Jobs and Careers

APC Validation Supervisor

Work at Home - Pennsylvania - Other, United StatesRemotefull_timeVerifiedPosted 21 Jun 2024

About the role

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference

The Opportunity:

The Coding Supervisor is responsible for the day to day coding activities for the respective acute care or physician facilities within the company. This includes assisting the Manager and/or Director, and/or Coding Sr. Leader, with duties assigned to assure Accounts Receivable and Discharged Not Billed goals are met.Job Responsibilities:

The supervisor is responsible for the staffing, organizing and directing of coding activities within a given facility under the direction of the market Coding Manager. They will coach (SMART Responsibilities where applicable), develop, complete timely performance evaluations and discipline those staff members under their responsibility as needed.
Assists with the creation and delivery of educational presentations/material related to coding.
Monitors progress and achievement of coding goals and objectives and reports such information in a timely manner as requested by leadership.
Monitors workflow, productivity and quality of coding and abstracting functions per system guidelines. Performs routine audits of work performed by all staff members.
Maintains knowledge of all federal and state rules and associated coding guidelines.
Assists in the development of policies and procedures and monitors staff compliance with policy and procedures.
Acts as site resource person for coding related questions, to include assisting members of the medical staff and members of the management team.
Completes staff schedules and timecards according to Company policy. Holds staff accountable for compliance with paid time off, (PTO) policies.
Acts as a technical resource and assists with resolution of technical issues and/or works with appropriate staff/department to rectify technical issues impeding the functions of the coding team.
If workload demands, accurately assigns codes to any medical record in conformance with American Hospital Association, (AHA) coding guidelines and/or financial payer requirements. Assigns appropriate modifiers and present on admission, (POA) indicators as necessary. Assigns appropriate Diagnosis Related Group, (DRG) to reflect the documentation within the medical record.

Experience We Love:

3+ years of coding experience in an acute care setting to include inpatients, outpatients, and emergency department records or provider coding.
Satisfactory completion of Anatomy and Physiology as well as Medical Terminology.
Thorough working knowledge of coding classification systems to include Diagnosis Related Groups, (DRGs) and All Patient Refined - Diagnosis Related Groups, (APR-DRGs.)
Knowledge of Clinical Documentation and query processes.
Ability to function independently with minimal supervision, as well as part of a team.
Knowledge of medical record content to include electronic medical records, (EMRs.)
Ability to function under continual deadlines. Ability to maintain accuracy during frequent interruptions.
Proficiency in keyboarding skills and working knowledge of computers.
Excellent communication skills.

Candidates must have and keep current at least one of the following professional certifications (CPC Preferred):