HIM- Coding Supervisor (Hybrid) (High Pay)
New York City, NY 10259 US
Hybrid and high pay
Connected Health Care has been engaged by a community- based hospital near White Plains, NY to find a Coding Supervisor on the HIM department.
Reports to: Director, Health Information Management
A. Job Summary: Manages day to day Health Information Management coding operations.
· Manage and coordinate the activities of the coding personnel both onsite and remote, including selection, training and evaluation.
· Manage and coordinate the daily activities of the coding agency.
· Develop and evaluate new and existing coding policies and procedures to ensure that policies are consistent and accurate following coding guidelines.
· Monitor coding workflow, quality and required productivity standards.
· Maintain accounts not selected for billing report daily, maintain issues log and report issues to the Revenue Cycle Meeting on a weekly basis.
· Manages testing, workflow enhancements and training for all coding systems.
· Assist the Director in developing, monitoring and updating all coding initiatives.
B. Essential Job Qualifications
1. Education: Associate’s Degree, Bachelor’s preferred
2. Experience: Five to Seven years coding experience and a minimum of three years direct supervisory experience preferred in the Health Information Management field with strong communication and management skills.
3. Training/Certification: CCS Required
4. Other: Knowledgeable of ICD-10 CM and PCS, CPT-4 and APC/DRG. Must work well under pressure, ability to manage staff and multiple projects, demonstrate problem solving skills and logical thinking. Strong PC skills and experience with computer systems. Must have a strong knowledge of HIS workflow processes and data collection. Participate in professional organizations.
C. Job Specific Contacts
1. General Contacts: Daily contact with Hospital Administration, Department heads, PFS, CDI and DRG staff, physicians, HIS EHR Data Manager and HIS Management.
C. JOB SPECIFIC COMPETENCIES:
Demonstrates the technical/professional knowledge, skills and abilities necessary for the successful coding operations of the department activities/plans.
1. Manage and provide continuing education to all coders both onsite and remote, evaluate coding job descriptions and competencies at least annually, including coding reviews and conducts performance appraisals for HIS coding staff in accordance with hospital and regulatory standards.
2. Responsible for overseeing the unbilled for the timely coding of records. Reports weekly at the Revenue Cycle meeting accounts that are awaiting documentation and/or other account issues.
3. Develops and implements coder performance improvement activities. Designs and takes corrective action when indicated by quality and productivity monitoring. Conducts quality audits of coding staff including review of coding accuracy for both internal and external coders. Manage multidisciplinary coding meetings including CDI and DRG.
4. Monitor, track and report DRG changes made by DRG Validation and educate coders based on the changes. Review and address coding and DRG changes and attend weekly Denials Meetings.
5. Validating the ICD-9-CM codes and DRG assignment appropriateness to ensure consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitating data quality in hospital inpatient services.
6. Apply the appropriate diagnostic and procedural codes to individual patient health information as conveyed by clinical members of the medical, nursing and ancillary staff.
7. Maintain an expert working knowledge on regulatory agency and 3rd party payer rules and regulations as it relates to documentation and coding processes,
8. Conduct regular coding audits and provide findings.
9. Give presentations on medical coding issues to physicians and internal departments.
11. Must have strong medical terminology and anatomy knowledge.
12. Must have exceptional computer skills, strong verbal skills and critical thinking to troubleshoot issues arising with software.
13. Monitor and maintenance of all coding related software, including Epic, 3M and Smart. Monitor and maintenance of coding related workqueues, including providing access to users. Testing of coding related software.
14. Keeping up to date with coding changes, coding edits Coding Clinics, and industry related topics.
15. Strong Knowledge in Inpatient/Outpatient Coding Guidelines and Rules, as well as strong knowledge of DRG Methodologies.
16. Ability to create reports and manipulate data to provide meaningful use.
17. Attend Value Based Program Meetings and coding related meetings.
18. Work with SPARCS edit reports for timely submission.
19. Work with CDI, DRG and physicians to maintain the physician query process. Other duties as required.
For more information regarding the role, please contact:
Matthew Oropeza – Recruiter
(512) - 767- 6477