Coding Supervisor

Description

GENERAL SUMMARY

The Coding Supervisor is responsible for overseeing the day-to-day activity of coding including monitoring the daily work of each coder to ensure quality and productivity standards are met and for ensuring all coding disciplines are executed in a compliant and efficient manner while providing leadership and guidance to the coders. The Coding Supervisor will ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. They work with practice staff to resolve coding issues preventing timely claim submission. 

Requirements

ESSENTIAL JOB FUNCTION/COMPETENCIES

Responsibilities include but are not limited to:

• Supervises daily coding activities, including assigning duties and work schedules and coordinating coverage.
• Serves as a subject matter expert in documentation and coding, including overseeing coding tasks.
• Works collaboratively with providers to obtain complete documentation to support coding.
• Hires, trains, and develops team of Coders.
• Holds staff accountable to quality and productivity standards, and monitoring compliance with policies and procedures.
• Manages coding workflows for an efficient coding process; continually review department processes to determine ways to increase productivity and identify process opportunity trends and recommend ways to improve efficiencies.
• Ensures standardization of all aspects of coding operations.
• Maintains current knowledge of coding guidelines and relevant federal regulations.
• Ensures adherence to third party and governmental regulations relating to coding, documentation, compliance, and reimbursement.
• Serves as coding resource to practice staff and the RCM (Revenue Cycle Management) team.
• Works closely with the Manager, Coding and Revenue Integrity in managing day-to-day operations.
• Assists with coding-related payer audits.
• Oversees daily operational activities, including scheduling and coordinating work assignments.
• Sets performance standards and conducts annual evaluations on staff.
• Performs other position related duties as assigned.
• Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.

CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS

• CPC, CCS-P, CMRS or AAPC required.

KNOWLEDGE | SKILLS | ABILITIES

• Demonstrate understanding of business and how actions contribute to company performance.
• Demonstrate excellent customer service skills.
• Knowledge of medical terminology, Current Procedural Terminology (CPT), International Classification of Disease (ICD) coding, and the entire revenue cycle process.
• Knowledge of EHR (Electronic Health Record) software systems and Microsoft Office products.
• Professional verbal and written communication skills.
• Ability to develop reports and create presentations.
• Ability to work collaboratively across disciplines and business lines.
• Must be comfortable educating staff members.
• Ability to handle multiple tasks with excellent problem-solving skills.
• Strong analytical skills with ability to make conclusions and recommendations.
• Well organized with the ability to maintain accuracy and confidentiality.
• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Customer-oriented with ability to remain calm in difficult situations.
• Skill in using computer programs and applications including Microsoft Office.
• Ability to work independently and manage deadlines.
• Complies with HIPAA regulations for patient confidentiality.
• Complies with all health and safety policies of the organization.
• Knowledge of governmental regulations and compliance requirements
• Knowledge of Medicare, Medicaid, managed care, and other third-party payer’s guidelines.

EDUCATION REQUIREMENTS

• High School Diploma or equivalent required.
• Associate’s degree preferred.

EXPERIENCE REQUIREMENTS

• Minimum of three years coding experience within a physician practice
• Minimum of two years supervisory experience
• Experience in Urology physician practice environment preferred

REQUIRED TRAVEL

• Minimal travel may be required

PHYSICAL DEMANDS

Carrying Weight Frequency

1-25 lbs. Frequent from 34% to 66%

26-50 lbs. Occasionally from 2% to 33%

Pushing/Pulling Frequency

1-25 lbs. Seldom, up to 2%

100 + lbs. Seldom, up to 2%

Lifting - Height, Weight Frequency

Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33%

Floor to Chest, 26-50 lbs. Seldom: up to 2%

Floor to Waist, 1-25 lbs. Occasional: from 2% to 33%

Floor to Waist, 26-50 lbs. Seldom: up to 2%