Coding Audit Supervisor - RHIA RHIT CPC CCS - Mon - Fri Days - Hybrid in Georgia

Northeast Georgia Health System; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A healthcare organization is seeking a Coding Audit Supervisor to oversee coding audit workflows and ensure compliance with national coding guidelines. Responsibilities include supervising coding staff, conducting audits, monitoring performance, and providing education on coding accuracy. Ideal candidates will have relevant licensure, a high school diploma, and significant coding experience. An undergraduate degree is preferred. Join a team dedicated to maintaining high standards in coding accuracy and patient care.

Benefits

Opportunities for career growth

Supportive team environment

Qualifications

• Minimum 5 years acute care inpatient/outpatient coding experience required.
• Experience in coding auditing/monitoring preferred.

Responsibilities

• Supervise Coding Auditors.
• Export data from EPIC for monitoring.
• Create and prepare coding audit reports.
• Coordinate coder training and orientation.
• Communicate potential compliance risks effectively.

Skills

Licensure (RHIA, RHIT, CCS, CCS-P, CPC)

Knowledge of coding guidelines (ICD-9-CM, CPT-4, ICD-10-CM, ICD-10-PCS)

Proficiency in Microsoft Office applications

Effective problem-solving

Strong leadership skills

Ability to analyze trends in data

Education

High School Diploma

Undergraduate degree in HIM/HIT

Job description

About the Role

The Coding Audit Supervisor performs under the guidance of the Director of Coding. The Coding Audit Supervisor supervises the coding audit workflow; monitors employee performance; addresses complaints and resolves problems; and actively oversees and supervises production and quality control efforts. This position monitors coder compliance with national coding guidelines and NGHS coding policies for complete, accurate and consistent coding that result in appropriate reimbursement and data integrity. Works with the team to ensure minimal variation in coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments. Provides coder specific education based on review findings and trends.

Minimum Job Qualifications

• Licensure or other certifications: RHIA, RHIT, CCS, CCS-P, or CPC and an AAPC specialty credential required. Candidates with only a CPC must attain their CEMC or CPMA within six (6) months of hire.
• Educational Requirements: High School Diploma
• Minimum Experience: Five (5) years acute care inpatient/outpatient coding experience required
• Other:

Preferred Job Qualifications

• Preferred Licensure or other certifications:
• Preferred Educational Requirements: Undergraduate degree in HIM/HIT
• Preferred Experience: Leadership experience in healthcare related field. Three (3) years coding auditing/monitoring experience strongly preferred. Demonstrated experience in conducting education to providers and large audiences strongly preferred.
• Other:

Job Specific and Unique Knowledge, Skills and Abilities

• Coding Technical skills: extensive regulatory coding (ICD-9-CM, CPT-4, ICD-10-CM and ICD-10-PCS as applicable to transition to ICD-10) and associated reimbursement knowledge
• Ability to analyze trends in data: determine root cause and address as appropriate
• Effective Decision Making: relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values
• Independently takes prompt proactive steps toward problem resolution
• Establishes courses of action to ensure that work is completed efficiently: proactively prioritizes assignments and keen ability to multi-task
• Leads individuals and groups toward desired outcomes: setting high performance standards and delivering leading quality services
• Establishes and maintains long-term customer relationships: building trust and respect by consistently meeting and exceeding expectations
• Demonstrates proficiency in Microsoft Office applications: and others as required
• Accomplishes tasks by considering all areas involved: no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time
• Provides timely guidance and feedback: to help strengthen the knowledge/skill set of others to accomplish a task or solve a problem

Essential Tasks and Responsibilities

• Provides direct supervision/oversight to Coding Auditors for management of inpatient and outpatient coding functions, work queues, work processes, and overall work responsibilities
• Exports data from EPIC into excel based data tracking models to monitor productivity and provide timely and consistent feedback to employees and Coding Director
• Creates and prepares coding audit benchmarking, coding audit productivity, coding audit quality, and coding audit productivity reports for the Coding Director
• Assists Coding Director in the review and improvement of auditing processes and services
• Coordinates coder training and orientation of staff, along with the development of coding tools, resources and education materials
• Coaches, facilitates, solves work problems, and participate in the work of the team
• Ensures coding staff adherence with coding guidelines and policy
• Assures accounts that cannot be coded are held for valid reasons and documented accurately
• Assists in strategic planning and budgeting of the coding quality review function
• Communicate effectively with leadership, physicians, and team relating to potential compliance risks and to mitigate damages and resolve related issues
• Manages, leads and participates in interdepartmental/multidisciplinary team meetings, committees(s)
• Ensures coder compliance with regulatory coding compliance educational requirements and NGHS polices
• Initiates physician queries in compliance with coding guidelines where appropriate
• Meets all educational requirements as stated in NGHS policy
• Reviews all official data quality standards, coding guidelines, NGHS policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
• Practice and adheres to the “Coding Code of Ethics” and NGHS “Mission and Value Statement”
• Other duties as assigned

Physical Demands

• Weight Lifted: Up to 50 lbs, Occasionally 0-30% of time
• Weight Carried: Up to 50 lbs, Occasionally 0-30% of time
• Vision: Heavy, Frequently 31-65%of time
• Kneeling/Stooping/Bending: Occasionally 0-30%
• Standing/Walking: Occasionally 0-30%
• Pushing/Pulling: Occasionally 0-30%
• Intensity of Work: Frequently 31-65%
• Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.

NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.