- Directly oversees and manages the daily tasks and accountabilities of the Inpatient Coder III and Outpatient Coder III team members, to include answering coding questions, completing chart reviews, and providing individual and/or team education based on trends, new processes, and code updates.
- Works with Clinical Documentation Improvement, Revenue Cycle Auditing, Quality, and other departments for the resolution of issues pertaining to coding, documentation, reimbursement, and to identify opportunities for education and training.
- Assists in the preparation of policies and procedures for the HIMS (Health Information Management Services) Coding team, performs revisions, updates or additions to coding policies and procedures and/or internal coding guidelines in support of and under the direction of the System Coding Manager.
- Performs oversight of the billing edit correction process workflow in conjunction with Patient Financial Services to accomplish edit resolution for claims processing on accounts that require HIMS (Health Information Management Services) coding review.
- Participates in the hiring process including the interview of prospective candidates, recommendations on applicants' suitability, and assists in the selection of qualified candidates.
- Works on projects as assigned by the HIMS (Health Information Management Services) Management Team.
- Assists in supporting department goals for coding accuracy, accountability, productivity, and total DNFB (discharged not final billed) levels.
- Participate in ongoing coding educational webinars routinely and as needed.
- Review individually audited cases by third party companies and/or internal audits and provide a rebuttal if needed.
- High School Diploma or GED, (Required)
- Associates Degree, Health Information Management Services (HIMS) or related (Preferred)
- 5-6 years Health Information Management Services (HIMS) experience (Acute care preferred) (Required)
- 1 year Supervisory experience (Preferred)
- This person should have strong Inpatient and Outpatient coding skills and viewed as the subject matter expert, extensive knowledge of medical terminology, the human disease process, and anatomy & physiology, along with a thorough understanding of the workflow and processes utilized by the team members to successfully complete accounts.
- Ability to direct, coach and train employees and implement process changes as needed to ensure that quality assurance standards are met. Teach or coordinate huddles for new and established employees.
- Must demonstrate strong problem-solving skills, high attention to detail and an aptitude for learning.
- Serves as a leader and role model for the department and as a member of the Revenue Cycle team, by displaying a positive, patient-centered, and solution-oriented approach and attitude.
- Knowledgeable in Microsoft Office, use of encoder (3M 360 preferred) and use of an electronic medical record (EMR) (EPIC preferred).
- Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA) (Required) or
- Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC) (Required) or
- Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) (Required) or
- Registered Health Information Administrator (RHIA) - The American Health Information Management Association (AHIMA) (Required) or
- Registered Health Information Administrator (RHIT) - The American Health Information Management Association (AHIMA) (Required)
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HIMS Coding Supervisor - Newport News, United States - Riverside Health System
Description
Newport News, Virginia
Sign on Bonus: $7,500
Location: 100% Remote
Remote Eligibility: This position is eligible for remote work for candidates residing in the following states: AK, FL, ID, KS, KY, MS, MO, NE, NC, OK, PA*, SC, SD, TN, UT, VA, WV. *Some county exclusions may apply.
Overview
Supervises the daily operations of the HIMS (Health Information Management Services) Inpatient Coder III and Outpatient Coder III teams. Responsibilities include working directly with Corporate Coding Manager and Team Leads to streamline processes, identify training needs and ensure consistent information is shared across the team. Will also help with scheduling, performance management, policy and procedures, coaching, and training and orientation when needed.
What you will do
Education
To learn more about being a team member with Riverside Health System visit us at