Supervisor, Coding Accuracy

Lumeris

70d • $72,800 - $97,400

About The Position

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. The Supervisor, Coding Accuracy is responsible for implementation of initiatives to improve coding and documentation accuracy for Lumeris clients. This role supervises and mentors a team of Specialists, regularly reviews provider medical records for accurate and complete documentation and coding, and supports retrospective chart reviews as well as pre-visit planning and post-visit coding.

Requirements

• High School Diploma or equivalent.
• 6+ years of ICD-10 outpatient coding and provider query experience in internal medicine/primary care settings or the knowledge, skills, and abilities to succeed in the role.
• 1+ year of program, project, or people leadership experience or the knowledge, skills, and abilities to succeed in the role.
• Proven ability to review/audit coder completed chart reviews for accuracy and completeness.
• Coding certification as CPC required.
• Extensive knowledge of ICD-10-CM Coding Guidelines, E/M, CPT/HCPCS, CMS-HCC risk adjustment model, medical record review project management, encounter data management, and IPM/RADV Medical Record Reviewer Guidance.
• Ability to work cross-functionally within corporate matrix environments.
• Strong verbal and written communication skills.
• Ability to guide, coach, develop, mentor, and support a team.
• Strong computer skills (i.e. Microsoft Office).

Nice To Haves

• CPC-I or CRC certification.
• Bachelor’s degree.

Responsibilities

• Supervises the day-to-day activities and coaches, mentors, motivates, supports, and develops a team of professional individual contributors.
• Participates in and/or supports performance management/corrective action plans, goal setting/review, regular guidance and 1-1 check ins, career development/planning, upskilling, resource allocation, DE&I initiatives, and other People & Culture programs/activities as needed.
• Fosters accountability and collaboration to ensure team member and overall team success.
• May spend a portion of the time performing the work of those they supervise.
• Provides necessary knowledge-based resources required by the coding staff to meet quality and production standards.
• Delegates workloads to ensure production standards are met.
• Reviews medical records in support of pre-visit planning and post-visit program for opportunities with complete and accurate documentation and coding.
• Identifies chronic conditions for providers to review during patient visits.
• Queries providers to ensure complete and accurate documentation and coding after patient visits.
• Regularly interacts with providers and clinical/administrative staff to enhance understanding of Clinical Documentation Improvement program goals in order to achieve Risk Adjustment strategic goals and initiatives.
• Maintains current subject matter expertise by attending professional meetings, seminars, and related continuing education events.
• Collaborates with internal teams to assure client/project-specific goals are met.

Benefits

• Medical, Vision and Dental Plans.
• Tax-Advantage Savings Accounts (FSA & HSA).
• Life Insurance and Disability Insurance.
• Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days).
• Employee Assistance Program.
• 401k with company match.
• Employee Resource Groups.
• Employee Discount Program.
• Learning and Development Opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees