Supervises the daily activities of the Hospitalists group's coding by reviewing charges submitted by physicians through Ingenious Med and working with charge capture staff to release and submit charges through Athena. Will assist Director with revenue cycle to assure claims are submitted correctly and denials are worked daily. Assist Director to identify holds based on error types, and assist director in dispersing errors to the correct staff to work such errors (i.e. registration issues, authorization issues, demographic issues, which will be given to Manager/Director of staff). All coding denials will be reviewed and worked by coding supervisor in conjunction with the revenue cycle staff and policies and procedures set in place. Coding Supervisor will work closely with Director of Hospitalists and Director of Coding and Revenue Cycle to establish work flow processes, and ensure the charges; denials are worked daily with accuracy. Supervise the integrity of all coding, abstracting, and grouping of assignments for both optimal reimbursement and for accurate data retrieval. Provides Director of Coding and Revenue Cycle reports of providers who require additional education on EM levels, ICD10 diagnosis coding or procedural coding. Assists Director of Coding and Revenue Cycle in training and educating providers at the direction of the Director of Coding and Revenue Cycle. Assists in revenue cycle denial management and appeals process of all groups at the Direction of the Director of Coding and Revenue Cycle. Auditing 5 charts of employed physicians monthly and reporting to Director of Coding and Revenue Cycle of findings in monthly reports.
EDUCATION: Associates degree in Health Information Management preferred, Experience will be considered in lieu of education.
CERTIFICATION/LICENSES: AAPC Certification required.RHIA, RHIT, AHIMA optional. Credential requirements must be kept current and all CEU's required must be obtained.
SKILLS: Proficiency in the use of the ICD-9/10-CM and CPT-4, HCPC coding classification systems and in grouping methodology for professional services. Excellent communication, organizational, interpersonal and analytical skills required. Must have proficiency of computer applications.
EXPERIENCE: Must have five years as a CPC of coding experience in a multi-specialty or specialty practice setting. Two years of direct supervisory experience required of coding and billing staff and 2 years of knowledge of complete revenue cycle to include coding, billing, denial follow-up within multipractice professional practice setting.
NATURE OF SUPERVISION:
-Responsible to: Director of Coding and Revenue Cycle, CSVMG Medical Group
- Bloodborne pathogens - A
General office environment. Knowledge of general safety standards. Exposure to hazards from electrical/mechanical/power equipment.
PHYSICAL REQUIREMENTS: Continuous sedentary position with intense mental concentration up to eight hours per day. Data entry/keyboarding up to eight hours a day. Light physical effort (able to lift/carry up to 10 lbs.) Occasional reaching, stretching, bending, kneeling.