Coding Supervisor - Atrius Health

UnitedHealth Group•Chelmsford, MA

1d•$60,200 - $107,400•Onsite

About The Position

Supervises the Coding Department staff and serves as the primary coding resource for the department. Responsible for the supervision and day-to-day instruction of assigned employees and activities to ensure efficient and accurate claims coding and denials. Assists in maintaining department operations and acts as a leader in Manager's absence. Monitors coding denial trend with coding staff to improve the capture of billable charges and maximize reimbursement. Has thorough understanding of CMS (Centers for Medicare and Medicaid Services) regulations, as well as technical knowledge of Procedural (CPT-4, HCPC) and Diagnosis (ICD-9CM, ICDIOCM) classification systems. Reviews Ingenix (claims scrubber software) data and insurer denials to ensure reimbursement maximization.

Requirements

Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or other related professional billing/ coding (not hospital billing) certification
Demonstrated leader with 3+ years of supervisory experience
In-depth knowledge of coding, compliance, medical terminology, billing operations and computer systems
Firsthand knowledge of current health care coding issues and familiarity with professional billing and coding rules within a general, multi-specialty physician group practice
Excellent communication skills
Solid PC skills in word processing and presentation applications (Microsoft Word, Excel, PowerPoint etc.)
Solid skills in the use of the Internet

Responsibilities

Assist Management with the daily operations of the coding and denials teams to ensure efficient productivity and quality standards.
Distributes and monitors the flow of work for assigned staff.
Directs and supervises assigned personnel including performance evaluations, scheduling, orientation, training, and payroll processing.
Make recommendations on staffing levels, employee hires transfers, promotions, salary changes, discipline, terminations, and other similar actions.
Resolves grievances and other personnel problems within position responsibilities.
Coordinates and prioritizes the assignment of tasks and helps resolve technical and operational problems.
Evaluates the impact of solutions to ensure goals are achieved.
Provides effective direction, guidance, and leadership over the staff for effective teamwork and motivation and fosters the effective integration of efforts with organization-wide initiatives.
Provides training and technical assistance to employees within assigned work area.
Assist Manager in ensuring that assigned employees are provided with appropriate resources and materials.
Ensures appropriate follow-up of coding-related payer rejections and denials.
Monitors and communicates trends to Manager.
Maintains and reports on productivity, quality standards and processing timelines as established by Revenue Operations Metrics.
Responds to coding related inquiries from providers and support staff and others, as requested.
May perform the duties of the Coding Specialist, as needed, due to employee absence or business need.
Coordinates team member time off in a manner the does not negatively impact necessary daily functions.
Must keep abreast of governmental and other payer coding and reimbursement rules and requirements.
Ensures compliance with payer filing deadlines.
Adheres to all governmental and third-party compliance issues as directed.
Cooperates fully with all governmental and third-party insurer audits.
Ensures compliance with regulatory agencies.
Develop and maintain procedures necessary to meet regulatory requirement.
Identifies and reports compliance related issues to the Compliance Manager in a timely manner.
Ensures adequate equipment and supplies for assigned area.
Maintains CEU's required for coding certification.
Regular, reliable and predicable attendance is required.
Complies with all Atrius Health and departmental privacy policies, procedures and protocols.
Follows HIPAA privacy guidelines without deviation when handling.