Coding Supervisor

Wolcott, Wood and Taylor Inc.•Chicago, IL

About The Position

The Coding Supervisor will work with Coding management team to plan, organize, and evaluate coding department staff of the day-to-day operations and provide leadership to team members by communicating and guiding toward achieving department objectives. The supervisor provides support to the coding management and team leads that includes monitoring the daily functions of the department, assisting staff leads with workflow issues and other functions as assigned. Serves as a resource for department staff, physicians, and administration to obtain information or clarification on accurate coding and documentation standards, policies, and regulatory requirements.

Requirements

Strong knowledge of CPT/ICD10, third party reimbursement guidelines and methodologies.
Knowledge – knowledge of medical terminology, coding and office procedures.
Communication - communicates clearly and concisely, verbally and in writing.
Persistence – comfortable pursuing, rebutting and escalating issues as appropriate.
Goal-oriented – holds him/herself accountable to achieving shared professional and personal goals.
Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
Interpersonal skills – establishing and maintaining effective working relationships with employees, patients, and external parties.
PC skills - demonstrates high proficiency in Microsoft Office applications, especially Microsoft Excel, and others as required.
Writing skills –advanced writing skills with ability to present a compelling argument, punctuate properly, spell correctly and transcribe accurately.
Mentorship-Demonstrated ability to lead teams, provide education and mentorship, and drive quality and performance improvement.
High School diploma or equivalent required.
Active Coding Certification(s): RHIA, RHIT, CCS, CPC-H, CCS-P, CIRCC, CPC
Minimum 3 years of coding experience in Physician billing healthcare Revenue Cycle environment required.
Must have the ability to analyze and interpret data, good problem-solving skills, and take initiative.
Must have experience in conducting coding audits and review.
Demonstrate strong knowledge in analyzing and resolving complex problems in a quick and effective manner. Self-starter with a sense of ownership, assertive follow through and orientation toward results, strong team player.

Nice To Haves

Minimum of three (3) years coding supervisor or Lead experience preferred.
Revenue cycle role in physician environment in an academic healthcare setting preferred.

Responsibilities

Supervise team of approximately 17 to 24 Coders.
Monitors daily coding operation and workflows of professional charges from various Financial Divisions consisting of Clinic (PB and HB) and Inpatient professional charges.
Monitors all Coding assigned work queues to ensure consistent coding review turnaround
Review and manage data outcomes to identify root cause (s) of coding quality issues for overall coding quality improvement.
Work with various teams across the company to communicate issues impacting coding charge lag and denial review.
Monitor weekly productivity and quarterly quality scores to ensure compliance.
Maintain up-to-date knowledge of regulatory changes affecting coding requirements and ensure staff are appropriately educated.
Ensure team members’ adherence to policies and procedures.
Evaluate staff quality assurance (QA) audit results and work collaboratively with managers and QAs to identify and/or design instructional resources to improve performance.
Assist with maintenance of claims manager application to ensure rules are appropriately capturing billing instances that would result in claim denial. Timely completion of required updates.
Works with Auditors to ensure internal and vendor audits are completed timely and to create ongoing education training and refreshers to ensure compliance with changes and current coding and documentation requirements.
Work with Manager to complete annual performance reviews
Develop and execute coding process improvement projects.
Utilize reports, dashboards, and other accessible tools to help manage work volume and trends impacting coding team.
Research coding issues using available resources. Reviews those needing escalation with manager.
Serves as a subject matter resource for complex coding inquiries
Assist Coders and Leads with physician inquiries when there’s disagreement with coding recommendations.
Other duties as assigned.