Medical Coding Supervisor

4 weeks ago

Bristol, United States BRISTOL HOSPITAL GROUP Full time
Job Details

Job Location
BHI Valley St - Bristol, CT

Position Type
Full Time

Education Level
2 Year Degree

Job Shift
1st Shift (Days)

Job Category
Finance

Description

At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice.

The Medical Coding Supervisor assures that a variety of high-level functions are completed across the Coding function to benefit Bristol Health. Plans, coordinates and completes coding quality reviews and training for all internal coders, as well as RAC, DRG and other validation reviews. Manges productivity and quality of the external coding vendor and serves as a point of escalation for the vendor. Serves as coding subject matter expert for variety of revenue cycle activities including but not limited to billing, denials/underpayment management, and charge master. This position spans coding activities for both the Hospital and Medical Group.

Accountabilities:
  • Oversee the Coding Data Specialist, training and onboarding of new medical coders
  • Responsible for talent management, annual performance reviews and corrective action of direct reports
  • Manage productivity, quality, and activities of external coding vendor across both Hospital and Medical group
  • Serve as escalation point for external coding vendor on requests needed to complete coding and feedback to upstream stakeholders to improve quality of documentation
  • Serve as organizational coding subject matter expert for revenue cycle activities including CDM/charge capture, billing, and denials/follow-up.
  • Participates in process improvement teams and committees as needed.
  • Plans and completes coding quality reviews and training for internal coding resources
  • Provides training
  • Support research of billing and coding guidelines for new service lines and ventures
  • Completes RAC reviews and appeals, DRG, APC, and coding-for-billing validation record reviews and paired DRG reviews.
  • Stay abreast of all changes in coding conventions and coding updates and communicate accordingly.
  • Educate revenue cycle, physicians, and other stakeholders in regards to coding issues.
  • Accepts other duties as assigned to promote the accomplishment of organizational goals.
  • The employee is accountable to demonstrate proficiency for the skills outlined in the appropriate position skills list.
  • The employee is accountable to maintain skill proficiency, including improvement where deemed necessary, and upgrading any additional or new skills on the appropriate position skills list.
Compliance
  • Recognizes and complies with legal regulatory, accrediting and procedural requirements related to area of responsibility.
  • Understands and follows principles and standards as outlined in Bristol Health's Corporate Code of Conduct.
  • Protects patient/employee privacy and only accesses patient/employee related information as needed to perform job duties.
  • Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.
Qualifications

Qualifications:
  • Health Information Management or Coding certification required: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist Physician), or CCA (Certified Coding Associate).
  • Five years hospital billing/coding experience.
  • Five years clinical/electronic medical record system experience.
  • Excellent working knowledge of CPT and HCPCS codes.
  • Thorough understanding of CMS and other payer documentation, compliance, reimbursement and coding requirements
  • Knowledge of JCAHO requirements and state and federal documentation regulations
  • Ability to educate and train all levels of BHHCG staff and affiliates (nurses, physicians, administrative personnel, etc.).
  • Professional approach to work including ability to exercise mature judgment and maintain confidentiality in all activities.
  • Effective interpersonal communication skills and communication skills to include oral and written comprehension and expression.
  • Possess the skill necessary to operate a computer keyboard and numeric keypad in an efficient manner.
  • Possess the ability to move between the facilities in an efficient and timely manner if needed.
  • Ability and willingness to exhibit behaviors consistent with standards for performance improvement and organizational values (e.g., efficiency & financial responsibility, safety, partnership & service, teamwork, compassion, integrity, and trust & respect).
  • Ability and willingness to exhibit behaviors consistent with principles for service excellence.
  • Ability to perform as a team leader and work well independently
  • Ability to work independently, take initiative, and willingly accept responsibility
  • Ability to set priorities and use good judgment


Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

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