Coding Review Supervisor - CPC CCA RHIT RHIA - Mon - Fri - Hybrid

Job Category:
Revenue Cycle
Work Shift/Schedule:
8 Hr Morning - Afternoon
Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.
About the Role:
Job Summary
The Coding Supervisor supervises the charge posting & coding workflow; monitors employee performance; addresses complaints and resolves problems; and actively oversees and supervises production and quality control efforts. This position monitors charge poster & coder compliance with national coding guidelines and NGHS coding policies for complete, accurate and consistent coding that result in appropriate reimbursement and data integrity. Works with the team to ensure minimal variation in charge posting & coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments. Provides charge poster & coder specific education based on review findings and trends.
Minimum Job Qualifications

• Licensure or other certifications: RHIA, RHIT, CCS, CCS-P, or CPC and an approved specialty credential required. Candidates with only a CPC must attain an additional credential within 6 months of hire.
• Educational Requirements: High School Diploma or GED.
• Minimum Experience: Minimum five (5) years acute care inpatient/outpatient coding experience required.
• Other:

Preferred Job Qualifications

• Preferred Licensure or other certifications:
• Preferred Educational Requirements: Bachelors degree in HIM/HIT.
• Preferred Experience: Leadership experience in healthcare related field. Minimum three (3) years coding auditing/monitoring experience strongly.
• Other:

Job Specific and Unique Knowledge, Skills and Abilities

• Coding Technical skills - Extensive regulatory coding (ICD-9-CM, CPT-4, ICD-10-CM and ICD-10-PCS as applicable to transition to ICD-10) and associated reimbursement knowledge.
• Analytical skills - Ability to analyze trends in data and determine root cause and address as appropriate.
• Effective Decision Making - Relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values.
• Initiative - Independently takes prompt proactive steps toward problem resolution.
• Organization - Establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task.
• Communication - Communicates clearly, proactively and concisely with all key stakeholders.
• Leadership - Leads individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services.
• Customer orientation - Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
• Policies & Procedures - Articulates knowledge and understanding of organizational policies and procedures.
• PC skills - Demonstrates proficiency in Microsoft Office applications and others as required.
• Quality Orientation - Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
• Work Independently - Is self-supporting; not needing to rely on others to complete a job.
• Building and Maintaining Strategic Working Relationships - Develops collaborative relationships to facilitate the accomplishment of work goals. Possesses good interpersonal skills in building, negotiating, and maintaining crucial relationships.
• Managing conflict - Dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.
• Mentor and Educate - Provides timely guidance and feedback to help strengthen the knowledge/skill set of others to accomplish a task or solve a problem.

Essential Tasks and Responsibilities

• Provides direct supervision/oversight to Coding Quality Reviewers for management of inpatient and outpatient coding functions, work queues, work processes, and overall work responsibilities.
• Exports data from EPIC into excel based data tracking models to monitor productivity and provide timely and consistent feedback to employees and Coding Manager/Director.
• Creates and prepares coding benchmarking, charge posting & coding productivity, charge posting & coding quality, and coding productivity reports for the Coding Manager/Director.
• Assists Coding Manager/Director in the review and improvement of processes and services.
• Coordinates charge poster & coder training and orientation of staff, along with the development of coding tools, resources and education materials.
• Coaches, facilitates, solves work problems, and participates in the work of the team.
• Ensures charge posting & coding staff adherence with coding guidelines and policy.
• Assures accounts that cannot be coded are held for valid reasons and documented accurately.
• Assists in strategic planning and budgeting of the coding quality review function.
• Communicates effectively with leadership, physicians, and team relating to potential compliance risks and to mitigate damages and resolve related issues.
• Manages, leads and participates in interdepartmental/multidisciplinary team meetings, committees(s).
• Ensures charge posting & coder compliance with regulatory coding compliance educational requirements and NGHS polices.
• Initiates physician queries in compliance with coding guidelines where appropriate.
• Reviews all official data quality standards, coding guidelines, NGHS policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current.
• Practice and adheres to the "Coding Code of Ethics" and NGHS "Mission and Value Statement".
• Meets all educational requirements as stated in NGHS policy.
• Occasionally provides back up for coders.
• Other duties as assigned.

Physical Demands

• Weight Lifted: Up to 50 lbs, Occasionally 0-30% of time
• Weight Carried: Up to 50 lbs, Occasionally 0-30% of time
• Vision: Moderate, Frequently 31-65% of time
• Kneeling/Stooping/Bending: Occasionally 0-30%
• Standing/Walking: Occasionally 0-30%
• Pushing/Pulling: Occasionally 0-30%
• Intensity of Work: Frequently 31-65%
• Job Requires: Reading, Writing, Reasoning, Talking, Fingering

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.
NGHS: Opportunities start here.
Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.