HIM Coding Supervisor - FT - Day - HIM Facility Coding Remote

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

$71,344.00 - $93,246.40

Scheduled Weekly Hours:

40

Position Overview

SUMMARY (Basic Purpose of the Job)

Supervises day to day operations of the Coding Department including personnel issues, process flows, and coding deadlines in order to ensure proper financial reimbursement. Provides expertise in development and maintenance of rules, policies and procedurs to ensure organizational compliance with industry standard coding rules and guidelines. Interprets and applies National Uniform Billing Compliance rules, guidelines, laws and industry trends to support claims payment, provider reimbursement and system configuration to proactively address cost efficiencies and compliance requirements. Reommends clinical classification and reimbursement guidelines and standards. Performs health data analytics related to reimbursement business and policy decisions.

MINIMUM REQUIREMENTS

Education:High school diploma or GED. Associate's degree preferred. CCS, CIC, COC, or CPC-H certification required.

Experience:Three years coding experience in a health care setting. One year of lead or supervisory experience preferred.

Other Credentials:

Knowledge and Skills: Prior experience with encoder computer system. Possesses excellent organizational, interpersonal, verbal and written communcation skills. Ability to effectively manage multiple projects simultaneously and ability to respond quickly in a fast paced environment.

Special Training:Instructed DRG assignment and the application of the requirements needed to comply with federal and local regulations.

Mental, Behavioral and Emotional Abilities:

Usual Work Day:8 Hours  

Reporting Relationships

Does this position formally supervise employees? Yes

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS

• Ensures responsibility for the schedule, payroll, and maintaining of appropriate staffiing levels while adhering to the budget.
• Performs all probationary and annual staff evaluations on or before the due date as measured by report for the inpatient and outpatient coding staff.
• Interviews, hires, trains, rewards, and disciplines employees in an effort to provide a productive work environment.
• Plans, assigns, and directs inpatient and outpatient workflow to ensure lowest possible volume of inpatient and outpatient accounts on the DNFB.
• Verifies accurate assignment of diagnoses and procedures within the medical record to comply with federal and state regulations.
• Monitors regulatory updates and their implementation and assesses their finanical impact on CH.
• Conducts regular audits and reviews of medical records at a senior leval and assists with external and internal reviews for coding accuracy of inpatient and outpatient accounts.
• Reviews inpatient and outpatient claim denials and rejections pertaining to coding and medical necessity issues and exercises discretion and judgment when recommending corrective action plans such as educational programs to prevent similar denials and rejections from occurring inthe future.
• Assists in the implementation of policy and procedural changes within the department regarding coding and quality issues required by third party payers and according to recommendations by coding consultants and agencies.
• Develops and coordinates educational and training programs on coding and documentation for department staff, physicians, billing staff, and ancillary departments.
• Provides management with various statistical reports, data, and audits information on health