- Duty 1: Provide direct oversight of the PCIS team and related functions with the primary objective to support the integrity of the professional charge processes by ensuring capture of all revenue opportunities and compliance with applicable regulatory standards. Effectively communicate and solicit input from team and other impacted areas to promote a collaborative and innovative team environment, translates BVHS Mission, Vision, and Values into front-line action. Maintains effective connectivity and collaboration between all members of the team, including onsite and remote associates.
- Duty 2: Perform supervisory administrative support functions including but not limited to: assist in the recruiting and hiring process, training and education of associates in conjunction with the professional coding integrity auditor/educator when needed, coordinate staff schedules, payroll, completion of associate performance evaluations, recognition and reward, disciplinary follow up as appropriate, monitor adherence to established quality and productivity standards and department metrics, support associate, departmental and organizational goals, assist in the development and monitor completion of competencies and organizational mandatory requirements, etc.
- Duty 3: Identify clinical documentation opportunities and provide routine feedback and education to medical staff providers to support compliant, accurate and optimal charge capture. Provide education in a meaningful and organized approach which is supported by examples, research, potential revenue impact, and/or tools to support the provider. Communicate with electronic health record (EHR) Trainers, Superuser or Analyst to explore potential options to improve quality and ease of provider documentation.
- Duty 4: Remain current on regulatory guidelines related to CPT and ICD-10 coding updates. Serve as primary resource for providers and the revenue integrity team for guidance relative to professional-related coding issues and/or clinical documentation practices. Provide research as necessary and collaborate with various team members or other departments to provide accurate and credible guidance.
- Duty5: Review of quarterly internal quality audits of the PCIS team, in coordination with the auditor/educator; assist in building education plans, feedback and documented education to the PCIS regarding the results and areas of opportunity for improvement.
- Duty 6: Work with the Compliance Department, in coordination with the Professional Coding Integrity Manager to assist in response to investigational or potential compliance risks.
- Duty 7: Work with Coding Claims Resolution Specialist (CCRS) to review denial trends, whether coding related or other, and prepare feedback for improvement opportunities for the appropriate audience. Work in conjunction with auditor/educator as well as CCRS to review pre-bill edits & tracking sheets and collaborate on opportunities for education and training when available.
- Duty 8: Monitor PCIS work queues and reassign encounters as needed to maintain a manageable level of encounters for each PCIS or contract coder as needed. Coordinate with additional resources, as necessary, such as Revenue Integrity Auditors and/or Coding Integrity Team, when available, to assist with the review and release of encounters. Organize cross-training with educator/auditor to develop depth of skills within the team.
- Duty 9: Demonstrate superior knowledge of federal, state and third-party charging guidelines of clinical areas supported by the Professional Coding Integrity team to ensure optimal, accurate and compliant charging. Understand changes to applicable coding and billing regulations, including annual IPPS/OPPS revisions, by resourcing credible references (i.e. CMS website, Craneware, Codify, publications, professional contacts, reliable internet sources, seminars, etc.). Collaborate with clinical areas, Revenue Integrity Team, Coding Integrity Team and/or other impacted areas to support implementation of changes.
- Duty 10: Participates in system testing as a result of upgrades, changes, enhancements, new application implementations, etc. that may impact Professional Coding Integrity processes.
- Duty 11: Regularly attends and actively participates in in-services, organizational and department meetings and continuing education programs as offered in order to remain current with organizational and industry changes and best practice. Communicate and disseminate information to other departments as applicable.
- An Associate's Degree in a related field including, but not limited to, Health Information Management or 2+ years' experience from which comparable knowledge and abilities have been acquired.
- Coding certification (CPC or CCS-P) required or obtained with 9 months of hire date
- CDEO (Certified Documentation Expert Outpatient) certification required or achieved within 9 months or CPMA (Certified Professional Medical Auditor) certification required or achieved within 9 months.
- Knowledge of medical terminology, anatomy and physiology required.
- Knowledge of CPT/HCPCS coding systems, appropriate use of applying modifiers, CPT Assistant, LCD/NCD and ICD-10 diagnosis coding concepts required, and up-to-date guidelines.
- Training, research, and education skills required;
- Ability to present data/information in an organized and meaningful way; must be comfortable with public speaking as well as education/training of both small & large groups
- Ability to research, review and interpret Federal, State and Local billing regulations required.
