Coding Supervisor

Job Summary

Virtual work setting supervises daily operations specific to national coding services. Develop staff coverage strategies to maintain consistent productivity flow. Develops, executes and monitors individual coder quality and productivity.

Include the following. Others may be assigned.

• Supervises daily operations specific to coding operations and monitoring case assignments. Supports coding specialists by discussing complex coding cases, answering questions, providing education and interfacing with leadership.
• Develop, monitors and controls staff coverage strategies to maintain consistent productivity flow. Supervises business unit human resources by determining qualifications, competence and performance expectations; providing orientation; applying policies/procedures pertaining to human resources management.
• Continually assess and improve the business unit’s performance through data analysis and implementing sustainable performance improvement. Supports PFS RCS requests related to coding reviews. Supports RHIMD’s and Conifer clientele with national coding coverage. Onboard, orientation and training of new hires.

• Performs coding quality reviews in accordance with Conifer applicable monitoring policies of achieving 95% or higher.
• Assists in review for any patient audit presented from Conifer for coding / editing from coding staff. Organizes and reviews charts for coding audits and prepares action plans in response to audit findings.
• Tracks required educational updates and in-services.
• Monitors coding productivity to ensure productivity expectations are achieved.
• Perform query reviews and manage escalation of unanswered queries/missing documentation needed for coding.

• Consistently monitoring of DNFC, DNFB and FBNE accounts to develop strategies to minimize un‑coded accounts greater than bill hold days.

• Researches and monitors healthcare regulatory standards. Attends and participates in meetings and is responsible for coding related information communicated at meetings and between hospital clinical personnel.
• Attends relevant coding workshops to stay abreast of new and changing technologies. Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding.
• Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates, all coding conference calls and CDI taskforce meetings.
• CDI:
  Communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow‑up, educational topics, and resolution.

This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

• Number of Direct Reports (incl. titles):
  Inpatient and Outpatient Coders
• Number of Indirect Reports (incl. titles):
  Up to 20

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Strong leadership and communication skills, problem solving abilities; good knowledge of medical records systems.
• Ability to build and maintain team dynamics.
• Strong computer applications knowledge including Microsoft Word and Excel.
• Must be fluent in general information technologies; significant level of autonomy; must be self‑directed.
• Serve as a resource to PFS and other departmental contacts.
• Implement policies and procedures that guide and support the provision of the services.
• Advanced…