Coding Supervisor

Job Title: Coding Supervisor

Location: Remote

Type: Temp to Hire – 17 weeks

Salary Range: TBD

 

Position Summary:

 

Responsible for developing, implementing, and maintaining a system-wide quality

management plan and facilitating improvement in overall quality, completeness,

appropriateness and accuracy of documentation and coding for professional services.

Will work cooperatively with the Sr. Director of Revenue Cycle and will review coding

and documentation by San Ysidro Health and San Diego PACE providers and provide

education in all areas of the organization.

 

Essential Functions of the Job:

 

1. Provide system-wide direction for professional documentation and coding related activities, audits, education, and monitoring.

2. Initiate workflow improvements and standardization to increase efficiency and accuracy of documentation and coding for all services and providers.

3. Establish, implement, and maintain a formalized review process for coding and documentation compliance, including a formal audit process and quality control

system.

4. Effectively communicates with providers, must be able to speak to the level of how-to E&M level based on documentation with both providers and billers.

5. Lead a team of coding specialists monitoring efficiency and accuracy in coding, maintaining an optimal day to bill time.

6. Provides timely feedback to providers/billers and take corrective action to ensure education is effective.

7. In collaboration with the Billing Manager periodically reviews reimbursement trends by CPT/ICD-10 code to evaluate opportunities and identify payment issues, making recommendations for changes as necessary.

8. Proficient with ICD-10 and CPT coding as well as E&M and all professional coding guidelines for large multi-specialty provider groups

 

Additional Duties and Responsibilities:

 

1. Stays current with Official Coding and Reporting Guidelines, CMS and other agency directives for |CD-10-CM/PCS and CPT coding. Completes online education courses and attends mandatory coding workshops and/or seminars.

2. Provide direction, management, and supervision to ensure efficient operation of assigned departments.

3. Effectively communicate and build rapport with leadership, administration and colleagues within revenue cycle and other departments throughout organization.

4. Holds weekly staff meetings and conduct monthly 1:1 with direct reports.

5. Will assists by aiding the coders in maintaining the WQ’s in Epic to ensure encounters are reviewed and released.

 

Job Requirements:

 

Education Required (Minimum level of education):

 

Bachelor’s Degree in Health Information Management, Health Care Administration,

Business Administration or equivalent combination of education and training.

 

Certifications/Licenses Required:

 

CA Driver’s license with appropriate insurance coverage

 

Active and current Certified Procedural Coder accreditation by an accredited

organization or college, such as the AAPC, that meet the state licensure requirements,

you will be required to maintain coding accreditation.

 

Experience Required (Minimum level of experience):

 

4 years of healthcare experience required; at least 2 years of supervisory experience

with progressive responsibility preferred.

 

3-5 years of hands-on professional coding experience in large multi-specialty group

1+ years of experience as a trainer / educator to physicians and coders.

 

Verbal and Written Skills Required to perform the Job:

 

Good written and verbal communication.

 

Effective communication and presentation skills, preferably comfortable speaking with

people at an executive level or physician level

 

Working Traits: Superb organizational ability and exceptionally analytical.

Technical Knowledge and Skills Required to Perform the Job:

 

Experience with EMR system such as Epic preferred but not required. Knowledge of

Microsoft Office software.

 

Equipment Used: Personal Computer

 

Working Conditions and Physical Requirements:

Long Irregular hours. May work weekends. Prolonged periods of sitting, and constant

walking and standing. Driving and occasional travel required.

 

 

Universal Requirements

 

 

 

Pre employment requirements include I-9, physical, positive background and reference

check results, complete application, new hire orientation, pre-employment PPDs.

 

HIPAA/Compliance

 

1. Maintain privacy of all patients, employee and volunteer information and access such

information only on a need-to-know basis for business purposes.

 

2. Comply with all regulations regarding corporate integrity and security obligations.

Report unethical, fraudulent, or unlawful behavior or activity.

 

OSHA Compliance

1. Comply with all regulations and required schedules regarding OSHA training.

 

PPD Compliance

1. Required health screening to be performed annually.

 

Policies and Procedures Compliance

1. Responsible for following all San Ysidro Health policies and procedures.

 

Meal Period Compliance (Non-exempt employees only.)

1. Punch out before 5 hours from the start of shift for meal periods.

 

Sexual Harassment Training

1. Comply with all regulations and required schedules regarding sexual harassment

training.

 

Customer Service Training