Supervisor Coding/Abstracting

Tidelands Health

85d

About The Position

The Supervisor, Coder/Abstracting under the general supervision of the Coding Manager, is responsible for overseeing daily coding workflow in the assignment of ICD-10 CM/PCS, CPT, and HCPCS codes. Accountable for quality, timeliness, completeness, and accuracy of the coding team to ensure optimal reimbursement and goal attainment. The coding supervisor performs quality reviews and provides education and training when deficiencies are identified, or new processes are implemented. Incorporates initiatives that improve compliance and reduce risks to the institution. Serves as a resource and technical expert for complex coding/billing issues. Informs, educates, and coordinates with other Revenue Cycle, Clinical Operations, and other stakeholders regarding the coding and charge capture process. Assists coding manager with coding-related projects and staff oversight.

Requirements

• High School Diploma Required.
• Associate's Degree healthcare administration, Health Information Technology, or related field Preferred.
• 2 years of supervisory experience based on education.
• 3 years of coding experience for hospital and/or professional fee services for multi-specialty departments.
• 2 years of coding auditing experience.
• Knowledge of outpatient charging and OPPS rules.
• Minimum of five (5) years of coding experience and/or charge capture experience, including two (2) years in a healthcare revenue cycle supervisor/lead role.
• Experience in a Supervisor/Lead role with oversight of 4+ employees.
• Experience with coding and/or auditing in a Healthcare environment for hospital and/or professional fee services for multi-specialty departments.
• Experience with ICD-10 diagnosis, ICD-10 procedures, HCPCS level I and II codes, and CPT coding.

Nice To Haves

• Strong understanding of hospital and ambulatory workflows.
• Ability to work with departments to identify charge revenue opportunities and ways to improve charge capture.
• Must be able to work extended hours and/or flexible hours as needed to meet department project demands and/or department goals.
• Required to have the ability to apply logical thinking to practical problems.
• Be able to deal with a variety of abstract and concrete variables and respond effectively to sensitive inquiries or complaints.
• Attention to detail; ensuring accuracy in work.
• Ability to multi-task and ensure deadlines are met consistently.
• Ability to work as a team member, collaboratively and positively.

Responsibilities

• Leads and guides staff that performs medical coding functions and supervises the processes and systems required to accomplish timely, accurate, and compliant record management and coding.
• Supervise and coordinate all activities of the medical coders to include effective management of staffing schedule to achieve timely coding, provider and coder audits, identification of and implementation of proactive denial mitigants, and staff engagement.
• Responsible for maintaining current knowledge of applicable medical record and coding laws, rules, and regulations.
• Follows compliant charge capture in accordance with Medicare, Medicaid or Third-Party payer guidelines.
• Assists with development of policies, procedures and job aids related to coding and charge entry.
• Assist in the development of processes and education of team related to the ED charge capture workflow.
• Translates regulatory requirements into daily operating procedures.
• Assists with the preparation of special reports for Leadership to document utilization of the charge capture outcomes.
• Assists with and works in cooperation with CDM managers to establish charge capture, CDM maintenance practices and methodologies.
• Recommends revisions to charge codes and submits requests for charge codes for new services.
• Support ongoing education needs of employee-partners to keep all apprised of most current coding regulations and guidance.
• Educates caregivers on charge capture as omissions or errors are identified.
• Supervise daily revenue cycle operations to include creation, monitoring and problem-resolution needed to achieve agreed upon revenue cycle metrics for the coding team.
• Work with physicians to ensure consistent coding and documentation policies and procedures are followed.
• Act as a resource to clinic staff on matters pertaining to the revenue cycle.
• Identifies inconsistencies and works with Clinical Informatics to streamline charge capture process.

Benefits

• Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
• A workplace culture built around a spirit of inclusion, teamwork, mutual respect and recognition for a job well done.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees