Physician Billing Coding Supervisor | HIM | Full Time | HYBRID (ON-SITE/REMOTE)

Gritman Medical Center•Moscow, ID

4d•Hybrid

About The Position

The Physician Billing Coding Supervisor supports accurate and timely coding and patient-claim resolution while ensuring compliance with HIPAA, applicable regulations, and ethical coding standards. The role assists the HIM Director with coding policies, procedures, best practices, compliance, staff training, and tracking performance metrics. The supervisor also prepares data and reports for clinical evaluation, fiscal impact, and profitability studies, and keeps current with coding technology, automation, transaction code sets, and HIPAA requirements. The position requires initiative, disciplined time management, and the ability to work independently with minimal supervision in a virtual office or hospital setting when required. It is listed as full time and hybrid (onsite/remote).

Requirements

Associate or bachelor's degree and accreditation by AHIMA.
Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification.
Five years of experience in a relevant field, including one year of supervisory experience.
Advanced knowledge of ICD-10-CM, CPT, and HCPCS coding principles and rules.
Strong leadership and communication skills.
Problem-solving ability.
Good knowledge of medical records systems.
Excellent computer application skills, including Microsoft Office, and fluency in general information technologies.
Ability to work autonomously and self-direct.
Intermediate to advanced knowledge of disease pathophysiology and drug utilization.
Intermediate to advanced knowledge of MS-DRG and APR-DRG classification and reimbursement structures.
Advanced knowledge of APC, OCE, and NCCI classification and reimbursement structures.
Excellent organizational skills to initiate and maintain efficient workflow.
Regular and reliable attendance and time reporting in accordance with Gritman Medical Center Telecommuting program requirements.
Ability to work independently in a virtual office or hospital setting when required to travel for an assignment.
Good visual acuity.
Ability to operate a computer keyboard, mouse, and other peripherals as needed for assigned tasks.

Nice To Haves

Five years of supervisory experience in healthcare.
Extensive knowledge of ICD-10-CM, CPT, HCPCS, and documentation guidelines.
EPIC experience, including HB billing.

Responsibilities

Comply with HIPAA policies and procedures, including minimum-necessary requirements, and maintain patient confidentiality for e-PHI.
Respond to Patient Accounting inquiries concerning patient-claim resolution.
Assist the coding team in resolving departmental inquiries in a timely manner.
Help ensure coding accuracy, completeness, and adherence to established guidelines and standards.
Participate in Revenue Cycle Committee and coding team meetings.
Follow AHIMA Standards of Ethical Coding, monitor coding staff for violations, and report concerns.
Assist the HIM Director in maintaining compliance with applicable regulations and standards, including ICD-10 and CPT requirements.
Train new and existing staff on coding standards, tools, and updates.
Maintain knowledge of current professional coding certification requirements and promote recruitment and retention of certified coding staff.
Develop reports and collect and prepare data for studies involving clinical evaluation, fiscal impact, and profitability.
Assist the HIM Director with developing and implementing coding policies, procedures, and best practices.
Assist the HIM Director with tracking accuracy, productivity, and turnaround-time metrics.
Keep up to date with coding software and automation technology, transaction code sets, HIPAA requirements, and other issues affecting coding.
Demonstrate competency with computer applications, grouper software, medical edits, and coding software and hardware.
Manage time and assignments with initiative and discipline, and work in a virtual setting with minimal supervision.