- Familiarity with utilization of computers and commonly used applications, including Microsoft Office Suite, (Windows, PowerPoint, Excel, Word, Outlook), electronic health record, internet required.
- Ability to track and monitor data to identify trends pertaining to charge issues
- Excellent organizational, time management and problem-solving skills required; detail oriented and follow through.
- Positive service-oriented interpersonal and communication (written and verbal) skills required.
- A valid driver's license is required (if you do not have a valid Ohio driver's license you must obtain one within 30 days of your residency in the state). You must also meet BVHS's company fleet policy and insurance company requirements, and any other requirements that may be required to operate a vehicle.
- Must be willing to work a hybrid schedule and attend on-site meetings as needed
- Specialty specific certification(s)
- Knowledge of regulatory compliance and reimbursement methodologies
- Encoder experience
-
Blanchard Valley Hospital Findlay, United States**PURPOSE OF THIS POSITION** · The primary purpose of the Professional Coding Integrity Supervisor is to maintain the daily operations of the Professional Coding Integrity Specialists (PCIS), provide education to providers, offices, and other departments to ensure accurate, compl ...
-
Blanchard Valley Hospital Findlay, United StatesThe primary purpose of the Professional Coding Integrity Supervisor is to maintain the daily operations of the Professional Coding Integrity Specialists (PCIS), provide education to providers, offices, and other departments to ensure accurate, compliant and optimal professional c ...
-
Physical Therapist Assistant
2 weeks ago
UP Health System - Portage Hancock, United StatesAt UP Health System - Portage, providing an excellent patient experience is at the heart of everything we do. This includes not only providing the highest quality patient care but offering exemplary customer service by creating an environment that puts our patients at ease. We ac ...
-
Floating Asphalt Plant Operator
1 week ago
The Shelly Company Findlay, United StatesJob ID: 496670 · The Shelly Company, a CRH company, is a vertically integrated supplier of aggregates, asphalt, ready mix concrete and paving services throughout the state of Ohio. Our commitment to quality drives us to use the most modern, efficient and environmentally friendly ...
-
Loader Operator
1 week ago
The Shelly Company Findlay, United StatesJob ID: 496669 · The Shelly Company, a CRH company, is a vertically integrated supplier of aggregates, asphalt, ready mix concrete and paving services throughout the state of Ohio. Our commitment to quality drives us to use the most modern, efficient and environmentally friendly ...
-
Power System Engineering
3 weeks ago
GE Vernova Findlay, United StatesJob Description Summary · GE's Power Conversion business, part of GE Vernova, provides electrification systems that are critical to customers' power and energy needs for their high-performance applications. We work with some of the world's major energy, maritime and industrial o ...
-
IS Clinical Applications Manager
3 weeks ago
Blanchard Valley Hospital Findlay, United StatesPURPOSE OF THIS POSITION · The IS Clinical Applications Manager is responsible for managing the Clinical Applications Group and oversees the development, maintenance, support, and optimization of new and existing clinical applications. · JOB DUTIES/RESPONSIBILITIES · Duty 1: Pr ...
-
Fiber Installation Technician
3 weeks ago
MasTec Inc. Findlay, United StatesOverview · MasTec Advanced Technologies is a preferred contractor for several major companies nationwide. We currently have opportunities for Fiber Installation Technicians to join our team. Our Fiber Technicians provide high-speed cable TV, phone, and internet installation to re ...
-
Shift Supervisor
2 weeks ago
Ryder Findlay, United StatesShift Supervisor - Fleet Services - Findlay, OH page is loaded **Shift Supervisor - Fleet Services - Findlay, OH** · **Shift Supervisor - Fleet Services - Findlay, OH** · locationsUSA - Findlay OH 45840 time typeFull time posted onPosted 3 Days Ago job requisition idR43801 **Cu ...
-
Equipment Manager
1 week ago
CRH Plc. Findlay, United StatesJob ID: 496266 · The Shelly Company, a CRH company, is a vertically integrated supplier of aggregates, asphalt, ready mix concrete and paving services throughout the state of Ohio. Our commitment to quality drives us to use the most modern, efficient and environmentally friendly ...
