Coding Supervisor, HIM, 40-Hours, Days, Monday - Friday, Hybrid

Heywood Hospital•Gardner, MA

1d•$30 - $40•Hybrid

About The Position

This position is responsible for maintaining and overseeing the efficient operation of the coding unit, including contract and vendor coders. The role involves coordinating and supporting the activities of Coding Specialists, assisting with coding/charge entry processes, and conducting on-the-job training for new and existing team members. The Coding Supervisor acts as a liaison between HIM Coding and other departments, collaborates with Coding Specialists to assess workflow needs, and may assist with coding during high volume periods. A key responsibility is reviewing medical records to correctly code diagnoses and procedures using current guidelines, and monitoring vendor services to ensure timely capture, coding, and billing. The role also involves working SSI Coding Edits, serving as a coding liaison for Patient Accounting, and maintaining coding credentials through ongoing education to stay updated on changes in technology, guidelines, and regulations. Additionally, the supervisor monitors remote coding staff schedules and attendance, may perform payroll functions, and shares expertise to improve performance. System testing, feedback provision, and support for conversions/implementations related to coding are also part of the role. Continuous prioritization of projects and tasks to meet deadlines, monitoring quality and productivity through coding validation audits, and communicating clinical and reimbursement issues are essential. The supervisor is responsible for maintaining and updating the 3M Encoder, troubleshooting issues, and submitting tickets as needed. They also monitor and communicate summaries of Medicare and other payor bulletins to coding and CDI staff, run reports to identify unbilled accounts, and interact with coding staff to resolve issues and ensure smooth departmental operations. Maintaining good communication with physicians, HIM staff, and other organizational personnel is crucial for accurate and timely coding. The role requires maintaining knowledge of coding and billing requirements from various third-party publications and ensuring compliance with all federal and state regulations and standards relative to coding.

Requirements

Coding credential certification from the American Health Information Management Association (CCA, CCS, CCS-P), or the American Academy of Professional Coders (CPC, CIC, COC, CRC) is required.
Minimum of three to five years of previous coding and billing experience.
Experienced in several coding methodologies to include ICD-10-CM/PCS, CPT4, HCPCS, and E/M.
Experience with 3M Encoder required.
Ability to comprehend and accurately interpret all aspects of medical documentation as it related to coding and billing.
Must have strong analytical skills, attention to detail, critical thinking, and researching skills.

Nice To Haves

Minimum of two years of supervisory experience is highly preferred.
Knowledge and understanding of Medicare billing rules (i.e. LCD/NCD, CCI, Medical Necessity, and ABN) a plus.
Experienced with Meditech Expanse EMR preferred.

Responsibilities

Maintain and oversee the efficient operation of the coding unit to include the contract and vendor coders.
Coordinate and support the activities of the Coding specialists and assist with coding/charge entry related processes.
Conducts on the job training for new and existing coding team members to ensure understanding of the job responsibilities, policies and procedures.
Serves as a liaison between HIM Coding and other departments to facilitate coding processes.
Collaborates daily with Coding Specialists to assess coding workflow needs.
Reviews medical records to correctly codes all diagnoses and/or procedures using current coding guidelines.
Monitors Coding Vendor services to ensure all encounters are captured, coded and billed within timely filing deadlines.
Works SSI Coding Edits and serves as coding liaison for the Patient Accounting department.
Maintains Coding credential thru AAPC or AHIMA. Acquires the knowledge and education to keep up with changes in technology, coding guidelines, and regulations.
Monitors the remote coding staff schedules, attendance and ETO time. May perform payroll functions.
Shares knowledge and expertise to help others improve performance provide education and give support.
Conducts system testing, provides feedback, and supports conversions/implementations related to coding issues.
Continuously prioritizes projects, activities, and tasks to ensure deadlines of minor and major projects are met.
Monitors quality, productivity, and performance by conducting coding validation audits.
Communicates with co-workers, management, and hospital staff regarding clinical and reimbursement issues.
Maintains 3M Encoder, coordinates and performs regular updates and troubleshooting issues, submits tickets to 3M and IT department when needed.
Monitors Medicare and other payor bulletins and notices and communicates a summary of these to coding and CDI staff.
Runs reports to catch unbilled accounts, accounts not discharged or loaded in 3M as part of the DNFB/DNFC and A/R monitoring.
Interacts with the Coding Staff to resolve issues and concerns in a timely fashion to ensure smooth operations within the department.
Maintains good communication with the physicians, other HIM Staff, and all personnel throughout the organization to ensure that coding is done accurately and timely without communication breakdowns.
Maintains knowledge of coding and billing requirements based on third party publications, including Blue Shield, Medicare, Medicaid, commercial insurers and HMOs/PPOs. Ensures compliance of all federal and state regulations and standards relative to coding.