Baylor Scott & White Health logo
Baylor Scott & White Health

Baylor Scott & White Health, formerly known as Baylor Health Care System, is a leading Texas-based nonprofit healthcare system. Baylor Scott & White Health was

Coding Supervisor

Location

United States

Posted

33 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Coding Supervisor

Baylor Scott & White Health

Role Description The Coding Supervisor oversees one or more service lines of Health Information Management (HIM) coding. The Supervisor has in-depth knowledge and can interpret health record documentation to identify procedures and services for accurate code assignment. The Coding Supervisor uses the International Classification of Disease (ICD-10CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Physicians Current Procedural Terminology (CPT) coding systems, and other coding references to ensure accurate coding. Essential Functions of the Role - Plans, organizes, develops and manages a staff of coders. - Ensures accuracy and consistency of coded data for various records, including: - Professional fee surgical procedures - Day surgery - Emergency department - Outpatient visits - Observation - Inpatient records - Reviews records to validate diagnoses, procedures, modifiers, APC assignment, and/or DRG. - Identifies high-risk areas in coding and documentation practices. - May conduct focused quality reviews on HIM coding staff, apart from those by the BSWH HIM Audit team. - All coding must use official guidelines from: - AHA Coding Clinic - AMA CPT Assistant - AHA Coding Clinic for HCPCS - CMS publications - Provides training to coding staff and cross-trains staff as needed. - Ensures all staff record productivity daily as assigned. - Monitors staff member quality and production scores, managing or coaching them for improvement. - Takes performance improvement steps per policy when needed. - Monitors daily unbilled reports and work queues for outstanding accounts. - Adjusts staff assignments as needed and manages workload to meet daily un-coded accounts receivable. - Is a resource for resolving billing edits using the National Correct Coding Initiative and Local and National Coverage Determinations. - Facilitates billing issues with Physician Fee Schedules (PFS) and informs PFS when charges need to be moved on patient accounts. - Attends coding and reimbursement trainings and ensures staff attend when assigned. - Maintains knowledge of rules, regulations, policies, laws, and guidelines affecting coding. - Stays updated on new technology in coding and abstracting. - Serves as a resource to coding staff and other departments to answer coding and documentation related questions. - Maintains a positive relationship with physicians, nurses, clinic managers, and other contacts. Key Success Factors - Knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. - Knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. - Demonstrated expertise of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. - Proven knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. - Ability to interpret health record documentation to identify procedures and services for accurate code assignment. - Ability to manage and perform in a team environment. - Seeks a win-win situation and builds relationships. - Outstanding communication skills to keep others well informed and encourages open dialogue. - Flexibility and adaptability while balancing requirements and regulatory and accreditation guidelines that are non-negotiables. Qualifications - EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification - EXPERIENCE - 3 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - This position requires one of the following: - Cert Coding Specialist (CCS) - Cert Coding Spec Physician Bas (CCS-P) - Cert Professional Coder (CPC) - Reg Health Info Administrator (RHIA) - Reg Health Info Technician (RHIT) Benefits - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 - Note: Benefits may vary based upon position type and/or level.

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Job Closed