Physician Billing Coding Supervisor | HIM | Full Time | HYBRID (ON-SITE/REMOTE)

Job Duties and Responsibilities

• Complies with all policies and procedures that pertain to HIPAA including minimum necessary requirements for this position. Must maintain 100% patient confidentiality for e-PHI during the course of work functions

• Responds to inquiries from Patient Accounting on patient claims resolution

• Assists coding team with inquiries from departments to achieve timely resolution

• Assists coding team to ensure coding accuracy, completeness, and adherence to established guidelines and standards

• Participates in meetings with Revenue Cycle Committee and coding team

• Abides by the Standards of Ethical Coding set forth by AHIMA and monitors coding staff for violations and reports as areas of concern are identified

• Assists HIM Director in maintaining compliance with applicable regulations (e.g., ICD-10, CPT, or internal standards)

• Train new staff and existing staff on coding standards, tools, and updates

• Maintains knowledge of current professional coding certification requirements and promotes recruitment and retention of certified staff in coding positions

• Develops reports and collects and prepares data for studies involving cases for clinical evaluation purposes, fiscal impact, and profitability

• Assists HIM Director with developing and implementing coding policies, procedures, and best practices

• Assists HIM Director with tracking key performance metrics such as accuracy rates, productivity, and turnaround times

• Keeps abreast of recent technology in coding software and other forms of automation and stays informed about transaction code sets, HIPAA requirements, and other future issues impacting the coding function

• Demonstrates competency in the use of computer applications and grouper software, medical edits, and all coding software and hardware

• The supervisor should demonstrate initiative and discipline in time management and assignment completion

• The supervisor must be able to work in a virtual setting under minimal supervision

Job Requirements

Required Education

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• Associate or Bachelor’s Degree and accredited by AHIMA

Required Licenses and/or Certifications

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• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) Certifications

Required Work experience

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• Five (5) years in relevant working field, with one (1) year of supervisory experience

Required knowledge, skills, and abilities

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• Advanced knowledge of ICD-10-CM and CPT, and HCPCs coding principles and rules
• Strong leadership and communication skills
• Problem solving
• Good knowledge of medical records systems
• Excellent computer applications knowledge including Microsoft Office programs
• Must be fluent in general information technologies
• Significant level of autonomy, must be self-directed
• Intermediate to advanced knowledge of disease pathophysiology and drug utilization
• Intermediate to advanced knowledge of MS-DRG and APR-DRG classification and reimbursement structures
• Advanced knowledge of APC, OCE, NCCI classification and reimbursement structures
• Excellent organizational skills for initiation and maintenance of efficient workflow
• Regular and reliable attendance and time reporting per Gritman Medical Center Telecommuting program requirements
• Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment
• Good visual acuity
• Ability to operate computer keyboard, mouse, and other peripherals as appropriate to accomplish assigned tasks

Preferred qualifications

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• Prefer five (5) years' experience in a supervisory role in healthcare with extensive knowledge of ICD-10-CM, CPT, HCPCS, and documentation guidelines;
• EPIC experience, including HB billing.