Supervisor, Health Information Coding

Job Summary: The Supervisor, Health Information Coding supervises the daily operations of coding services for Saint Francis Health System (SFHS). This role researches, monitors and coordinates coding and billing needs and handles varying requests from sources ensuring quality and productivity standards are maintained.

Minimum Education: High School Diploma or GED. Bachelor’s degree in Health Information or related field, preferred.

Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) certification from the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) certification from the American Academy of Professional Coders (AAPC). Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT), preferred.

Work Experience: Minimum 5 years of related experience, preferably in a large acute teaching facility. Experience with International Classification of Diseases, Tenth Revision (ICD10), Current Procedural Terminology (CPT) and All Patient Refined Diagnosis Related Groups (APR/DRG) for hospital focused responsibilities, preferred.

Knowledge, Skills, and Abilities: Superior knowledge of applicable coding regulatory requirements. Demonstrated knowledge with public reporting platforms. Knowledge and understanding of Case Mix Index or Relative Value Unit (RVU) assignment, severity, and mortality ratings. Working knowledge of Microsoft 365 as might be used in the preparation of correspondence and reports. Effective interpersonal, written, and oral communication skills. Ability to organize and prioritize work in an effective and efficient manner. Proven ability to train and educate team members on coding policies and guidelines.

Essential Functions and Responsibilities: Supervises the daily activities of coding services for the health system. Monitors departmental data abstraction to ensure pertinent details are extracted from patient records to assign accurate diagnostic and procedural codes. Assists in the development and implementation of short and long-term strategic planning goals. Collaborates with key stakeholders to resolve requests and denials from various payors; acting as the primary resource in determining appropriateness of appeals and processing those appeals for payment. Acts as a mentor to coding staff and provides ongoing education and training to assist in team members’ professional development. Keeps informed of industry standards and guidelines, updating, and ensuring internal policies meet regulatory requirements and educates team members and providers on any updated regulations. Works with coding auditors to determine focused review needs and to address variations in coding practices to meet established compliance rates. Provides monthly quality, productivity, FTE and other reports for management, as needed. Handles interviewing and hiring of coding staff.

Decision Making: Independent judgment in making decisions involving non-routine problems under general supervision.

Working Relationships: Direct Supervision of others. Prepares and gives performance evaluations. Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above.

Special Job Dimensions: None.

Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.

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