Coding Supervisor
1 month ago
Job Title: Coding Supervisor
Location: San Ysidro, CA
Hybrid: Remote, and requires attendance of provider meetings 1 week out of the month for 3-4 days of that week.
Schedule: Monday – Friday, 8am – 5pm. Or the option to complete 8 hours of work anytime between the hours of 6am – 6pm.
Duration: Temporary to Permanent (based on performance and business need).
Pay: $35 – $40.00 per hour
Position Summary:
The Coding Supervisor will be 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 providers and provide education in all areas of the organization.
Responsibilities:
Essential Functions of the Job:
• Provide system-wide direction for professional documentation and coding related activities, audits, education, and monitoring.
• Initiate workflow improvements and standardization to increase efficiency and accuracy of documentation and coding for all services and providers.
• Establish, implement, and maintain a formalized review process for coding and documentation compliance, including a formal audit process and quality control system.
• 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.
• Lead a team of coding specialists monitoring efficiency and accuracy in coding, maintaining an optimal day to bill time.
• Provides timely feedback to providers/billers and takes corrective action to ensure education is effective.
• 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.
• 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:
• Stays current with Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM/PCS and CPT coding. Completes online education courses and attends mandatory coding workshops and/or seminars.
• Provide direction, management, and supervision to ensure efficient operation of assigned departments.
• Effectively communicate and build rapport with leadership, administration and colleagues within revenue cycle and other departments throughout organization.
• Holds weekly staff meetings and conduct monthly 1:1 with direct reports.
• Will assist by aiding the coders in maintaining the WQ's in Epic to ensure encounters are reviewed and released.
• Performs other related duties as assigned or requested Job Requirements
Qualifications:
CPC certification, training experience, experience w/ coding multi-specialty.
Ability to manage a team remotely.
EPIC experience is a huge plus but not required.
Spanish ability is preferred but not required.
Experience Required:
• 4 years of healthcare experience required; at least 2 years of supervisory experience with progressive responsibility preferred.
• 3 years of hands-on professional coding experience in large multi-specialty group
• 1+ years of experience as a trainer/educator for physicians and coders
Education Required:
• Bachelor's Degree in Health Information Management, Health Care Administration, or Business Administration
• Lower education levels may be considered with additional experience
• Associate degree with 2 years of additional experience
• High School Diploma/GED with 3 years of additional experience Certifications Required:
• Active and current Certified Procedural Coder (CPC) accreditation by an accredited organization or college, such as the AAPC, that meet the state licensure requirements; Incumbent is required to maintain an "Active" license status as a term of employment.
• CA Driver's license with appropriate insurance coverage Verbal and Written Skills Required to Perform the Job: • Excellent verbal and written communication skills
• Comfortable speaking with people at an executive level or physician level
• Ability to communicate effectively both verbally and in writing in English 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.
• A thorough understanding of CPT, HCPCs and ICD-10 coding.
• Math ability to calculate and accurately analyze various accounts.
Equipment Used:
• General office equipment to include PC and Software (Excel, Word, Office), phone, fax, etc. Working Conditions and Physical Requirements:
• This position is intended to be primarily remote, with a minimum monthly expectation for on-site presence (Provider Education Meetings, etc.)
• General Office Environment; Prolonged periods of sitting, and constant walking and standing.
• May be required to work evenings and/or weekends.
• Some travel required for meetings and training.
Universal Requirements:
Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs.
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