Coding Supervisor, Professional Billing Coding

Hennepin Healthcare•Minneapolis, MN

2d•Remote

About The Position

This first-line supervisory position oversees professional billing coding employees who provide professional-fee coding and billing services for provider services. Under the direction of the Physician Billing Manager, the supervisor supports the coordination and development of processes that help providers create clinical documentation that accurately and consistently reflects care provided while supporting compliance, quality, and financial viability. The role includes training staff, participating in evaluation of the team and its processes, and supporting organizational documentation initiatives. It requires considerable coding and billing knowledge, experience, judgment, and problem-solving ability.

Requirements

Associate degree in business and/or healthcare administration, Health Information Management, or Health Information Technology, plus at least two years of healthcare experience; or a bachelor's degree; or three years of external coding/reimbursement experience; or an approved equivalent combination of education and experience.
Current RHIT, RHIA, CCS, CCS-P, or CPC certification/license.
Extensive, demonstrated expertise in CPT-4, HCPCS, and ICD-CM coding classification systems.
Knowledge of state and federal HIPAA Privacy legislation, medical-record access, and regulatory and accreditation agencies.
Knowledge of current medical-record technology, statistics, data presentation, and reporting.
Ability to organize, delegate, and monitor work assignments.
Effective oral and written communication skills, including the ability to initiate, lead, mentor, and coach staff.

Nice To Haves

Bachelor's degree in a health-related field.
E/M auditing experience.
Active RHIA or RHIT status with the American Health Information Association (AHIMA).
Experience with Epic electronic medical record functionality, encoder systems, and reimbursement systems.

Responsibilities

Participate in the selection, training, and evaluation of staff performing professional-fee coding and billing functions.
Review work for accuracy and compliance with departmental policies and procedures; track and monitor production goals and standards.
Set priorities, schedules, and work assignments as required.
Develop, revise, and maintain work-unit policies and procedures.
Compose correspondence or prepare reports on own initiative when needed.
Maintain necessary office supplies, materials, or inventory.
Demonstrate accountability for job performance, support HIM department goals, and assess areas for personal and professional growth.
Maintain licensure or certification and skills through required professional continuing education.
Analyze provider documentation and billing practices using financial and coding activity reports and documentation review to identify revenue-capture opportunities and compliance concerns.
Develop and execute departmental review projects with measurable financial or compliance goals based on analysis findings.
Manage in-clinic review projects, including risk mitigation and tracking and resolution of issues.
Organize, analyze, and present data to work with Department Chiefs, Practice Managers, and other stakeholders on improvement strategies.
Present education points or findings to providers regarding coding and billing trends and related quality metrics.
Collaborate with key stakeholders to identify trends and educational needs.
Work with the Health Information team to support standard processes and provider training for efficient, accurate documentation that meets CMS, The Joint Commission, and internal requirements.
Work with the manager to develop an annual education plan based on revenue opportunities, compliance risks, and documentation trends identified through report analysis.
Conduct formal or team meetings in place of the Manager when requested.
Evaluate individual and team processes to ensure individual, team, and organizational goals are met.
Participate in creating group training materials, leading organizational documentation initiatives, and training and evaluating coding staff.
Perform other duties as assigned, after appropriate training where applicable.