Supervisor Medical Coding

Ellis Medicine • Schenectady, NY • 2h ago

The Supervisor, Medical Coding - Outpatient is responsible for the oversight and development of the office coding department. This includes mentorship and direct management of the outpatient medical coding team. The Supervisor of Medical Coding understands the organization's core information technology and information management competencies to bring value to business processes and quality improvement initiatives. The Supervisor interacts with internal and external customers to ensure continuous improvement efforts are being achieved and new coding practices are being implemented. This will require periodic audits of documentation and productivity reports of staff. The Supervisor is responsible for the planning, organizing, and final execution of all processes necessary to provide timely, accurate, and complete posting and billing of patient demographic and clinical coding data as well as managing and tracking results.

SECTION II:

EDUCATION AND EXPERIENCE REQUIREMENTS:

Bachelors Degree

Certified Professional Coder (CPC)

Knowledge of Anatomy and Physiology, Medical Terminology and current coding standards. Skilled experience and knowledge of Windows based software required, including but not limited to Microsoft Windows, Excel and Word. Experience with Soarian systems and/or Allscripts/Cerner electronic health record preferred

Minimum of five years out patient coding experience required. Hospital, physician practice or insurance coding and billing experience required. Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payer regulations.

Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payer regulations.

SECTION III;

MAKING ELLIS EXCEPTIONAL (MEE) BEHAVIORS & STANDARDS

SECTION IV:

RESPONSIBILITIES OF THE POSITION:

Plans, develops, implements and communicates operational initiatives to improve the efficiency of the Medical Coding Department

Oversees the planning, organization, and evaluation elements of the Patient Demographic capture and system set up

Designs quality management monitors and workload measurement systems for productivity monitoring to ensure the efficient workflow process

Reviews assessment of account performance, and responds to concerns in a timely and professional manner

Collaborates with IT to incorporate new technologies and functionality into the existing structure

Evaluates, designs and implements solutions for accessing, moving, and processing electronic data

Serve as a liaison with medical coding team and primary care offices to resolve issues in a satisfactory manner

Carries out responsibilities in accordance with company policies and procedures, applicable regulations, including HIPAA and Labor regulations.

Responsible for oversight of all medical coding functions utilizing both the clinical and financial systems

Responsible for coding audits for practice providers to optimize accurate documentation and coding

Oversight of medical coding team relating to Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing, establish and maintain a close working relationship with the PBO dept. to reduce and address claim issues and denials timely

Conducts training and supports professional development opportunities of staff to stay abreast to new coding and clinical guidelines

Knowledge of the practice's charges and coding, in cooperation with the Charge Description Master (CDM) Manager and Health Information Services (HIS) Department

Responsible for participation in on-going education relevant to practice specialty, assists in training for new employees and coverage

Works closely with the Practice Leader and the RCA Supervisor to ensure that all updates and changes are implemented timely

Maintains a high level of confidentiality to protect patient health information privacy, while providing access to authorized individuals and entities, and safeguards the integrity of electronic records

Will participate in standing cross-functional workgroups to facilitate resolution of systems issues and operational issues within Ellis Medical Group and across the enterprise (Ellis Medicine).

Adheres to hospital and procedures related to mandatory education and annual health assessments, MEE Behavior and Standards, AIDET

Works collaboratively with departments to resolve issues and overcome barriers

Ellis Medicine is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex/gender, age, national origin, disability, genetic information, predisposition or carrier status, military or veteran status, prior arrest, or conviction record, marital or familial status, sexual orientation, transgender status, gender identity, gender expression, reproductive health decisions, or domestic violence victim status.

Salary Range: $ 25.72-$38.57 /hour Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

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