High School Diploma.
  • Minimum Experience: Five (5) years acute care inpatient/outpatient coding experience required.

Nice To Haves

  • Preferred Licensure or other certifications: Preferred Educational Requirements: Undergraduate degree in HIM/HIT.
  • Preferred Experience: Leadership experience in healthcare related field.
  • Three (3) years coding auditing/monitoring experience strongly preferred.
  • Demonstrated experience in conducting education to providers and large audiences strongly preferred.

Responsibilities

  • Provides direct supervision/oversight to Coding Auditors for management of inpatient and outpatient coding functions, work queues, work processes, and overall work responsibilities.
  • Exports data from EPIC into excel based data tracking models to monitor productivity and provide timely and consistent feedback to employees and Coding Director.
  • Creates and prepares coding audit benchmarking, coding audit productivity, coding audit quality, and coding audit productivity reports for the Coding Director.
  • Assists Coding Director in the review and improvement of auditing processes and services.
  • Coordinates coder training and orientation of staff, along with the development of coding tools, resources and education materials.
  • Coaches, facilitates, solves work problems, and participates in the work of the team.
  • Ensures coding staff adherence with coding guidelines and policy.
  • Assures accounts that cannot be coded are held for valid reasons and documented accurately.
  • Assists in strategic planning and budgeting of the coding quality review function.
  • Communicates effectively with leadership, physicians, and team relating to potential compliance risks and to mitigate damages and resolve related issues.
  • Manages, leads and participates in interdepartmental/multidisciplinary team meetings, committees.
  • Ensures coder compliance with regulatory coding compliance educational requirements and NGHS policies.
  • Initiates physician queries in compliance with coding guidelines where appropriate.
  • Meets all educational requirements as stated in NGHS policy.
  • Reviews all official data quality standards, coding guidelines, NGHS policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current.
  • Practices and adheres to the 'Coding Code of Ethics' and NGHS 'Mission and Value Statement'.
  • Other duties as assigned.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service