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

Gritman Medical Center•Moscow, ID

5d•Hybrid

About The Position

The Physician Billing Coding Supervisor supports the HIM Director and coding team by promoting accurate, complete, and timely coding that complies with applicable guidelines, regulations, and ethical standards. The role responds to patient-claim and coding inquiries, trains staff, helps maintain coding policies and procedures, and tracks performance metrics. It also develops reports and prepares data for clinical evaluation, fiscal impact, and profitability studies. The supervisor keeps current with coding requirements, technology, automation, transaction code sets, and HIPAA requirements, and must work independently in a virtual or hospital setting as needed.

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 skills.
Good knowledge of medical records systems.
Excellent knowledge of computer applications, including Microsoft Office programs.
Fluency in general information technologies.
Ability to work autonomously and be self-directed.
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 at the hospital if travel is required for an assignment.
Good visual acuity.
Ability to operate a computer keyboard, mouse, and other peripherals as needed to perform assigned tasks.

Nice To Haves

Five years of supervisory experience in healthcare, with 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 regarding patient-claim resolution.
Assist the coding team with departmental inquiries to achieve timely resolution.
Help ensure coding accuracy, completeness, and adherence to established guidelines and standards.
Participate in meetings with the Revenue Cycle Committee and coding team.
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 internal standards, including ICD-10 and CPT requirements.
Train new and existing staff on coding standards, tools, and updates.
Maintain knowledge of 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, turnaround-time, and other key performance metrics.
Stay informed about coding software, automation, transaction code sets, HIPAA requirements, and other issues affecting the coding function.
Demonstrate competency with computer applications, grouper software, medical edits, and coding software and hardware.
Manage time and assignments with initiative and discipline.
Work in a virtual setting with minimal supervision.