Professional Coding Supervisor - FT - Day - Physician Professional Coders Lawrenceville NJ

Capital Health (US)•Pike, NY

1d•Onsite

About The Position

Serves as the main resource to provide direct communication on a regular basis with Capital Health Medical Group (CHMG) Physicians, Nurse Practitioners, Advanced Nurse Practitioners, and Physician Assistants to provide feedback on documentation as it relates to procedure coding. Provides direct supervision and monitoring of professional coding staff activities to promote compliance with industry and government regulations. Facilitates compliant coding of professional procedural services using ICD10-CM diagnostic and Current Procedural Terminology procedure coding for all employed physicians and practitioners of CHMG. Supervises and maintains productivity levels for internal and external professional coding staff. Supervises the monitoring and delegation of all prospective claim edits from the billing system to ensure timely submission and payment for procedure coding. Coordinates education and correspondence with physicians and practitioners regarding procedural coding services.

Requirements

High school diploma or equivalency.
Certified Professional Coder (CPC) or Certified Coding Specialist-Physician-based (CCS-P) required.
Physician coding certification.
Three years professional procedure coding experience.
Excellent interpersonal, organizational, verbal and written communication skills.
Self-motivated and able to work independently with minimum supervision.
Strong knowledge of industry guidelines and laws for professional coding.
Possesses research and analysis skills.
Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint or Access.
Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge.
Ability to assess and provide coding education plans using a variety of methods to professional coding staff.
Ability to work in a collaborative manner with coding staff, practice staff and physicians to determine team needs and to prioritize workflow.
Ability to multi-task/manage various projects and programs.

Responsibilities

Provides direct supervision, support, education and direction to physician fee coding staff as it relates to time management, delegation of workflow tasks and responsibilities, knowledge of industry guidelines, laws and regulations.
Performs internal quality assessment reviews on professional coding to ensure compliance with national coding guidelines and Capital Health's policies for complete, accurate and consistent coding which results in appropriate reimbursement and data integrity.
Proactively troubleshoots documentation and/or communication issues and communicates directly with members of CHMG to provide feedback and education to accurately capture required documentation to support revenue integrity.
Monitors and educates professional coding staff on process of provider documentation review to ensure revenue integrity for all procedural services.
Supervises and disseminates appeals process resulting from third party payers to support revenue integrity for services performed by CHMG physicians and practitioners.
Researches coding and reimbursement issues and implements corrective measures to resolve them. Regularly reports those findings to management, physicians and coding staff as appropriate.
Ensures all professional coding staff maintains expected quality level for coding procedures for CHMG physicians and practitioners.
Provides management with various statistical reports on professional coding compliance issues, internal and external quality assurance results and activities, performance improvement activities and other statistical information as required or requested.
Ensures professional coding staff maintains a level of expertise by attending continuing education programs.
Provides direct supervision, support, education and direction to physician fee coding staff as it relates to time management, delegation of workflow tasks and responsibilities.
Performs analysis and trending of billing system issues to achieve optimal coding accuracy and compliance of CHMG physicians services.
Adapts to changing department demands required for higher departmental efficiency.