Coding Operations Supervisor (ED/Ancillary) - Remote

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Job Description

Remote work for this position may be approved based on policy and business considerations.

Job SummaryReports to the Manager of applicable Coding Service Line. Supervises and coordinate all functions and processes related to applicable service line coding, charging, abstracting, DRG or APC assignment and external/internal coding/charging audits. Manage day to day activities of the coding and charging staff to meet DNFB departmental targets. Provide leadership for the coding compliance program, and revenue cycle projects. Is a technical expert in the field of ICD-10-CM and CPT-4 coding, providing assistance to the coders and other department. Maintains regular formal and informal contact with variety of Medical Center personnel to facilitate exchange of patient, regulatory, and record-related information. Works with Coding Compliance to ensure monthly and quarterly education of all coding staff based on audit findings; develop action plans and performance improvement goals for staff. Participate, educate and facilitate onboarding program for new coding members.Essential Functions

Supervises the activities of employees who are engaged in coding, abstracting, and Ambulatory Payment Classification (APC) assignment for all patient records. Provides direction and support to employees to ensure effectiveness and efficiency, especially in the coding of difficult or unclear patient records. Reviews the work of Coding Quality Analyst(s)/Lead(s) and coders to ensure competency and quality in all job duties. Consults with coding manager, physicians and other health care providers to determine accurate diagnoses and procedures performed, thereby ensuring the accuracy of work.

Implements work standards and procedures to ensure appropriate reimbursement to the hospital within limits prescribed under federal law, regulations, and other legal restrictions.

Assists with service line related denials and appeals.

Acts as a resource to Coders for operational issues. Measures coders performance to ensure that required quality / productivity levels are being met. Initiates corrective action as necessary.

Plans, organizes, and delegates work. Assists manager with performance appraisals. Recommends and initiates personnel actions such as recruiting, interviewing, hiring, firing, and corrective action.

Responsible for API management including PTO approval and denial, and coders’ schedules, etc.

Assists with interviews, hires, orients, trains and evaluates the performance Coding. When necessary, disciplines and discharges subordinate personnel. Prepares documentation for new and/or replacement positions.

Qualifications

Associate's Degree or equivalent Health Information Management or related field -Required

Bachelor's Degree or equivalent Health Information Management or related field -Preferred

3 years of relevant experience Applicable service line coding experience Required

Experience in operational management, project management and process analysis Preferred

Supervisory or Management experience Preferred

Facility Coding experience - Strongly Preferred

One of the following certifications required:

CRT-Registered Health Information Administrator (RHIA) AHIMA American Health Information - Required

CRT - Registered Health Information Technician (RHIT) AHIMA American Health Information - Required

CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association- Required

CRT- Coding Specialist, Certified- Physician Based (CCS-P) -AHIMA American Health Information - Required

CRT- Professional Coder - AAPC - American Academy of Professional Coders - Required

CRT- Professional Coder (CPC-H)- Hospital Outpatient - Required

CRT- Inpatient Coding Auditor, Certified (CICA)HFMA - Healthcare Financial Management Association - Preferred within 180 days

CRT- Revenue Cycle Representative, Certified (CRCR)-CRT - HFMA -Healthcare Financial Management Association - Preferred within 180 days

CRT- Healthcare Financial Professional Certified (CHFP) HFMA -Healthcare Financial Management Association - Preferred within 180 days

CRT- Fellow of the Healthcare Financial Management Association (FHFMA) HFMA -Healthcare Financial Management Association - Preferred within 180 days

#LI-SH

Primary Location

SITE - Business Service Center - 4420 44th St - Grand Rapids

Department Name

Administration - Coding

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 5 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A