Physician Based Medical Coding Supervisor

About IKS Health

Job Summary

The Coding Supervisor reports to the Coding Manager and is responsible for the day-to-day supervision and quality control with Coding and Abstracting. This is a first-line supervisor position directly supervising coding staff. The supervisor will oversee Coding staff to complete accurate and timely billing of charges, management of denials and claim edits. Work situations are a variety of routine and non-routine duties requiring analysis, decision making, organization, prioritization, delegation, good judgement and leadership and provide coverage for the Coding Manager as needed. Internal contacts include staff and management throughout IKS Health. External contact is required with clients. All operational issues shall be addressed in a timely manner and follow the proper escalation channels. Travel may be required although rare and intermittent.

Essential Job Responsibilities:

Assists Coding Manager in the development, implementation, and monitoring of policies and procedures for the coding department, and assists in providing coverage as needed

Maintains and enforces quality control and timeliness.

Monitors and evaluates coding quality and prepares report of findings.

Assists in the development of optimum standardization of work procedures and train personnel.

Manages Charge Review work queues to ensure proper coverage at all times.

Manages the Claim Edit/Denial work queues for complete and accurate claims processing.

Coordinates encoder regular updates and any issues that prevent coding.

Oversees the coding and abstracting activities, assuring timeliness and quality standards are met.

Works closely with IKS Health Auditing team to provide feedback to the coding team

Determines accurate diagnosis/codes where discrepancies exist.

Keeps abreast of ICD-10 and CPT changes in coding practices and communicates information to staff.

Monitor and enforce IKS Health's compliance and quality program. Ensure adherence to State and National Practice Standards for coding.

Manage the client relationship by responding immediately or no later than 12 hours. In the event an issue arises, call client leadership and offer solutions.

Provide collaboration in a friendly manner with a continuous improvement attitude.

Organizes, completes, and submits required reports to include financial indicators, coder productivity, and coding audits

Adheres to IKS Health Policies and Procedures, and maintains reliable attendance

Monitor and oversee all coding charge review, claim edit, and denial WQs

Assists in the investigation and resolution of any billing denials due to coding in a timely and effective manner

Timely follow-up and turnaround of projects, implementations, and other time-sensitive tasks. Organize time effectively to research and devise new project proposals

Contributes to the success of the organization by meeting organizational competency expectations, continuously learning, and by performing other duties as needed or assigned

Coding Team/Employee Management –

Supervises staff, providing direction and guidance and administering management functions within the provisions of IKS Health policies and standards and federal, state and local regulations.

Monitor employee performance against established performance metrics. Provide weekly feedback and mentoring to each coder regarding their productivity.

Monitor employee metrics through daily Time Tracker review. Ensure validity of productivity information and billing data.

Monitor employee coding accuracy rates on a weekly basis. Work directly with audit team to ensure educational needs of coder are met. Provide coaching, as needed.

Ensure seamless service to the client by managing employee time off. Work with other managers, as needed, to ensure coverage for the client during vacation, sick, PTO and other employee time off.

Hold a monthly call with all employees to obtain feedback on barriers and issues that they feel impact them, review client issues, as well as provide the group positive and constructive insight.

Initiate a Corrective Action Plan with employees unable to meet quality/production levels. Ensure the impacted employee understand the steps of the improvement plan. Must follow plan and document appropriately.

Maintain Coding Knowledge and Serve as Coding Expert

Attend internal and external meetings, as needed and requested, to provide input and act as a coding information resource/expert.

Ensure IKS Health's compliance with all regulatory agencies. Ensure IKS Health is always HIPAA compliant.

Maintain all CEUs required for the position and attend educational seminars as needed.

IKS Health Excellence

Demonstrate a commitment to excellence in serving the client.

Abides by the Standards of Ethical Coding as set forth by AHIMA

Demonstrate the IKS Health Core Values of: Agility, Learning, Discovery, and Community.

Education

Associates' degree required, Bachelor's degree preferred. In select cases, a combination of experience and degree in progress may be considered.

Medical Records Technology degree is preferred

Must have experience with detail-oriented tasks, such as medical data collection and retrieval

Previous supervisory experience or demonstrated leadership ability

Experience

Knowledge of JCAHO requirements and state and federal regulations

Knowledge of medical terminology

Knowledge of anatomy and physiology

Knowledge of functions of department and established confidentiality policy

Knowledge / Skills

Skill in ICD-10, CPT and HCPCS Coding

Skill in organization and planning

Skill in time management

Ability to communicate effectively

Ability to lead high-performing team

Ability to develop and maintain critical relationships throughout the organization

Ability to interact with hospital and medical staff at all levels

Licenses / Certifications

CPC, COC, RHIT, RHIA, or combination of credentials - Note: CPC-A will NOT be considered.

Working Conditions:

HIPAA Compliant Home-Based Workspace. Remote working environment with extended periods of computer-based work. Travel as required.

Long-term computer screen usage, keyboarding. Long periods of sitting commensurate with computer-based work and work-related phone calls. Normal travel requirements

Compensation and Benefits: The pay range for this position is $33hr-$37hr. Pay is based on several factors, including but not limited to current market conditions, location, education, work experience, certifications, etc. IKS Health offers a competitive benefits package including healthcare, 401 (k), and paid time off (all benefits are subject to eligibility requirements for full-time employees). IKS Health is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

Job Type: Full-time

Pay: $ $37.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Work Location: Remote