Coding Supervisor | Physician Coding

Job Family:

General Coding

Travel Required:

None

Clearance Required:

None

What You Will Do:

The Physician Coding Team Supervisor  must be proficient in E/M and Surgical Coding and have the ability to oversee teams reviewing and coding for Physician Charge capture and claim submission.   The Supervisor will perform training and initial QA review for coders who are direct reports.   Supervisors must have the ability to review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the Coding Manager—Supervisors should be proficient in communicating with coding teams, Client contacts and Providers regarding the coding of conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The Supervisor scope may involve oversight of teams working coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines. Supervisors should be proficient in Excel and have the ability to professional create reports as requested and have the ability to communicate professionally with internally and externally.   Travel may be necessary to client sites at times.  This position is full time as and 100% remote.

Responsibilities:

• Demonstrates the ability to perform oversight, training, response to internal and external requests in regard to quality and production of Team’s coding, respond to Provider and Client questions, host Client-facing calls and create reports for Coding Management regarding assigned projects in a timely manner.   Maintain team goals in order to promote Coder accuracy and efficiency for assigned projects.  Work with internal Education resources to promote skillsets of assigned coding team both domestic and global as assigned.
• Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
• When reviewing coding work and/or responding to coder or client questions, assures that all services documented in the patient’s chart are properly coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, work with coders/client to attain proper documentation in a timely manner according to facility standards.
• Assures assigned coding team maintains 95% accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews.  Supervisors will work with coders on a one-on-one basis when educational opportunities are identified or coordinated education for the assigned coding team.
• Ability to maintain average productivity standards as follows per internal and Client coding contracts.

• Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process. See re-bill policy in facility guidelines.
• Coder downtime must be reported immediately to the administrative staff to ensure turnaround is met.
• Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility.
• Provides accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request.
• Responsible for coding or pending every chart placed in their queue within 24 hours.
• It is the responsibility of the Supervisor to coordinate with coding management in the event the twenty-four hour turn around standards cannot be met.
• Supervisors must maintain their current professional credentials while working for Guidehouse.
• Supervisors are responsible for becoming familiar with the Guidehouse coding website and using the information contained in the website as a daily tool to correctly code and abstract for each facility.
• Supervisors are responsible for maintaining HIPAA compliant workstations (reference HIPAA workstation policy)
• It is the responsibility of each  supervisor/coder to review and adhere to the coding division policy and procedure manual content.
• Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services.
• Communicates problems or coding discrepancies to Coding Leadership immediately.
• Communication in emails should always be professional (reference e-mail policy).

What You Will Need:

• Bachelor's degree (or equivalent prior