Supervisor Coding Validation

Brown Medicine

1d • Remote

About The Position

Reports to PFS Manager of Coding Policy and Education. Assists Manager in providing feedback and education to coders and providers. Assists Manager with coordinating external audits and internal audits. Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect and Excellence, as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate In addition, our leaders will demonstrate an aptitude for: Ensure Accountability and Build Effective Teams Drive Vision and Purpose and Optimize Work Processes By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals.

Requirements

• Associate Degree or 3 years of experience in a medical coding/validating role.
• Certification required: CCS, CPC.
• RHIA or RHIT considered.
• Three to five years progressively responsible experience performing outpatient coding.
• Experience should demonstrate a high level of knowledge in ICD-10-CM and CPT-4 coding methodologies.
• Effective written and oral communication skills and effective leadership/management skills required.

Nice To Haves

• Experience in a large, multispecialty physician group and/or complex academic medical center preferred.
• One to two years supervisory experience strongly preferred.
• Experience with Epic preferred.

Responsibilities

• Performs audits of the validation team to assure all validation is consistent with coding guidelines and Brown University Health’s billing, coding, and compliance policies.
• Works with Manager to create annual validation schedule and validator goals.
• Ensures validators are performing timely and accurate audits and are meeting all goals of the department.
• Provide regular feedback to staff, including praising them for their successes and mentoring/retraining as needed.
• Identifies coding trends and reports these trends to the Manager.
• Maintains updated knowledge of all billing, coding, insurance, and compliance guidelines, including but not limited to HiPAA, CPT, ICD-10, HCHPCS, medical terminology, etc. Applies this knowledge daily and serves as a resource to staff.
• Serves as the principal trainer to new staff and a resource to the team, answers questions and provides guidance.
• Oversees the development and growth of the individual validators.
• Acts as a resource for healthcare professionals in need of coding/documentation assistance.
• Assists Manager with human resource issues including hiring, evaluating, implementing improvement/corrective action plans and terminations, as needed.
• Prepares payroll as requested.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and the American Association of Professional Coders.
• Monitors validators for violations and reports to PFS Manager or Director when areas of concern are identified.
• Performs other duties as necessary.

Benefits

• Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
• As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England.
• Today, more than 20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day.
• Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first psychiatric hospital for children; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the state’s largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island.
• Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve.
• We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families.
• Join us and help build a healthier future for our patients - and for yourself.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree