Coding Supervisor

Omega Healthcare Management Services•Boca Raton, FL

About The Position

Description Essential Job Functions Provides day-to-day supervision and direction of both hospital and professional coding and abstracting activities. Oversees duties and responsibilities of the coding staff on a day-to-day basis. Supervises all functions including scheduling, training, payroll monitoring and approval, Performance Improvement/Corrective Action process. Serves as primary point of contact for coders across client sites. Skilled in multi-tasking and being able to identify and set priorities. Establishes work schedules and monitors/approves time off requests and time worked. Responds to Coding/Abstracting data and report requests made by Client, physicians, and other internal customers. Works with the various client departments for resolution and education of coding, documentation, and reimbursement issues. Provides day-to-day oversight for internal coding staff in conjunction with established client programs. Identifies cases, monitors timeliness of data collection, aggregates, analyzes, and trends data. Provides summary and individual feedback to coding staff for performance improvement and compliance purposes. With assistance from the Manager, reports findings to Client on a monthly (or other established) frequency and identifies areas for coder education. Maintains a knowledge base of various payment methodologies, grouping classifications and ICD-10 CM and ICD-10 PCS, as well as CPT and HCPCS. Provides or coordinates ongoing training for coding staff to support corporate compliance. Oversees that month end coding activity is closed out for abstracting purposes within the established client timelines. Assists the Coding Manager with monthly management report preparation and distribution on client productivity, turn-around time, and quality. Provides input on performance reviews, recommends and/or initiates employee selection, promotion, disciplinary and/or discharge actions. Works with Omega team to perform vetting on candidates to ensure appropriate client assignment. Coordinates coding staff meetings in the direction of Coding Manager, keeps staff informed of Omega, AHIMA , and regulatory changes, developments, and events. Provides expertise in the areas of coding, compliance, reimbursement, and reporting of coded data. Understands flow of health information in the electronic health record from registration through documentation, discharge, coding, and billing. Maintains knowledge of OIG, CMS, state Medicaid third party payer, RAC and additional state and federal auditing contractor regulations regarding coding and data reporting. Abides by the Standards of Ethical coding set forth by AHIMA and monitors coding team for violations and reports as areas of concern are identified. Assists Coding Manager with weekly Omega metrics report. Meets budgetary goals per client agreement and achieves margins determined by Omega. Meets all SLAs for client engagement. Manages staffing resources to accommodate daily patient volume within expected turn-around times and financial targets. Demonstrates the ability to attract, recognize, retain and manage staff and to effectively utilize staff to enhance the facilities and Omega’s organizational performance. Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.

Requirements

Bachelor’s Degree or a combination of advanced formal training within the discipline
Experience in Epic and 3M required
Expertise in Coding (IP, OP & ProFee)
At least 3 years lead experience; minimum 5 years coding experience.
AHIMA certification as a RHIA, RHIT, CCS, CPC.

Nice To Haves

PF knowledge/background preferred
Experience with multiple EHR’s

Responsibilities

Provides day-to-day supervision and direction of both hospital and professional coding and abstracting activities.
Oversees duties and responsibilities of the coding staff on a day-to-day basis.
Supervises all functions including scheduling, training, payroll monitoring and approval, Performance Improvement/Corrective Action process.
Serves as primary point of contact for coders across client sites.
Skilled in multi-tasking and being able to identify and set priorities.
Establishes work schedules and monitors/approves time off requests and time worked.
Responds to Coding/Abstracting data and report requests made by Client, physicians, and other internal customers.
Works with the various client departments for resolution and education of coding, documentation, and reimbursement issues.
Provides day-to-day oversight for internal coding staff in conjunction with established client programs.
Identifies cases, monitors timeliness of data collection, aggregates, analyzes, and trends data.
Provides summary and individual feedback to coding staff for performance improvement and compliance purposes.
With assistance from the Manager, reports findings to Client on a monthly (or other established) frequency and identifies areas for coder education.
Maintains a knowledge base of various payment methodologies, grouping classifications and ICD-10 CM and ICD-10 PCS, as well as CPT and HCPCS.
Provides or coordinates ongoing training for coding staff to support corporate compliance.
Oversees that month end coding activity is closed out for abstracting purposes within the established client timelines.
Assists the Coding Manager with monthly management report preparation and distribution on client productivity, turn-around time, and quality.
Provides input on performance reviews, recommends and/or initiates employee selection, promotion, disciplinary and/or discharge actions.
Works with Omega team to perform vetting on candidates to ensure appropriate client assignment.
Coordinates coding staff meetings in the direction of Coding Manager, keeps staff informed of Omega, AHIMA , and regulatory changes, developments, and events.
Provides expertise in the areas of coding, compliance, reimbursement, and reporting of coded data.
Understands flow of health information in the electronic health record from registration through documentation, discharge, coding, and billing.
Maintains knowledge of OIG, CMS, state Medicaid third party payer, RAC and additional state and federal auditing contractor regulations regarding coding and data reporting.
Abides by the Standards of Ethical coding set forth by AHIMA and monitors coding team for violations and reports as areas of concern are identified.
Assists Coding Manager with weekly Omega metrics report.
Meets budgetary goals per client agreement and achieves margins determined by Omega.
Meets all SLAs for client engagement.
Manages staffing resources to accommodate daily patient volume within expected turn-around times and financial targets.
Demonstrates the ability to attract, recognize, retain and manage staff and to effectively utilize staff to enhance the facilities and Omega’s organizational performance.
Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.