Scheduled Hours

40

Position Summary

Position has direct responsibility for Radiation Oncology departmental coding; provides direct supervision to coders; approves time, coordinates vacation/leave requests; provides coaching and audits performance; assists divisions in the process of charge capture, compliance, and adherence to billing practices and policies under the direction of the Manager, Coding and Compliance, and the Director of Revenue Cycle and Financial Analysis.

Job Description

Primary Duties & Responsibilities:

• Oversees the day-to-day activities of the coding staff, including adherence to policies and procedures and setting work schedule.
• Monitors coder performance and conducts performance reviews for coders in the area of responsibility.
• Identifies missing charges and processes for billing.
• Reviews documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient’s conditions and treatment.
• Meets with physicians to review documentation, resolve coding and secure signatures on all dates of service for attending and consultation services.
• Assists with efforts to increase physician and administrative awareness of documentation requirements.
• Processes appeals requests.
• Assists Manager, Coding and Compliance in indentifying trends/issues in coding, documentation and reimbursement.
• Participates in activities related to compliance audits and ensures coders are following guidelines for billed services.
• Participates in performance improvement initiatives focused on charge capture, collection and all aspects of the revenue cycle.
• Works closely with AR team and all those involved in the revenue cycle to ensure systems are effective and efficient.
• Works with departmental appeals staff to identify trends and develop solutions.
• Takes action to continuously improve service through all interactions.
• Responds consistently to the needs of internal and external customers; works to identify customer needs and expectations.
• Creates a positive work environment by treating all with dignity and respect.
• Provides clear feedback to staff, clinical providers and others.
• Maintains positive working relationship with staff, clinicians and all internal and external customers.

Working Conditions:

Job Location/Working Conditions

• Normal office environment.

Physical Effort

• Typically sitting at a desk or table.

Equipment

• Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

High school diploma or equivalent high school certification or combination of education and/or experience.

Certifications:

The list below may include all acceptable certifications and issuers. More than one credential or certification may be required depending on the role.

Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC)

Work Experience:

No specific work experience is required for this position.

Skills:

ICD-10 Procedure Coding System, Microsoft Excel, Microsoft PowerPoint, PC Applications

Driver's License:

A driver's license is not required for this position.

More About This Job

Required Qualifications:

• CPC required with knowledge of ICD-10 and CPT coding; knowledge of health care laws, CMS documentation and billing; working knowledge of PC applications, including experience with Excel and PowerPoint.

Preferred Qualifications

Education:

No additional education b