Supervisor Health Information Management Coding - Business Office

Summary:

The Supervisor Health Information Management Coding is considered a system support position that provides leadership, support, and direction, from the Director of HIM Coding, and the staff involved in the health information and records services departments with a special focus on coding. In addition, this position supervises the Revenue Cycle coder work team assignments and responsibilities. The Supervisor Health Information Management Coding works collaboratively with the facility Health Information and Records Services departments, Patient Access Teams, Patient Financial Services, Shared Services, Case Management, CBO, Physicians, hospital leadership and management. The Supervisor Health Information Management Coding is responsible for supporting adherence to CHRISTUS standards and directives and other regulatory requirements including CMS, the Joint Commission, and HIPPA standards related to Coding and HIM. As an Coding Educator, this position performs Quality reviews and provides feedback to ensure a high level of coding accuracy. This position also works to ensure that financial performance objectives are achieved that are related to the unbilled process and revenue cycle initiatives. This position is expected to maintain effective professional relationships as appropriate to instruct, share ideas, and implement actions related to HIM functions and improvements. The ability to communicate effectively with all types of people at all levels is critical. This position also acts as a resource to provide education, consultation, and implementation of revenue cycle enhanced processes related to HIM functions.

Responsibilities:

• Maintains knowledge of current regulatory rules and requirements (e.g. Joint Commission, Medicare Conditions of Participation, Centers for Medicare and Medicaid Services, and other federal and state guidelines) and provides updates/education as rules and regulations are updated
• Maintains knowledge of reimbursement requirements for all payers
• Maintains knowledge of coding/charging requirements for all payers (e.g. ICD-10, CPT, HCPCS, NCDs, LCDs, DRGs, APCs etc) Perform facility/system audits/evaluations to determine impact of changes as they occur, impact on facility/system, and to develop plans to adapt to the changes with follow up to ensure compliance
• Monitor associate accuracy; provides feedback and individual training to enhance performance
• Perform coding/charge audits and follow up to ensure correct coding practices provide follow up education and follow up audits for facilities with quality outcomes < 95%
• Assistance, if needed, with action plan development
• Case Mix Analysis by payer and/or service line as needed
• Possesses thorough knowledge of personnel, administrative, and system/department policies and procedures
• Establish and maintain coding tests for use at facilities when hiring new staff to ensure hiring of staff with quality skills
• Test must meet Human Resources Standards for testing
• Develop a career path for entry level coders to develop skills and advance their career within CHRISTUS Health meeting Human Resources Standards for advancement
• Develop fitness testing for coders to ensure that they are staying sharp in their coding skills
• RAC monitoring and appeal assistance
• Provide supplemental staff for coding as availability permits
• Communicate effectively all aspects of HIM utilizing multiple resources including SharePoint
• Available to provide assistance to associates on a real time basis to address questions and operational issues
• Ensures consistent practices across hospitals within CHRISTUS while appropriately customizing departmental/facility needs
• Participates in the development and testing of system applications and provides training
• Completes required training as needed
• Performs other duties as assigned
• Identifies, develops, implements and maintains on-going educational and training programs
• Ensures that education on new codes and regulations is included

Requirements:

• High School Diploma required

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time