.. your application(s) as well as with other systems or interfaces. 3) Exhibit the ability to: define the plan of work, discover current data elements and possibilities, assess those elements and possibilities, and create a written specifications/requirements. 4) Collaborate/work with stakeholders and customers .. read more
Department: Business Office SRH
Exempt: Yes
Schedule: DAYS
Position Type: Full Time 0.6 FTE or More
FTE: 1.000000
Base Wage: $ 31.77 to $ 47.66
Location: SRH Business Center
The information described in this job description has been designed to indicate the general nature of the work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.
Other information:
*Job Summary*
Serving as the leadership point-person for the clinic coding staff, who will Report to the PFS Manager of Hospital, Clinic Ops & SRC Coding, this position is responsible for converting diagnoses and procedures into appropriate codes using ICD-10, HCPCS and CPT along with completing day-to-day administrative tasks. The main focus of the Supervisor is to oversee coding processes and serve as a resource to other coders by providing coding expertise and feedback to the staff of Certified coders and to ensure they are coding proficiently, accurately, and completely to facilitate the billing and reimbursement process. Supervises personnel which can include performance reviews, corrective action, staff development and training, while adherence to SRH Human Resources policies. Supervisor may assist in hiring needs of the department as well as the orientation process for all coder candidates and hires.
*Essential Functions*
Accurately applies ICD-10, HCPCS, and CPT codes for both routine and complex procedures as well as maintains or exceeds the standard level of quality and productivity established by the organization. Oversees the coding process – distributing workloads or work queues, making adjustments to staff allocation as needed, ensuring adherence to organizational policies and procedures, and promoting compliance of organizational goals and standards. Maintains up-to-date knowledge and provides guidance on requirements set forth by the Centers for Medicare and Medicaid Services (CMS), other third-party payer requirements, the American Hospital Association (AHA) Official Coding Guidelines, and American Medical Association’s (AMA) Current Procedural Terminology (CPT). Conducts both regular and ad-hoc coding reviews on hospital services in order to identify common errors, potential areas in need of improvement or education, as well as procedural or communication breakdowns. Reports findings back to PFS Manager of Hospital, Clinic Ops & SRC Coding. Assists leadership in developing reports that detail coding review findings in addition to gathering data to support performance evaluation of coders. May develop and provide education to coders, clinical documentation specialists, or other relevant staff members regarding identified errors, documentation gaps, missing charges, or other issues. 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. Provides recommendations to leadership about potentially necessary adjustments to processes, workflows, policies, or systems that also account for coding regulations and payer requirements. Works with coding staff for buy off on adjustments ultimately made to processes, workflows, policies, or systems. Takes an active role in project or process implementation and monitors staff compliance and achievement of related goals. Works with the denials management team in identifying root causes of occurring denials as they relate to documentation and coding processes, obtaining clinical buy-in and cooperation in denial prevention initiatives, and assisting in resolving denials. Additional duties as assigned.
*Education*
High School diploma or GED required. Additional training or education in medical coding preferred.
*Experience/Training*
Minimum three (3) years of coding experience, including outpatient or specialty coding required. Five (5) plus years preferred. Previous experience in a supervisor or management role preferred.
*License/Certifications*
Must be a certified coder; CPC, RHIA, RHIT, CCS, or SCP certifications are acceptable.
*Other Skills*
Exemplary problem-solving and conflict resolution skills. Detail-oriented as well as skilled in synthesizing a wealth of information. Excellent time management and prioritization abilities. Ability to effectively communicate both one-on-one and in a group setting. Capable of both following and providing detailed instructions. Thorough knowledge of AHA Official Coding Guidelines (ICD-10), AMA’s CPT, and CMS guidelines. Understanding of both clinical and revenue cycle operations. Well-versed in medical -terminology as well as anatomy and physiology. Knowledge in both clinical and revenue cycle operations.