-
Intake Specialist
3 weeks ago
OhioGuidestone Findlay, United StatesWhere New Paths Begin · OhioGuidestone is the state's leader in community behavioral health care, serving around 26,000 Ohioans each year. We focus on the needs of the whole person by providing telehealth and in-person prevention services, as well as mental health and substance ...
-
Phlebotomist-
2 weeks ago
Caughman Health Center Findlay, United StatesPURPOSE OF THIS POSITION · Performs the day-to-day phlebotomy duties within the office setting, in accordance with current federal, state and local standards, guidelines and regulations and as may be directed by the Director. · Blanchard Valley Medical Practices is a division of ...
-
Production Manager
2 days ago
Graham Packaging Findlay, United StatesGraham Packaging is a people, planet and values-based company and a leader in sustainable packaging manufacturing. From the kitchen to the laundry room, Graham Packaging is part of your everyday life. · For employees at Graham, our Blue Culture is part of their everyday lives, t ...
-
Cost Accountant
3 weeks ago
The Shelly Company Findlay, United StatesThe Shelly Company, a CRH company, is a vertically integrated supplier of aggregates, asphalt, ready mix concrete and paving services throughout the state of Ohio. Our commitment to quality drives us to use the most modern, efficient and environmentally friendly technology in our ...
-
Store Manager
3 weeks ago
Sleep Outfitters Findlay, United StatesResponsible for supervision of salespersons, service and operations performance of a store personally or through subordinate supervisors; maintaining a high level of customer service and ensuring maximum sales and profitability through merchandise, inventory, expense and loss con ...
-
Material Handler
3 weeks ago
Ball Corporation Findlay, United StatesDo you want to work for a world-leading manufacturer who strives to build a better future through sustainability and innovation? Are you looking for a new challenge in a stable, fast-growing sector? · Join us, and build your career by helping us build the future. · We are a globa ...
-
Loader Operator
1 week ago
CRH Findlay, United StatesJob ID: 496669The Shelly Company, a CRH company, is a vertically integrated supplier of aggregates, asphalt, ready mix concrete and paving services throughout the state of Ohio. Our commitment to quality drives us to use the most modern, efficient and environmentally friendly tec ...
-
Loader Operator
5 days ago
CRH Findlay, United StatesJob ID: 496669The Shelly Company, a CRH company, is a vertically integrated supplier of aggregates, asphalt, ready mix concrete and paving services throughout the state of Ohio. Our commitment to quality drives us to use the most modern, efficient and environmentally friendly tec ...
-
Production Manager
2 days ago
Graham Packaging Findlay, United StatesCompany Statement: · Graham Packaging is a people, planet and values-based company and a leader in sustainable packaging manufacturing. From the kitchen to the laundry room, Graham Packaging is part of your everyday life. · For employees at Graham, our Blue Culture is part of t ...
-
Loader Operator
1 week ago
CRH Findlay, United StatesJob ID: · The Shelly Company, a CRH company, is a vertically integrated supplier of aggregates, asphalt, ready mix concrete and paving services throughout the state of Ohio. Our commitment to quality drives us to use the most modern, efficient and environmentally friendly techno ...
HIS - Professional Coding Integrity Supervisor (FT Salaried) - Findlay, United States - Blanchard Valley Hospital
Description
PURPOSE OF THIS POSITION
The primary purpose of the Professional Coding Integrity Supervisor is to maintain the daily operations of the Professional Coding Integrity Specialists (PCIS), provide education to providers, offices, and other departments to ensure accurate, compliant and optimal professional charge capture which is supported by clinical documentation. Coordinate with the Professional Coding Integrity Auditor/Educator to research coding questions from offices, departments, and providers. Supports the PCIS job functions as necessary. Provides general coding support as well as education and training for new and existing BVHS providers.
JOB DUTIES/RESPONSIBILITIES
REQUIRED QUALIFICATIONS
PREFERRED QUALIFICATIONS
PHYSICAL DEMANDS
This position requires a full range of body motion with intermittent activities in walking, lifting, bending, squatting, climbing, kneeling, and twisting. The associate will be required to sit for five hours a day. The individual must be able to lift ten to twenty pounds and reach work above the shoulders. This position requires corrected vision and hearing in the normal range. The individual must have excellent eye-hand coordination and verbal communication skills to perform daily tasks.