Supervisor, Coding, Provider Practice

Sanford Health•Time, IL

21h•Onsite

About The Position

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. This role requires an associate's degree, coding experience and a Certification in Coding (RHIA, RHIT, CPC, CCS, CCS-P, CCS-H or COC). Provide leadership to coding staff in assigning accurate and timely codes to medical records for optimal reimbursement, data collection, and statistical reporting. Provide accurate information, education and reviews regarding coding to assure the most effective reimbursement methods are identified and utilized and to assure compliance.

Requirements

Associate degree in Health Information Technology or Certification in Coding required.
Specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in International Statistical Classification of Diseases (ICD) diagnosis, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding schemes, medical terminology or human anatomy/physiology is preferred.
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required.
Computer skills, the ability to interpret, analyze and abstract data/documentation, and have good problem-solving skills.
Current in coding schemes and have knowledge of prospective payment systems, insurance policies, drug/pharmacy related coding rules and documentation process, and clinical practices and technology.
Specific knowledge of diagnostic and procedural terminology, international classification of disease, tenth edition (ICD-10), current procedural terminology (CPT) and healthcare common procedure coding system (HCPCS) coding schemes.
Demonstrate leadership skills, excellent communication, and proven ability to effectively train others and motivate people in realizing and attaining their goals.

Nice To Haves

Prefer to have at least three years of experience in coding for professional charges, as well as experience with Medicare and other third party payors.

Responsibilities

Responsible for meetings with physicians to provide feedback, educate, and train on appropriate documentation.
Report findings of analyzed coding data to upper management and executives on any discrepancies or variances amongst the industry data compared to departmental data.
Validate any potentially missed professional revenue, running reports to find missed charges, validate charges as shown on billing, assist with template development, research new coding guidelines, information sharing new coding guidelines with others, have an understanding of service and revenue routing, review payer audits.
Provide responses to any reviewed patient related concerns to charges associated with service received.
Provide input as needed into pricing of services, monitor, and analyze reimbursement-related issues.
Have a working knowledge of anatomy, physiology and pathophysiology to understand disease processes, treatment or management of conditions either medically or surgically.
Perform other duties as assigned by the manager and/or director.
Assist with training of personnel, dealing with employee issues/behaviors, assisting with hiring/termination.