[Hiring] Coding Supervisor @Hennepin Healthcare

Role Description

This position is a first line supervisory role responsible for supervising professional billing coding employees who provide professional fee coding and billing services for provider services. Under the direction of the Physician Billing Manager, the position supports the coordination and development of processes that assist Providers in creating clinical documentation that reflects the care provided, ensuring compliance, quality, and financial viability. Responsibilities include:

• Participating in the selection, training, and evaluation of staff engaged in Professional Fee Coding and Billing functions.
• Reviewing work for accuracy and conformance with departmental policies and procedures; tracking and monitoring production goals and standards.
• Determining priorities, schedules, and assigning work as required.
• Developing, revising, and maintaining work unit policies and procedures.
• Composing correspondence or preparing reports on own initiative.
• Maintaining necessary office supplies, materials, or inventory.
• Demonstrating maturity and accountability for job performance, supporting the philosophy, objectives, and goals of the HIM department.
• Maintaining licensure/certification and skills by obtaining required professional continuing education.
• Performing other duties as assigned, but only after appropriate training.
• Analyzing provider documentation and billing practices through financial and coding activity reports to identify potential opportunities for revenue capture and compliance concerns.
• Developing and executing departmental review projects with measurable financial and/or compliance goals.
• Managing in-clinic review projects, including risk mitigation and issue resolution.
• Organizing, analyzing, and presenting data to outline and institute strategies for improvement.
• Presenting education points and/or findings to Providers regarding coding and billing trends and related quality metrics.
• Collaborating with key stakeholders to determine trends and educational needs.
• Working with the Health Information team to ensure standard processes for documentation compliance are supported in teaching and training of providers.
• Working with the manager to develop an annual education plan based on analysis of reports for revenue opportunities and known compliance risks.
• Conducting formal meetings and/or team meetings in lieu of Manager when requested.
• Evaluating self and team processes to ensure individual, team, and organizational goals are met.
• Participating in the creation of group training materials and leading organizational documentation initiatives.

Qualifications

• Associates degree in business and/or healthcare administration, Health Information Management, or Health Information Technology.
• Minimum of 2 years healthcare experience -OR- Bachelor’s degree -OR- Three (3) years external coding/reimbursement experience -OR- An approved equivalent combination of education and experience.
• Certification/License Required: RHIT, RHIA, CCS, CCS-P or CPC.

Requirements

• Prefer Bachelor’s in health-related field.
• E/M Auditing Experience.
• Registered Health Information Administrator (RHIA) or Registered Health Information Technologist (RHIT) in active status with AHIMA preferred.

Knowledge/ Skills/ Abilities

• Experience with Epic electronic medical record functionality and encoder and reimbursement systems recommended.
• Extensive and demonstrated expertise in CPT-4, HCPCS, and ICD-CM coding classification systems.
• Knowledge of state and federal legislation for HIPAA Privacy, medical record access, and regulatory and accreditation agencies.
• Knowledge of current medical record technology, statistics, data presentation, and reporting.
• Ability to organize, delegate, and monitor work assignments.
• Effective communication skills in oral or written communications; ability to initiate, lead, mentor, and coach staff.