MG Supervisor Non-clinical Ex

Overview

Summary:

Reports to Manager of Ambulatory Coding and works with the Manager of Coding to develop workflow processes and provide direction and supervision to staff responsible for accurately coding medical records, auditing charts, and resolving work queue edits, EDI errors, and payor denials associated with coding issues. Collaborates with the physician revenue cycle department to meet the metrics, mission, vision, and values of the Brown University Health Organization.

Brown University Health employees are expected to model the organization s values of Compassion, Accountability, Respect and Excellence, guiding actions with patients, customers, and one another. Employees are also expected to demonstrate core Success Factors:
Instill Trust and Value Differences;
Patient and Community Focus and Collaborate. Leaders demonstrate accountability, build effective teams, drive vision and purpose, and optimize work processes. By applying these core and leadership competencies, Brown University Health aims to achieve its strategic goals.

• Supervises coding activities for areas including observation, partial hospital, dialysis, radiology, radiation oncology, VIR, NIR, Cath Lab, pathology, lab, ambulatory clinics (adult and/or pediatric), cardiovascular institute, oncology, ambulatory surgery, emergency department, anesthesia, office and hospital professional coding.
• Ensures the highest level of accuracy, completeness, and timeliness of code assignment; ensures consistency and efficiency in outpatient claims processing and data collection to optimize reimbursement and data quality in outpatient services.
• Adheres to corporate values of respect, honesty, and fairness; strives for excellence in improving the health status of the region through customer-friendly, geographically accessible, high-value services within a comprehensive integrated academic health system.
• Complies with the Brown University Health Corporate Compliance Program and Code of Conduct.
• Monitors unbilled accounts for uncoded or outstanding cases to ensure completion within 2–3 days of discharge; maintains efficient workflow in coding and clerical processes. Prioritizes high-paying accounts.
• Monitors staff productivity and accuracy to meet requirements; reviews bill hold reports for physician queries and contacts physicians who are not responding.
• Provides training and education to staff on coding guidelines, proper documentation techniques, medical terminology, and disease processes relevant to the job description.
• Communicates coding updates with validators; ensures external coding staff (agency coders) understand and adhere to organizational coding policies when applicable. Acts as a resource to department staff and other health care professionals needing coding assistance.
• Researches complex coding issues, finds solutions, and updates staff and practices as needed.
• Performs coding validation for outpatients as required; may perform coding in instances of staff shortages; supervises outpatient coders as required.
• Maintains knowledge of current professional coding certification requirements; ensures staff are trained in ICD-10 and/or CPT coding procedures to optimize reimbursement for Brown University Health services.
• Maintains knowledge of current payor policies and procedures including medical necessity; stays up to date with CMS and third-party regulations.
• Ensures effective recruitment, selection, development, and evaluation of coding and clerical staff to optimize achievement of goals and objectives.
• Prepares payroll, submits work orders for departmental upkeep, and orders supplies. Performs employee appraisals as necessary.
• Complies with Standards of Ethical Coding as set forth by AHIMA and AAPC; monitors coding staff for violations and reports concerns to the Coding Manager or Director.

• Basic Knowledge
  :
  Associate Degree or equivalent in a health services discipline.
• Certification
  : CPC coding certification (AAPC or AHIMA) required.
• Experience:
  
  Three to five years progressive outpatient coding experience in a similarly complex healthcare environment; one to two years supervisory experience strongly preferred.
• Demonstrated knowledge in ICD-10-CM and CPT-4 coding methodologies.
• Effective written and oral communication skills, leadership/management skills, and familiarity with automated systems.

Normal office environment. Performs independently within department policies and procedures; refers complex problems to supervisor when clarification is needed.

Supervisory responsibility for up to 20 FTEs.

$64,480.00 - $

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

535 Faunce Corner Road - 535 Faunce Corner Road, North Dartmouth, MA 02747

Mon-Fri, 7:30am–4:00pm

Day

8 hours