Revenue Cycle Coding Supervisor - Inpatient Coding

REVENUE CYCLE CODING SUPERVISOR - INPATIENT CODING

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Management of all acute inpatient coding and abstracting activities from patient medical records to ensure accuracy of work and adherence to Centers for Medicare & Medicaid Services (CMS) AHA Official ICD-10-CM/PCS Coding Guidelines. Ensure correct assignment of Medicare Severity Diagnosis Related Groups (MS-DRG), Risk of Mortality (ROM), Severity of Illness (SOI), Present on Admission (POA), Patient Safety Indicators (PSI) and Hospital Acquired Conditions (HAC) that impact hospital scores and reimbursement in a timely manner to meet accounts receipt billing requirements.

Develop, implement, and monitor policies, procedures, and systems for proper coding and reporting.

• Analyze the effectiveness of inpatient facility coding operations to identify opportunities for process improvement using Lean methodologies to streamline processes and ensure the most efficient use of ICD-10 inpatient coding resources to meet the needs of the organization.
• Monitor changes in laws, regulations and policies that impact coding and reimbursement and assure compliance with coding procedures and workflows.
• Assist the Director of Coding and/or Manager of Coding Quality and Education in the development, implementation and assessment of long-range and short-term goals for the Coding Unit.
• Provide leadership representation on institutional committees as it relates to assigned units.
• Provide leadership for and actively participate in departmental and institutional activities and programs.
• Identify and address change management issues related to the evolution of the health information environment.
• Monitor daily progress of Accounts Receivable (AR) and implement personnel and operational changes to address objectives.
• Monitor and report productivity and accuracy of inpatient coders, collect statistical data from coding systems, provide clarification and coaching to staff on coding expectations to assure the highest quality of coding in the timeliest and efficient manner.
• Plan and schedule work for the unit ensuring proper staffing and distribution of assignments to accomplish required tasks; plan and schedule meetings with staff to explain and implement new policies and procedures and practices.
• Oversee contract coding agency staff.
• Oversee the capture and analysis of data regarding operational performance.
• Participate in and demonstrate an understanding of the Michigan Quality System/Continuous Quality Improvement and apply Lean Thinking concepts in daily work.
• Demonstrate initiative by the continuous expansion of knowledge and skills.
• Plan, develop, revise, and implement programs, policies and procedures for assigned units.
• Conduct regular staff meetings to communicate changes, updates or issues.
• Assess assigned operations and implement changes to work processes as needed.
• Support outside data abstraction processes, such as the Michigan Hospital Association and Children’s Hospitals data reports and identify opportunities for data capture improvements.
• Perform customer acceptance testing for the annual Encoder/Grouper, CAC, and MiChart system upgrades.
• Develop and coordinate educational and training programs regarding system upgrades and changes to all Coding.
• Actively participate in the evaluation, selection, and maintenance of information systems supporting DRG coding.
• Collaborate with Registration, Care Management, Revenue Cycle, HITS, and MiChart teams to resolve technical and process issues related to MiChart and Computer-Assisted Coding installation and upgrades, as well as business workflows between these departments and the inpatient coding unit to ensure compliant and timely coding and billing.
• Provide leadership for process improvement and redesign to improve customer satisfaction, reduce costs, and/or meet departmental and institutional goals and objectives.
• Develop and maintain professional relationships with colleagues and staff within the department and organization to promote mutual understanding and respect.
• Work within the department, across the organization, and with clinical and senior leadership to meet organizational goals.
• Demonstrates excellent customer service skills in working with staff, clinicians and other staff at UMHS.
• Design requirements, criteria, and metrics to meet the end users’ needs for analysis and interpretation of health information and statistics for Coding.
• Coding Compliance and Education.
• Partners in developing strategy to address high-risk coding practices, recommendations for corrective action plans or process improvements and create policies, procedures, and internal controls which reinforce the highest level of standard of coding quality goals and outcomes.
• Collaborate with Manager of Coding Quality and Education to develop operational documentation and training materials for staff and to support coding quality and education initiatives.
• Ensures the collaboration required between the Clinical…