Coding Supervisor | HIM | Full Time | HYBRID (ON-SITE/REMOTE)

at Gritman Medical Center, Inc. in Moscow, Idaho, United States

Job Description

Requisition Number: HIMCO004006

ON-SITE SCHEDULE TO BE DETERMINED The Coding Supervisor oversees daily coding operations within a clinic, ambulatory care, and/or hospital setting ensuring accurate, compliant, and timely coding of patient encounters. This role supervises coding staff, maintains quality and regulatory compliance, and collaborates closely with providers and revenue cycle teams to optimize reimbursement and documentation practices. This role reports to the HIM Director.

Key Responsibilities:

· Complies with all policies and procedures that pertain to HIPAA including minimum necessary requirements for this position. Must maintain 100% patient confidentiality for e-PHI during the course of work functions

· Responds to inquiries from Business Office on patient claims resolution

· Assists coding team with inquiries from departments to achieve timely resolution

· Assists coding team to ensure coding accuracy, completeness, and adherence to established guidelines and standards

· Participates in meetings with Revenue Cycle Committee and coding team

· Abides by the Standards of Ethical Coding set forth by AHIMA and monitors coding staff for violations and reports as areas of concern are identified

· Assists HIM Director in maintaining compliance with applicable regulations (e.g., ICD-10, CPT, or internal standards)

· Train new staff and existing staff on coding standards, tools, and updates

· Maintains knowledge of current professional coding certification requirements and promotes recruitment and retention of certified staff in coding positions

· Develops reports and collects and prepares data for studies involving cases for clinical evaluation purposes, fiscal impact, and profitability

· Assists HIM Director with developing and implementing coding policies, procedures, and best practices

· Assist HIM Director with tracking key performance metrics such as accuracy rates, productivity, and turnaround times

· Keeps abreast of recent technology in coding software and other forms of automation and stays informed about transaction code sets, HIPAA requirements and other future issues impacting the coding function

· Demonstrates competency in the use of computer applications and grouper software, medical edits, and all coding software and hardware

· The supervisor should demonstrate initiative and discipline in time management and assignment completion

· The supervisor must be able to work in a virtual setting under minimal supervision

Qualiications:

Required Education:

• • • Associate or bachelor’s Degree and accredited by AHIMA 

  • Required Licenses and/or Certifications:

    • Certified Coding Specialist (CCS) and Certified Professional Coder (CPC) Certifications
  •  

• Required Work Experience:

  • Five (5) years in relevant working field, with one (1) year of supervisory experience 
• Required Knowledge, Skills, and Abilities:

  · Advanced knowledge of ICD-10-CM and CPT coding principles and rules

  · Strong leadership and communication skills

  · Problem solving

  · Good knowledge of medical records systems

  · Excellent computer applications knowledge including Microsoft Word and Excel

  · Must be fluent in general information technologies

  · Significant level of autonomy, must be self-directed

  · Intermediate to advanced knowledge of disease pathophysiology and drug utilization

  · Intermediate to advanced knowledge of MS-DRG and APR-DRG classification and reimbursement structures

  · Advanced knowledge of APC, OCE, NCCI classification and reimbursement structures

  · Excellent organizational skills for initiation and maintenance of efficient workflow

  · Regular and reliable attendance and time reporting per Gritman Medical Center Telecommuting program requirements

  · Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment

  · Good visual acuity

  · Ability to operate computer keyboard, mouse, and other peripherals as appropriate to accomplish coding

• Preferred Qualifications:

  • Prefer five (5) years' experience in a supervisory role in healthcare with extensive knowledge of ICD-10-CM, CPT, HCPCS, and documentation guidelines;

  • EPIC experience, including HB and PB billing.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.