Supv Coding Compliance - Houston, United States - Texas Children's Hospital

Description

Job Summary

We are searching for a Supervisor of Coding Compliance - someone who works well in a fast-paced setting. In this position, you will provide support to the Manager of Coding & Quality Assurance. Assist with follow-up on processes assigned, ensure continuity of coded accounts, and monitor accuracy to ensure accounts do not exceed acceptable Bill Hold and AR days. Ensure that Texas Children's Hospital codes according to government regulations and coding guidelines. Assist the Coding Technicians

with the implementation and training of any new and existing software applications. Reviews coding denials and provide education to the Coding Technicians when appropriate. Work closely with Business Services, Admissions, Billing, Medical Records, Care Management, and healthcare providers to retrieve information supporting coding. Assist with special projects as assigned for management.

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Responsibilities

• Supervises, ensures competencies and evaluates the activities of assigned staff. Conducts daily and weekly analysis of reports, which assess the departments performance and identifying corrective action plans where required (stats, productivity, quality, staff churn/turnover and attendance). Distributes workloads and work queues and makes adjustments to staff allocation to ensure that the agreed service levels are met at all times.
• Initiates timely contact with providers to be able to code outstanding accounts. Monitors work queues lag days/high dollar accounts to align with departmental standards. Follows up with coders to expedite the completion of any old charges to avoid past filing deadlines. Communicates with the coding team to determine which accounts are lacking documentation.
• Conducts quality reviews and provide education to the staff as needed. Provides educational sessions or events as well as acts as a mentor to newly hired coders, including but not limited to the involvement in the job shadowing segment of training and addressing arising questions.
• Actively participates in special assignments, programs, or improvement initiatives with successful outcomes. Actively participates in the special assignments, programs, or initiatives relating to departmental performance such as special training in new coding and auditing techniques, new laws or code changes. Assists in planning and presenting in all Coding Team meetings and on-site events.
• Assists in training new employees on how to use work queues and work accounts in the encoder. Assists in training of new employees which will include; evaluating accounts; accessing and reviewing coded accounts, documentation requirement, escalation process and overall daily routine. Assists with ongoing questions from new employees until they are fully trained

Qualifications

Skills & Requirements

• Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children's unless approved for a medical or religious exemption.
• Required H.S. Diploma or equivalent, preferred bachelor's degree
• Certifications (one of listed below):
  • RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association
  • RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association
  • CCS - Cert-Cert Coding Specialist by the American Health Information Management Association
  • CCA - Certified Coding Associate American Health Information Management Association
  • CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association
  • CPC - Cert-Cert Professional Coder by the American Academy of Professional Coders
  • CPC-A - Cert Prof Coder - Apprentice by the American Academy of Professional Coders
  • COC - Certified Outpatient Coder by the American Academy of Professional Coders
  • CIPC - Certified Inpatient Coder by the American Academy of Professional Coders

Company Profile

"Since 1954, Texas Children's has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children's hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city's Best Places to Work for ten consecutive years. Texas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; and Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston. We have also created the nation's first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children's Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

To join our community of 14,000 dedicated team members, visit for career opportunities. You can also learn more about our amazing culture at At Texas Children's Hospital, diversity, equity, and inclusion are at the core of our values and mission for the women and children that we serve. We are committed to providing a diverse and inclusive work environment for all faculty, staff and learners throughout our organization. We believe that each member of our one amazing team provides enrichment that allows us to create a lasting legacy for future employees of this great organization.

Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved."