Coding Data Quality Supervisor (10K Sign-On Bonus)

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Day (United States of America)

Overview (10K Sign-On Bonus)

The Data Quality Supervisor oversees the day-to-day coding audit/analyst work queues, work assignments, personnel, and serves as a subject matter expert regarding but not limited to DRGs, APCS, ICD-10CM/PCS diagnoses and procedure codes for internal and external team members. In addition, the supervisor codes/audits accounts on a weekly basis. Provides trending feedback, applicable trending reports, and delivers education within department within areas of expertise.

The Data Quality Supervisor will use their knowledge and their teams to identify potential documentation, coding and reimbursement issues and report these to the Data Quality Manager and implement process improvements. The Data Quality Supervisor will gather this data in a presentable format to communicate to leadership, the coding/auditing staff as well as other leaders at Wellstar, as directed. The Data Quality Supervisors will make quality improvement recommendations by identifying trends pulled from their insights as well as their team's insights and participate in implementing process improvements. The Data Quality Supervisor will provide/deliver executive style written and verbal reports to include analysis of metrics within owning area to leadership.

Responsibilities
Core Responsibilities and Essential Functions

• Team Supervision
  * Monitor Auditing/Analyst work queues and auditing software to ensure compliance to Coding CFB, team goals and turnaround times are met. Assess/manages/assigns daily work/volumes. Directs and adjusts staff to volumes, PTO, vacancies, request for overtime, etc. to ensure team and CFB goals are met, seeking budgetary and managerial approval when needed.
  * Direct daily operational needs throughout the day for Auditing/Analyst Team. Troubleshoot issues within the team as well as internal/external customers.
  * Perform staff evaluations, coaching, and constructive feedback as needed. Deliver praise, positive feedback/reinforcement when applicable.
  * Lead productive and timely team and 1-1 meetings with staff. Deliver quality/productivity metrics on team meetings and with individual staff. Ensure all staff meet required metrics and address both positive and negative results. Assist with recognition and process improvement plans.
  * Manage staff time/hours/approvals within Kronos.
  * Conduct thorough and prepared interviews and hire competent team members.
  * Implement process improvements within scope of work as well as motivational and team building activities. Connect with staff positively and leverage individual’s strengths in an effort to use resources in the most effective manner.
  * Conduct sporadic or specified coding audits to ensure quality team is meeting quality metrics
  * Monitors daily staff productivity.
  * Enforce accountability to WellStar Polices and Owning Area Policies and Procedures.
• Serves as a Subject Matter Expert for, but not limited to
  * PSIs, Vizient methodology, IMO Code requests, 2nd opinion requests from team, other requests from internal/external customers, etc.
  * Investigating and responding to coding questions related to areas of expertise (i.e. inpatient, outpatient, and/or ED coding).
  * Manage updates for the ‘Internal Departmental Coding Guidelines’. Communicate to internal/external customers upon approval from Manager.
  * Review coding updates/trends from various sources and then communicates to Manager/Executive Director.
  * Participate in identifying trends and issues for improvements from review of records, team feedback/meetings, and/or reports.
  * Test software for owning area’s workflows, updates, new initiatives, etc.
• Maintains Reporting Profiles/Dashboard Metrics
  * Maintains Coder Profile monthly.
  * Monitors Auditing software for corrections at least weekly.
  * Monitors Auditing software and/or reports for validity of Productivity Worksheets at least weekly. Maintains/Updates Productivity and Quality Auditing Spreadsheets and provides deliverable reports from metrics monthly.
  * Creates and maintains updated instructions and tip sheets for all processes/software within scope of work for Auditors and Denial Analysts.
  * Provides/maintains other reports to include but not limited to: Prebill and Mortality Auditing Resu