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ED Coding Supervisor
1 month ago
Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis. FLSA Status Exempt Job Role Summary The Emergency Department Coding Supervisor supervises the Emergency Coding team, working alongside the coding leadership team. The Supervisor works with leadership on improved workflows, policies and procedures, team goals, efficiency, and financial health. The Emergency Coding Supervisor has a clear understanding of coding and charging guidelines and rules related to Emergency Department Coding. Essential Functions and Responsibilities Supervise and oversee the daily operations of the ED coding team. Complete performance reviews annually for staff that reflect monthly one-on-ones with team members to provide them with ongoing education, performance feedback including individual and team metrics related to quality and productivity, and mentoring their development and achievement of individual goals. Prepare for and conduct employee face-to-face reviews in partnership with leadership. Complete HR/Payroll functions for employees ensuring staff receive appropriate and timely feedback regarding their time and attendance records. Fulfill operational leadership needs by identifying process improvement opportunities, developing and deploying plans to achieve improvement, and preparing presentations of improvement projects and measured outcomes. Participate in and make recommendations during the interview/hiring process of new employees. Oversee an efficient workflow and suggest improved methods. Manage the internal and external coding audit processes to ensure adequate and appropriate results. Collaborate with HIM IS, RIT, compliance, to validate and improve procedures and systems used for the preparation and submission of claims for ED coding. Coding and Abstracting: Identify and assign the appropriate diagnosis, procedure, and evaluation and management (E&M) codes in accordance with coding guidelines and HIM and ED standards; focus is to provide support and day-to-day oversight of coding process. Problem Solving: Utilize available resources appropriately to maintain quality and consistency in coding, abstraction, and charge entry processes. Follow a defined process to query the medical staff for completion and/or clarification of documentation necessary to ensure coding compliance and accuracy. Software Applications: Utilize applicable software to retrieve documentation, abstract data/codes, and retrieve work lists. Keep informed about upcoming upgrades and participate in planning, testing, and implementing software upgrades. The identified systems include EPIC, VIC, 3M 360 CAC, NThrive, and legacy systems. Notify HIM leadership if inappropriate or unethical coding practices are identified or if there is uncertainty with legibility of the record, questionable, or unclear documentation. Maintain communication with ED leadership regarding documentation, charge capture, CPT, and regulatory updates. Performance Improvement: Provide feedback with changes in regulatory and reimbursement documentation requirements as well as identify opportunities for documentation improvement and education; assist HIM leadership with monitoring productivity standards and quality. Job Requirements Associate or bachelor’s degree in healthcare business administration, Health Information Administration OR Registered Nurse with ED or Critical Care experience preferred with a coding credential from AHIMA or AAPC. Will consider non-RN coder with appropriate experience and credentials (R.H.I.A., R.H.I.T., CCS, CCS-P, COC, or CPC). If not credentialed, one of the above credentials will be attained within 18 months of hire or at the discretion of HIM Coding director. Minimum of two years coding experience utilizing ICD-10 CM, CPT-4, and HCPCS code classification systems is required. Minimum of two years of leadership experience required. Coding training experience can count for one year of leadership experience. Knowledge, Skills & Abilities Possess basic computer skills and the ability to learn new skills and software applications quickly. Able to maintain a high level of concentration, self-motivation, attention to detail, and persistent follow-up. Understanding of ICD-10 CM, CPT and CMS transmittals and changes with coding, regulatory and reimbursement requirements. Knowledge of Local Coverage Determinations (LCDs), Correct Coding Initiative (CCI) edits, and the healthcare billing process. Knowledge of medical terminology, anatomy and physiology, diagnostic and therapeutic tests, surgical procedures, and medical record documentation standards and retrieval. Knowledge of E&M guidelines and assignment for emergency department facility coding. Ability to apply medical necessity coverage determinations as applicable and seek coverage in the medical record documentation. Knowledge of guidelines for observation status – hourly charges; active monitoring and carving out observation hour charges; and admission and discharge requirements. Responsible for maintaining credentials by accumulating necessary continuing education (CE) credit hours. Solves routine job-related issues, and exercises sound judgment when requesting assistance from management. Sets and adjusts priorities with multiple ongoing activities. Accredited by The Joint Commission and named as one of Indiana’s best employers by Forbes magazine for two consecutive years, and the top hospital in the state for community benefit by the Lown Institute, Eskenazi Health’s programs have received national recognition while also offering new health care opportunities to the local community. #J-18808-Ljbffr
