Coding Administrator

POSITION DESCRIPTION: The Coding Administrator is responsible for assisting the Director of Revenue Cycle Management by providing leadership, mentorship and direct supervision to the Coding Team, ensuring accurate and efficient coding of medical records in accordance with all legal regulations and accepted standards and directives regarding governmental/regulatory agencies and/or third-party payers. The Supervisor works closely with the Billing Supervisor, Denials Supervisor and Posting Supervisor to compile and analyze revenue cycle activities and identify trends/develop strategies to share with Providers to improve documentation and process flow. The Supervisor assists the Director of Revenue Cycle Management in evaluating and implementing policies and procedures, with reporting, payroll, timekeeping, productivity, etc. and adheres to Corporate Compliance program by reporting improper or unethical conduct, violation of applicable laws, regulations, or program requirements. DETAILED DUTIES AND RESPONSIBILITIES: Accurate and efficient coding of FHC medical records in compliance with all legal regulations and accepted standards. Demonstrate a significant level of expertise in subject matter to assist staff and support the Director of Revenue Cycle Management. Maintains thorough knowledge of payer rules, regulations, policies and procedures as they impact the billing process. Maintains thorough knowledge of standard coding guidelines (including Medicare, Medicaid, Managed Care, HEDIS, and FQHC guidelines). Responsible for the day-to-day operations of the coding department. Supervises and trains coding staff: monitors performance through monthly audits to ensure work meets department standards and provides regular feedback. Maintains records of attendance, performance evaluations, time off requests, etc. Reviews claims data to ensure assigned codes meet required legal and insurance rules. Researches and resolves coding situations using a variety of billing and coding references. Coordinates projects and the delegation of work of assigned staff. Provides end of month and end of year reports for management. Works closely with the Coding Specialists to research, analyze, recommend, and facilitate a plan of action to correct discrepancies and prevent future coding errors. Works closely with the Coding Specialists to provide feedback to providers to improve documentation practices. Works closely with Billing Supervisor and Denials Supervisor to identify denial trends and make recommendations to the Director of Revenue Cycle Management to improve charge capture. Works closely with other Revenue Cycle Management Supervisors to provide financial and/or operational analyses and reports to the Director of Revenue Cycle Management and other management as necessary. Works closely with the Director of Revenue Cycle Management, sharing critical information and statistical data, and developing strategies that will enhance the department's performance. Requirements KNOWLEDGE: Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment. Maintains a thorough knowledge of payor rules, regulations, policies and procedures as they impact the billing process. Medical terminology, CPT, ICD-9, ICD-10 and HCPCS coding and modifier usage required. Understanding of FQHC billing procedures and Sliding Fee Schedules EHR systems expertise, preferably with Intergy or other ambulatory care facility-based system Ability to manage and develop staff to ensure efficient, compliant and professional operations Understand and adhere to all HIPAA guidelines MS Office Suite (Excel proficiency) TRAINING AND SKILLS: Medical Coding & Billing course completion required Associates Degree preferred 5 years progressive Medical Coding experience with 2 years supervisory experience preferred Certified Professional Coder (CPC) Certification required Minimum 2 years employment in Healthcare related field Attention to detail with strong documentation, analytic and problem-solving skills Ability to multi-task in a fast-paced environment Strong interpersonal written & verbal communication skills.