SPVR MID REVENUE CODING EDUCATION AND QUALITY

Moffitt Cancer Center in Tampa, FL is recruiting for SPVR MIDREVENUE CODING EDUCATION AND QUALITY. For Florida residents and other select states (AL, AZ, AR, FL, GA, ID, IN, IA, KS, LA, MS, MO, MT, NC, OH, OK, SC, SD, TN, TX, UT, VA, WY) this full-time remote position offers a remote work arrangement
Position Highlights:
The Supervisor Mid Revenue Coding Education and Quality will provide facility and professional services training, consultation, audit and feedback to Coder Educators to ensure correct coding, and conformity to applicable guidelines and federal regulations. This position supervises the Coding Educator work-flow; monitors employee performance; addresses complaints and resolves problems; and activity oversees and supervises production AND QUALITY control efforts. Works with Coding Educators to ensure minimal variation in coding practices when reviewing the medical record to support abstraction of code assignments and supporting documentation for charges related to service provided to our patients. Provides specific education based on review findings and trends. Performs data quality reviews on medical records and charge capture in order to validate appropriate codes abstraction and patient charges. Responsible for continuously evaluating the quality of clinical documentation to identify incomplete or inconsistent documentation which could impact the code selection and resulting payment.
This position is expected to be a Subject Matter Expert in professional practice coding of diagnoses and procedure information that uses International Classification of Diseases, Tenth Revision, Clinical Modification ("ICD-10 CM"), Current Procedural Terminology ("CPT"), Evaluation and Management ("E&M") coding and Healthcare Common Procedure Coding ("HCPCS") coding, as well as Hierarchical Condition Category (HCC) coding, Merit- based Incentive Payment System (MIPS) coding, Provider Relationship (PR) coding and Appropriate Use Criteria (AUC) coding.
Responsibilities:

• Interviews, trains, mentors, establishes work schedules and evaluates performance of all supervised Coding Educators.
• Assist Coding Educators with coding issues, quality and audits review, coding or charging discrepancies resolution.
• Assists Coding Educators in reviewing patient records for appropriate facility and provider charges and other procedures/ services rendered with accurate coding and charging
• Reviews and distributes to Coding Educators any coding guidelines, rules and regulations, and updates that may affect facility and provider coding or billing.
• Assists in conducting department or team meetings, and communicates changes in policies, procedures, and related tasks.
• Utilize time management to ensure that all coding quality and audits are completed in a timely manner and with a format meeting compliance guidelines
• Alert leadership and stakeholders technical ad systems related issues impacting integrity of coding and patient charges
• Review, monitor and approve all Coding Educator staff time in Kronos system and manages all human resources related functions for the direct reports: recruitment, yearly evaluations and team member relations matter
• Oversees the creation and implementation of coding related curriculum to support Health Information Managment and Revenue Integrity. Ensures that the process is followed to obtain accreditation for Continue Education Units ("CEUs")
• Performs coding and charging quality reviews and audits to identify trends. Creates a resolution plan based on priority and risk mitigation.
• All other duties as assigned.

Credentials and Experience:

• Bachelors degree and a minimum of five (5) years health care coding experience with ICD-10-CM, CPT and HCPCS classification systems for evaluation management coders; inclusive of a minimum of two (2) years' leadership experience as a team/project lead, supervisor, manager or above. One certification (as stated in the certification section above) is required upon hire.
• * In lieu of a Bachelor's degree, an Associate's degree with two (2) additional years of experience as
  stated above, may be considered (total seven (7) years' experience).
  (OR)
• * High School/GED with nine (9) years' experience as stated above, may be considered.

Certification:
Any "one" of the following certifications is required:

• (CPC-H) Cert Professional Coder-Hosp
• (CCS) Certified Coding Specialist
• (CPMA) Professional Certified Medical Auditor
• (CPC) Cert Professional Coder
• (COC) Certified Outpatient Coding
• (CCS-P) Certified Coding Spec-Phys
• (RHIT) Reg Health Info Technician
• (RHIA) Reg Health Info Administrator
• *Any relevant certification not listed above may be reviewed and considered by the business to satisfy this requirement.

Minimum Skills/Specialized Training Required:

• Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties.
• Thorough understanding of quality measures and compliance guidelines.
• Experience with automated patient care and coding systems. (Cerner Electronic Health Record, Cerner products Radnet, Surginet, OPTUM Professional Computer Assisted Coding ("pCAC")and encoder, Mosaiq, Soarian financial billing system.)
• Knowledge of International Classification of Diseases, Tenth Revision, Clinical Modification ("ICD10CM"), International Classification, Tenth Revision, Procedure Coding System ("ICD10PCS"), Current Procedural Terminology ("CPT"),Healthcare Common Procedure Coding System ("HCPCS"), International Classification International Classification 10, American Healthcare Association ("AHA") coding clinic guidelines, Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related Groupers ("APRDRG"), Center for Medicare & Medicaid Services ("CMS") guidelines, National Center for Healthcare Statistics ("NCHS"), Radiation Oncology Coding Guidance (Coding Strategies, American Society for Radiation Oncology ("ASTRO"), American College of Radiation Oncology ("ACRO"), American Health Information Management Association ("AHIMA") and American Academy of Professional Coders ("AAPC") code of ethics.
• Excellent communication and interpersonal skills; ability to communicate in a professional manner to internal and external customers.
• Competence with MS Office software (Word, Excel, Zoom and Outlook).