Supervisor Medical Coding

Ellis Medicine•Schenectady, NY

3d•Hybrid

About The Position

This position can be on site or remote for East Coast candidates. The Supervisor of Medical Coding will plan, develop, implement, and communicate operational initiatives to improve the efficiency of the Medical Coding Department. This role oversees the planning, organization, and evaluation of patient demographic capture and system setup. The supervisor designs quality management monitors and workload measurement systems for productivity monitoring to ensure an efficient workflow process. They will review assessment of account performance and respond to concerns in a timely and professional manner. Collaboration with IT is expected to incorporate new technologies and functionality into the existing structure, and the supervisor will evaluate, design, and implement solutions for accessing, moving, and processing electronic data. This role serves as a liaison with the medical coding team and primary care offices to resolve issues. Responsibilities include carrying out duties in accordance with company policies, applicable regulations (including HIPAA and Labor regulations), overseeing all medical coding functions using clinical and financial systems, conducting coding audits for practice providers to optimize accurate documentation and coding, and overseeing the medical coding team regarding the Encounter Billing Exception Worklist (EBEW) and related worklists. The supervisor will establish and maintain a close working relationship with the PBO department to reduce and address claim issues and denials timely. They will conduct training and support professional development opportunities for staff to stay abreast of new coding and clinical guidelines. Knowledge of the practice’s charges and coding, in cooperation with the Charge Description Master (CDM) Manager and Health Information Services (HIS) Department is required. Participation in ongoing education relevant to practice specialty, assisting in training for new employees and coverage is also part of the role. The supervisor works closely with the Practice Leader and the RCA Supervisor to ensure all updates and changes are implemented timely. Maintaining a high level of confidentiality to protect patient health information privacy, while providing access to authorized individuals and entities, and safeguarding the integrity of electronic records is crucial. The role involves participation in standing cross-functional workgroups to facilitate resolution of systems and operational issues within Ellis Medical Group and across the enterprise. Adherence to hospital and procedures related to mandatory education and annual health assessments, MEE Behavior and Standards, and AIDET is expected. Collaboration with departments to resolve issues and overcome barriers is key.

Requirements

High School Diploma or GED Required
Certified Professional Coder (CPC)
Knowledge of Anatomy and Physiology, Medical Terminology and current coding standards.
Skilled experience and knowledge of Windows-based software is required, including but not limited to Microsoft Windows, Excel and Word.
A minimum of three to five years out patient coding experience is required.
Hospital, physician practice or insurance coding and billing experience required.
Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payer regulations.

Nice To Haves

Associates Degree preferred
Experience with Soarian systems and/or Allscripts/Cerner electronic health record preferred.
Minimum of one to two years of supervisory or leadership experience preferred.

Responsibilities

Plans, develops, implements and communicates operational initiatives to improve the efficiency of the Medical Coding Department.
Oversees the planning, organization, and evaluation elements of the Patient Demographic capture and system set up.
Designs quality management monitors and workload measurement systems for productivity monitoring to ensure an efficient workflow process.
Reviews assessment of account performance, and responds to concerns in a timely and professional manner.
Collaborates with IT to incorporate new technologies and functionality into the existing structure.
Evaluates, designs and implements solutions for accessing, moving, and processing electronic data.
Serve as a liaison with the medical coding team and primary care offices to resolve issues in a satisfactory manner.
Carries out responsibilities in accordance with company policies and procedures, applicable regulations, including HIPAA and Labor regulations.
Responsible for oversight of all medical coding functions utilizing both the clinical and financial systems.
Responsible for coding audits for practice providers to optimize accurate documentation and coding.
Oversight of the medical coding team relating to the Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing, establish and maintain a close working relationship with the PBO dept. to reduce and address claim issues and denials timely.
Conducts training and supports professional development opportunities of staff to stay abreast to new coding and clinical guidelines.
Knowledge of the practice’s charges and coding, in cooperation with the Charge Description Master (CDM) Manager and Health Information Services (HIS) Department.
Responsible for participation in ongoing education relevant to practice specialty, assists in training for new employees and coverage.
Works closely with the Practice Leader and the RCA Supervisor to ensure that all updates and changes are implemented timely.
Maintains a high level of confidentiality to protect patient health information privacy, while providing access to authorized individuals and entities, and safeguarding the integrity of electronic records.
Will participate in standing cross-functional workgroups to facilitate resolution of systems issues and operational issues within Ellis Medical Group and across the enterprise (Ellis Medicine).
Adheres to hospital and procedures related to mandatory education and annual health assessments, MEE Behavior and Standards, AIDET.
Works collaboratively with departments to resolve issues and overcome barriers.

Benefits

Comprehensive and affordable Health, Dental and Vision insurance that starts DAY ONE
Generous paid time off to support a work-life balance, including 6 paid holidays
Tuition Reimbursement and professional development opportunities
Retirement plan in the form of a 401(3b) with company match after longevity
Flexible Spending Account and Dependent Care Account—allowing you to set aside pretax dollars to better care for your health and the health of your loved ones
Free yearlong unlimited CDTA Navigator Pass, including Free CDTA bike share program
Pet Insurance
Employee Wellness Program
Employee Assistance Program
Employer paid for Life Insurance