Coding Reimbursement Appeals Supervisor

Found in: Lensa US P 2 C2 - 2 weeks ago

Glens Falls, United States Glens Falls Hospital Full time

Under the direction of the HIM Director, is responsible for compliant, complete and optimal facility coding, and in collaboration with Coding leadership teams ensures DNFC/DNFB dollars are maintained at Finance defined bill hold days. Position ensures Glens Falls Hospital submits codes that reflect the acuity of our patient and DRG’s that include all MCC’s and CC’s for reimbursement. In collaboration with Hospital External Review Team (HERT) members, coordinates reviews and responds to internal and external audits of all coding types but with emphasis on Inpatient Coding. Collaborates with Professional Coders, Clinical Document Improvement Specialists, “Scrubber” Edit Specialists and Providers to educate and offer expertise in the area of documentation, coding and DRG methodologies. Performs ongoing monitoring for coding quality and consistency and is responsible for knowledge, training, and coordination of all applications used by Facility Coding Professionals. Demonstrates subject matter expertise in all coding and regulatory requirements for compliant coding practices. Provides input on staffing needs, recruitment, ongoing performance assessment and the annual performance appraisal. Education & Experience Bachelor’s Degree Preferred in Health Information Management and/or other Allied Health Profession, plus 3-5 year of lead/supervisory experience Associates Degree with-5-7 years of Inpatient Coding and appeal writing experience, highly developed lead/coordination experience and will also take into consideration other additional leadership experiences as well A minimum of 5 years of Inpatient Coding experience with an expectation of competency in Observation, Ambulatory Surgery and Emergency coding Licenses, Certifications, Registrations CCS, RHIT, RHIA, Certified Coding Specialist is Required CDIP is a plus *Salary Range* The expected base rate for this Glens Falls, New York, United States-based position is $32.61 to $48.92 per hour. Exact rate is determined on a case-by-case basis commensurate with experience level, as well as education and certifications pertaining to each position which may be above the listed job requirements. *Benefits* Glens Falls Hospital is committed to providing our people with valuable and competitive benefits offerings, as it is a core part of providing a strong overall employee experience. A summary of these offerings, which are available to active, full-time and part-time employees who work at least 30 hours per week, can be foundhere. **Job:** **Allied Health - Health Information Management* **Title:** *Coding Reimbursement Appeals Supervisor - Health Information Management (HIM) * **Location:** *NY-Glens Falls* **Requisition ID:** *2203X*

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