POSITION SUMMARY
Reporting to the Coding Manager, responsible for supervising coding, data abstraction and associated coding activities. Ensures accurate and timely coding of records according to Official Coding Guidelines, and policies and procedures. Manages workflow related to coding and abstracting, provides direction for coding activities and productivity standards required to reach unbilled targets at all facilities in the region. Perform duties as necessary to support the coding quality improvement process.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The list below are representative of the knowledge, skill and/or ability. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Responsible for the day-to-day management of the coding staff to include staffing and work assignments. Monitors time off and attendance reports. Identifies opportunities for bill hold reductions and reduce turnaround time on outstanding accounts. Identifies opportunities for efficiencies, reviews processes, and implements as approved. Ensures DNFC targets are met by mitigating downtime, decreasing holds, and ensuring timely coding TAT.
- Manages productivity and quality reports to ensure coding quality standard is met and includes performance improvement plans when applicable. Identifies training needs for staff; designs, develops, schedules, and implements training activities as needs are identified
- Works with the coding manager to identify and address any missed opportunities regarding revenue, reconciliation of discharge disposition status and record integrity.
- Implements policies and procedures to assure clear and consistent operation of coding areas while meeting departmental and organizational needs. Participates with the implementation organizational goals, policies, procedures and budget. Maintains all assurance and improvement activities for supervised functions.
- Participates in all supervisory functions, including interviewing, hiring, training, evaluating, and disciplining for all direct reports. Maintains and updates job descriptions, job standards and procedures for supervised areas. Completes new hire and annual performance assessments timely.
- Promotes positive co-worker relationships through teamwork and collaboration. Understands and supports the needs of individuals in other departments and promotes conflict resolution. Shares information, work knowledge and experience with coding staff and applicable team members. Offers assistance and promptly responds to requests
- Demonstrates competency in the use of 3M software, including multiple groupers as well as all computer applications in area of responsibility.
- Remains abreast of all developments in the Medical Record field, especially as they apply to coding, reimbursement, and clinical database developments/changes.
- Assists in coordination of internal/corporate audits and follow-up on findings
- Assists in coordination of state reporting submission and file validation.
- Attends all corporate education sessions
Required:
- Thorough knowledge of ICD- 10-CM, ICD-10-PCS, and/or CPT/HCPCS coding principles associated with Official Coding Guidelines and regulatory requiements. Working knowledge of disease processes, anatomy and physiology, pharmacology, and knowledge of DRG classification and reimbursement structure.
- The analytical abilities necessary to prepare various reports and records. The interpersonal skills necessary to interact with all levels of department personnel,
Preferred:
- Experience managing large teams and driving process improvement activities at the corporate level in a complex healthcare organization
EDUCATION/EXPERIENCE
Required:
- Bachelor's Degree in any allied health field
- CPC, COC, or CCS Certification
- 5+ Years Coding Experience
- 6+ months of Leadership Experience
Preferred:
- Bachelor's Degree in HIM
- RHIT Certification
- 2+ Years of Leadership Experience
REQUIRED CERTIFICATIONS/LICENSURE
- CPC, COC, CCS and/or RHIT for OP Supervisor
- CCS, CIC, and/or RHIT for IP Supervisor