Supervisor HIM Coding - Maui Health System

Kaiser Permanente • Wailuku, HI

113d

About The Position

Provides coding expertise to staff within the department to assist with accurate diagnosis and procedural coding. Serves as a resource for department management, coding staff, and clinical documentation specialists to obtain information or clarification on accurate and ethical coding and documentation standards, guidelines, and regulatory requirements. Reviews records to ensure the accurate selection of the principal/primary diagnosis and procedures and any complications or preexisting conditions in accordance with official coding guidelines.

Requirements

• Minimum of three (3) years current coding experience in hospital coding of Inpatient and Outpatient services.
• Bachelor's degree in Health Information Management or related field or four (4) years in directly related experience.
• Certified Coding Specialist OR Registered Health Information Administrator OR Registered Health Information Technician.
• Demonstrated knowledge of and skill in project management, problem solving, oral communication, written communication.
• Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications.

Nice To Haves

• Supervisory/lead or project management experience.

Responsibilities

• Provides coding expertise to department management, coding staff, and clinical documentation specialists.
• Serves as a resource for department management, coding staff, and clinical documentation specialists to obtain information or clarification on accurate and ethical coding and documentation standards, guidelines, and regulatory requirements.
• Reviews records to ensure the accurate selection of the principal/primary diagnosis and procedures and any complications or preexisting conditions in accordance with official coding guidelines.
• Maintains accuracy and quality for activities.
• Monitors coding guidelines and regulatory changes, assisting coders in understanding and implementing these changes.
• Conducts quality reviews of coding data and regular audits, coordinating ongoing monitoring of coding accuracy and documentation adequacy.
• Provides feedback and focused educational programs on the results of auditing and monitoring activities to affected staff and presents case examples at staff meetings.
• Initiates corrective action to ensure resolution of problem areas identified during auditing/monitoring activity.
• Communicates results of quality reviews to staff and implements practices that reduce errors in the coding and abstracting process.
• Provides coding expertise to outside departments to assist in proper billing and outcome measurements.
• Reports noncompliance issues detected through auditing and monitoring to Compliance Department and the HIM Director.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree