Coding Supervisor

Baylor Scott & White Health

About The Position

The Coding Supervisor oversees one or more service lines of Health Information Management (HIM) coding. The Supervisor has in-depth knowledge and can interpret health record documentation to identify procedures and services for accurate code assignment. The Coding Supervisor uses the International Classification of Disease (ICD-10CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Physicians Current Procedural Terminology (CPT) coding systems, and other coding references to ensure accurate coding.

Requirements

Knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
Knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
Demonstrated expertise of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
Proven knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
Ability to manage and perform in a team environment.
Seeks a win-win situation and builds relationships.
Outstanding communication skills to keep others well informed and encourages open dialogue.
Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
Bachelor's or 4 years of work experience above the minimum qualification
3 Years of Experience
Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), or Reg Health Information Technic (RHIT).

Responsibilities

Plans, organizes, develops and manages a staff of coders.
Ensures accuracy and consistency of coded data for various records. These may include professional fee surgical procedures, day surgery, emergency department, outpatient visits, observation, or inpatient records. Reviews records to validate diagnoses, procedures, modifiers, APC assignment, and/or DRG. Identifies high-risk areas in coding and documentation practices.
May conduct focused quality reviews on HIM coding staff. This is apart from those by the BSWH HIM Audit team. All coding must use official guidelines from AHA Coding Clinic, AMA CPT Assistant, AHA Coding Clinic for HCPCS, and CMS publications.
Provides training to coding staff, and cross-trains staff as needed.
Ensures all staff record productivity daily as assigned. Monitors staff member quality and production scores, managing or coaching them for improvement. Takes performance improvement steps per policy when needed.
Monitors daily unbilled reports and work queues for outstanding accounts. Adjusts staff assignments as needed. Manages workload to meet daily un-coded accounts receivable.
Is a resource for resolving billing edits using the National Correct Coding Initiative and Local and National Coverage Determinations. Facilitates billing issues with Physician Fee Schedules (PFS) and informs PFS when charges need to be moved on patient accounts.
Attends coding and reimbursement trainings and ensures staff attend when assigned as well.
Maintains knowledge of rules, regulations, policies, laws, and guidelines affecting coding. Stays updated on new technology in coding and abstracting. Stays informed about transaction code sets, HIPAA requirements, and future issues impacting coding and abstracting.
Serves as a resource to coding staff and other departments to answer coding and documentation related questions.
Maintains a positive relationship with physicians, nurses, clinic managers, and other contacts. This ensures productive work encounters and resolves issues.