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Coding Supervisor

4 months ago

San Diego, United States San Ysidro Health Full time

**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**:

- 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 take 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 assists 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

**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’s 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 trainings.

**Universal Requirements**: