Supervisor-Professional Coding/Reimbursement

EvergreenHealth•Kirkland, WA

3d•Hybrid

About The Position

We are the stewards of our culture. How we embrace and live our values and these principles cultivates our culture. We are accountable for exceptional outcomes and for constant improvement. Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity. Job Summary: Responsible for the overall supervision, daily operations, and management of the Professional Coding & Reimbursement Department in collaboration with the Professional Coding & Reimbursement Manager. Promotes effective, efficient, and compliant assignment of diagnosis and procedure codes that are supported by the medical record documentation. Oversees and manages coder productivity, manages coder workflows, promotes coder training and development, plans and performs quality assurance reviews of professional coding team to support the accurate and compliant revenue capture for professional services. Collaborates with the billing department to understand denial trends and incorporates into coder processes and workflows to optimize reimbursement for professional services from third parties. Serves as a recognized liaison and coding resource to physicians and other qualified healthcare professionals, department and clinic staff and leadership and other key stake holders in the organization.

Requirements

American Academy of Procedural Coders (AAPC) Certified Professional Coder (CPC) certification.
5 years of professional coding experience in a multi-specialty medical group setting.
Extensive knowledge in ICD-10, CPT and HCPCS coding for professional services.
Proficient knowledge of medical terminology and coding and sequencing guidelines.
Comprehensive understanding of anatomy, physiology and disease processes.

Nice To Haves

Bachelor’s degree in a healthcare management or related field.
AHIMA or AAPC specialty certification(s).
Experience managing or supervising a professional coding team.
Clear understanding of various reimbursement methodologies with knowledge of payer billing requirements.
General knowledge of healthcare revenue cycle including familiarity with reimbursement methodology, charge capture and billing processes.

Responsibilities

Leads, oversees and directs staff performing coding functions for professional services in multiple settings and specialties.
Develops and maintains policies, procedures, and training materials related to the education and compliance of coding staff to maximize productivity and performance expectations
Monitors adherence to productivity and quality metrics and motivates and educates coding staff to ensure that standards are met.
Develops and reports key department metrics and results to the Professional Coding & Reimbursement Manager and other leaders on a regular basis.
Responds to staff questions on complex coding issues and provides resources or training to further coding knowledge.
Maintains and continually enhances coding skills, stays current with changes in codes, coding guidelines and regulations.
Works collaboratively with the Professional Coding & Reimbursement Manager to assist in program development.
Serves as an organization-wide resource and subject matter expert in coding CPT, HCPCS, and ICD-10 codes for professional services.
Performs other duties as assigned.