What are the responsibilities and job description for the Coding Supervisor - Reimbursement - Revenue Cycle position at Candidate Experience site?
Job Summary
Supervises the coding specialist team; coordinates the timeliness of charge acquisition, coding and charge entry on the revenue cycle system. Educates physicians and coding and reimbursement specialists on coding and reimbursement.
Essential Functions
- Reconciles processes to ensure all charges are captured.
- Reviews ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered.
- Processes automated or manually enters charges in the applicable billing system.
- Researches and analyzes coding and payer specific issues.
- Supervises coders and makes sure department guidelines for timeliness of processing charges are met and communicates with team members and leadership team management on an ongoing basis.
- Communicates with providers, either verbally or in writing, related to coding issues that are of high complexity. Including face to face interaction and education with providers.
- Assigns E/M or other procedural codes from provider documentation.
- Applies appropriate modifiers and basic knowledge of Relative Value Units as well as appropriate ranking of CPT codes.
- Coaches providers on documentation improvement
- Develops and mentors teammates and serves as a resource.
- Conducts quality assurance reviews to determine where additional training opportunities should be implemented.
- Monitors productivity and redirect workflow as volumes require for assigned teammates.
- Monitors daily edits/work queues related to charge entry,
- Oversees reconciliation processes to ensure complete.
- Maintains relationships with physicians, residents and medical staff.
- Builds relationships and network with others across the enterprise.
- Assists Manager in completion of Employee Reviews and Individual Development Plans.li>
Physical Requirements
Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending.
Education, Experience and Certifications
High School Diploma or GED required. AAPC or AHIMA certification, minimum of 5 years of experience of coding experience required, previous management experience preferred, strong knowledge of revenue cycle systems required. Maintain coding certification (CPC, CCS, RHIT, RHIA). Extensive knowledge of coding, medical terminology, anatomy, and physiology. Extensive knowledge of and the ability to apply the payer specific rules regarding coding, bundling, and adding appropriate modifiers. In depth knowledge of claim editing rationale and revenue cycle. Excellent written and verbal communication skills. Demonstrates expertise in multiple areas of coding.