#INDADMIN
Job Types: Full-time, Part-time
Pay: $31.77 - $47.66 per hour
Expected hours: 40 per week
Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Employee assistance program
* Flexible spending account
* Health insurance
* Life insurance
* Paid time off
* Retirement plan
* Tuition reimbursement
* Vision insurance
Schedule:
* 8 hour shift
* Day shift
Ability to Commute:
* Mount Vernon, WA 98273 (Required)
Work Location: In person
Exempt: Yes
Schedule: DAYS
Position Type: Full Time 0.6 FTE or More
FTE: 1.000000
Base Wage: $ 31.77 to $ 47.66
Location: SRH Business Center
The information described in this job description has been designed to indicate the general nature of the work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.
Other information:
*Job Summary*
Serving as the leadership point-person for the clinic coding staff, who will Report to the PFS Manager of Hospital, Clinic Ops & SRC Coding, this position is responsible for converting diagnoses and procedures into appropriate codes using ICD-10, HCPCS and CPT along with completing day-to-day administrative tasks. The main focus of the Supervisor is to oversee coding processes and serve as a resource to other coders by providing coding expertise and feedback to the staff of Certified coders and to ensure they are coding proficiently, accurately, and completely to facilitate the billing and reimbursement process. Supervises personnel which can include performance reviews, corrective action, staff development and training, while adherence to SRH Human Resources policies. Supervisor may assist in hiring needs of the department as well as the orientation process for all coder candidates and hires.
*Essential Functions*
Accurately applies ICD-10, HCPCS, and CPT codes for both routine and complex procedures as well as maintains or exceeds the standard level of quality and productivity established by the organization. Oversees the coding process – distributing workloads or work queues, making adjustments to staff allocation as needed, ensuring adherence to organizational policies and procedures, and promoting compliance of organizational goals and standards. Maintains up-to-date knowledge and provides guidance on requirements set forth by the Centers for Medicare and Medicaid Services (CMS), other third-party payer requirements, the American Hospital Association (AHA) Official Coding Guidelines, and American Medical Association’s (AMA) Current Procedural Terminology (CPT). Conducts both regular and ad-hoc coding reviews on hospital services in order to identify common errors, potential areas in need of improvement or education, as well as procedural or communication breakdowns. Reports findings back to PFS Manager of Hospital, Clinic Ops & SRC Coding. Assists leadership in developing reports that detail coding review findings in addition to gathering data to support performance evaluation of coders. May develop and provide education to coders, clinical documentation specialists, or other relevant staff members regarding identified errors, documentation gaps, missing charges, or other issues. 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. Provides recommendations to leadership about potentially necessary adjustments to processes, workflows, policies, or systems that also account for coding regulations and payer requirements. Works with coding staff for buy off on adjustments ultimately made to processes, workflows, policies, or systems. Takes an active role in project or process implementation and monitors staff compliance and achievement of related goals. Works with the denials management team in identifying root causes of occurring denials as they relate to documentation and coding processes, obtaining clinical buy-in and cooperation in denial prevention initiatives, and assisting in resolving denials. Additional duties as assigned.
*Education*
High School diploma or GED required. Additional training or education in medical coding preferred.
*Experience/Training*
Minimum three (3) years of coding experience, including outpatient or specialty coding required. Five (5) plus years preferred. Previous experience in a supervisor or management role preferred.
*License/Certifications*
Must be a certified coder; CPC, RHIA, RHIT, CCS, or SCP certifications are acceptable.
*Other Skills*
Exemplary problem-solving and conflict resolution skills. Detail-oriented as well as skilled in synthesizing a wealth of information. Excellent time management and prioritization abilities. Ability to effectively communicate both one-on-one and in a group setting. Capable of both following and providing detailed instructions. Thorough knowledge of AHA Official Coding Guidelines (ICD-10), AMA’s CPT, and CMS guidelines. Understanding of both clinical and revenue cycle operations. Well-versed in medical -terminology as well as anatomy and physiology. Knowledge in both clinical and revenue cycle operations.
#INDADMIN
Job Types: Full-time, Part-time
Pay: $31.77 - $47.66 per hour
Expected hours: 40 per week
Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Employee assistance program
* Flexible spending account
* Health insurance
* Life insurance
* Paid time off
* Retirement plan
* Tuition reimbursement
* Vision insurance
Schedule:
* 8 hour shift
* Day shift
Ability to Commute:
* Mount Vernon, WA 98273 (Required)
Work Location: In person