HIM Outpatient Coding Supervisor

Guidehouse; United States; On-site; USD 68,000 - 113,000; Full time

Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

Paid Holidays

Discretionary annual bonus

401(k) Retirement Plan

Tuition Reimbursement

Professional development

Employee referral program

Life insurance

Disability benefits

Flexible spending accounts

Parental leave

Job summary

Guidehouse is seeking a senior-level Health Information professional to analyze documentation and confidently assign codes for complex patient cases. You will review records flagged by SMART tools and educate staff on coding patterns.

Ideal candidates hold RHIA/RHIT/CCS/CPC credentials, with strong outpatient coding expertise and at least two years of leadership experience. The role includes comprehensive benefits and opportunities for professional growth.

Qualifications

• Requires a University Degree and minimum 5 years of prior relevant experience; substitution permitted for education.
• Certified RHIA/RHIT/CCS or CPC credential required.
• Strong outpatient coding background at a senior level, including outpatient/inpatient charts, E/M charging, injections/infusions charging, data management, coder education.
• Must maintain credential throughout employment.
• Minimum of two years of people leadership experience required.

Responsibilities

• Assist coders and documentation staff with complex cases by analyzing documentation and determining code assignment.
• Review medical records flagged by SMART software for coding error patterns and education opportunities.
• Serve as technical expert/resource to department manager, staff, physicians, and external customers on coding standards and regulatory requirements.
• Perform other duties as assigned by management.

Skills

Outpatient coding

Inpatient coding

E/M charging

Injection charging

Infusion charging

Data management

Coder audit

Education experience

Leadership

Education

University degree

RHIA/RHIT/CCS/CPC certification

Tools

EPIC

Cerner

Solventum

PwC SMART

Job description

Job Family:

General Coding

Travel Required:

None

Clearance Required:

None

What You Will Do:

• Assists coders, compliant documentation management staff, and the Internal Revenue Integrity team with complex patient care cases by analyzing documentation and discussing correct code assignment.
• Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software for patterns of coding errors and opportunities for coder and /or clinical education.
• Serves as a technical expert/resource for department manager, staff, physicians, administrative, and external customers to provide information or clarification accurate and ethical coding and documentation standards, guidelines and regulatory requirements.
• Performs other duties as assigned by management.

What You Will Need:

• Requires a University Degree and minimum 5 years of prior relevant experience; (Relevant experience may be substituted for formal education or advanced degree).
• Currently certified as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS), or Certified Professional Coder (CPC).
• A strong outpatient coding background at a senior level including coding of outpatient/inpatient charts, E/M charging, injection and infusions charging, as well as data management and coder audit and education experience.
• Must maintain credential throughout employment.
• A minimum of two years of people leadership experience is required

What Would Be Nice to Have:

• Experience working in any of the following systems: EPIC, Cerner, Solventum, and PwC SMART.
• Knowledge of Anatomy, Physiology and Medical Terminology

The annual salary range for this position is $68,000.00-$113,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse 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.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [e-mail]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [e-mail]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [e-mail]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.