Coding Supervisor

Children's Healthcare of Atlanta

About The Position

The Coding Supervisor oversees coding and billing compliance education within Children’s Physician Group for physicians, physician assistants, nurse practitioners, and other clinical service providers. The role supports improved workflows and clinical documentation, develops measurable workplans for coding education specialists, and supervises and prioritizes their daily work. The supervisor prepares and approves coding and billing communications for administrative and finance leaders, supports the development of compliance and utilization reports, and helps improve coding and billing practices for physician professional services. The role leads a team of coding education specialists, oversees provider education and onboarding training, and collaborates with Coding, Compliance, and other departments to resolve coding issues. It also reviews billing trends, denials, claim errors, post-billing findings, payer updates, and encounter forms to identify opportunities for education and process improvement.

Requirements

Five years of experience in coding.
Strong knowledge and experience interpreting and applying federal and government regulations to ensure coding and documentation compliance.
Graduate of an approved Health Information Technology or Health Information Management program.
One of the listed certifications: Certified Professional Coder (CPC), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician-based (CCS-P).
Strong knowledge of complete and accurate clinical documentation across healthcare settings and disciplines.
Strong knowledge of conventions, rules, and guidelines for multiple classification and reimbursement systems, including ICD-10, diagnosis-related group, and all patient refined diagnosis-related group.
Knowledge of medical terminology, anatomy and physiology, pharmacology, computers, and encoding software.
Teaching and presentation skills.
Detail-oriented, with problem-solving skills and legible handwriting.
Successfully pass the Basic Windows Skill Assessment with a rating of at least 80% within 30 days of employment.

Nice To Haves

Experience in physician practice coding.

Responsibilities

Assist coding education specialists in providing ongoing, appropriately tailored education and updates to physicians, advanced practice providers, and practice leadership on coding and billing practices.
Develop workplans for coding education specialists with measurable short- and long-term goals aligned with internal and external coding and billing policies.
Supervise and prioritize coding education specialists’ daily work, monitor individual and department goals, and reprioritize work in response to urgent compliance or revenue concerns.
Oversee education for physicians and key healthcare providers on clinical documentation improvement and accurate, complete health record documentation.
Manage and lead the team, including interviewing, hiring, training, developing, directing work and processes, managing performance, and recognizing and rewarding employees.
Educate and monitor coding education specialists conducting specialty-specific coding training for new physicians and advanced practice providers; maintain required training completion logs.
Perform and support shadowing of billing providers and administrative staff to assess workflows and provide constructive input on efficiency and charge selection accuracy.
Partner with Coding, Compliance, and other departments to coordinate review of coding issues and monitor them through resolution.
Monitor coding resources and payer updates that affect professional billing and report relevant issues to the manager.
Develop tools to help providers, practice management, and office staff meet regulatory requirements and capture appropriate revenue.
Analyze billing and denial information, claim errors, and other data to identify coding and billing opportunities.
Summarize and report findings to the manager and use them in educational training.
Communicate constructive education based on post-billing review findings to help address identified deficiencies.
Review and analyze evaluation and management coding and other billing trend profiles to identify patterns requiring further analysis, support, or education.
Monitor the annual review of encounter forms, coding forms, and billing tool information, and recommend necessary code or layout changes.