Medical Coding Supervisor - Navigant BPM - Gaithersburg, MD

Navigant - Gaithersburg, MD (30+ days ago)3.5


Practice Information

Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

Responsibilities

The Coding Supervisor is responsible for the oversight and management of the coding & reimbursement function within Health Information Services to ensure compliant, timely, and accurate coding of patient records. This position will perform any and all related job duties as assigned.

Questions regarding this position, please contact Chris Rivera (Manager, Talent Acquisition) at (714) 361-6836.

Essential Job Functions

Coding and Reimbursement Management
Computer Literacy with working knowledge of Microsoft Excel, Powerpoint, and Word
Advanced Coding Skills, ICD-10-CM and CPT
Excellent verbal and written Communication Skills
Strong working knowledge of governmental regulations relating to coding
High level of productivity
Monitoring of Coding/Revenue Cycle Workflow
Report Analysis and Quality Management of Coded Date
Management Skills
Ability to work independently
Duties and Responsibilities

Responsible for the achievement of goals for significant statistical indicators of revenue cycle performance.
Oversees the timely and accurate coding of discharged records and daily monitoring of the DNFB report.
Assess coder productivity, workload, workflow and unbilled report to align with goals.
Maintains DNFB at or below 5 days average revenue.
Compiles & tracks weekly Unbilled by reason on Key Indicator report.
Generates and reviews coding reports to monitor and maintain coding quality.
Communicates to Director any issues related to backlogs, coding, or reimbursement and makes suggestions for process improvements.
Monitors coding & billing procedures to assure compliance with all regulatory and governmental requirements.
Stays current with relevant rules, regulations, standards, and directives from regulatory agencies and third-party payers.
Participates in revenue cycle, denial management work teams.
Monitors and supports daily staff functions in all areas related to coding & reimbursement and perform other related duties as assigned or requested.
Maintains a good working relationship with physicians, case management, registration, billing office, and clinical areas and works to address any problems related to documentation and coding.
Oversees the interface between coding, abstracting & billing systems to ensure accuracy of data transmission.
Ensure compliance with coding & documentation guidelines and governmental requirements.
Performs monthly inpatient & outpatient coding quality reviews to identify abstracting, ICD-9-CM, and CPT coding errors. Communicates findings and educate staff accordingly.
Compiles monthly Coding Quality Report identifying coding risk areas, trends, and coding accuracy.
Ensures coders maintain 95% coding accuracy rate and implements corrective action plans when standards are not met.
Conducts routine coding education in-services and provides minutes to Director HIS. Acts as a coding resource and responds to questions about coding issues and provide references and resources to Coding staff members and other hospital staff.
Track healthcare changes that affect coding, including technical issues, code changes, regulatory issues, and reimbursement policy. Reads Coding Clinic within seven days of receipt and requires all coders to read and complete the examination.
Develops and analyzes reports as needed and requested to assist in the review and analysis of the documentation and coding patterns of physicians.
Interviews and hires qualified staff. Trains, orients and in-services new employees.
Performs 90 day evaluations and annual evaluations for coding staff.
Observes confidentiality and safeguards all patient-related information.
Serves as a role model for all co-workers by setting an example of high standards in dress, conduct, cooperation and job performance.
Performs other duties and conducts projects as assigned.
Provides training to Coders on assigned facility, including facility specific coding/abstracting guidelines, encoder and EHR functionality.
Client Responsibility

Communicates and maintains the performance expectations of client.
Anticipates customer needs and initiates action to meet and/or exceed those needs.
Identifies and recommends ways to improve client satisfaction.
Qualifications

RHIA, CCS or equivalent preferred.
Supervisory experience preferred.
Experience with Maryland State coding/reimbursement preferred
Five years acute care coding experience.
Other Requirements

25% travel to facility required.
Questions regarding this position, please contact Chris Rivera (Manager, Talent Acquisition) at (714) 361-6836.

Mental/Physical Requirements

Strong conceptual, as well as quantitative and qualitative analytical skills
Work as a member of a team as well as be a self-motivator with ability to work independently
Constantly operates a computer and other office equipment to coordinate work
Frequently travels by airplane, train or car as necessary to perform work at another location
Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data
Generally works in an office environment

EEO/C&B Statement

Navigant Cymetrix is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information or any other basis protected by law, ordinance, or regulation.

Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.