Physician Billing Coding Supervisor | HIM | Full Time | HYBRID (ON-SITE/REMOTE)

Gritman Medical Center; Moscow (ID); Remote; USD 70.000 - 90.000; Vollzeit

Zusammenfassung

Gritman Medical Center in Moscow, ID seeks a seasoned Coding Supervisor to oversee billing and coding activities in a primarily virtual setting or at the hospital site as needed. The role requires strong leadership, policy compliance, and the ability to train staff while ensuring coding accuracy and regulatory adherence.

You will guide the coding team, respond to inquiries, and help develop policies, while tracking metrics and promoting certified staffing.

Qualifikationen

• AHIMA-accredited degree required (Assoc. or Bachelors).
• Five years in relevant field with one year supervisory experience.
• CCS or CPC certification preferred as part of professional credentials.

Aufgaben

• Ensure HIPAA compliance and 100% patient confidentiality in e-PHI.
• Support coding team with inquiries for timely resolution.
• Maintain coding accuracy and adherence to guidelines.
• Develop reports and data for clinical evaluation, fiscal impact, and profitability.
• Track performance metrics such as accuracy, productivity, and turnaround times.
• Train new and existing staff on coding standards and updates.
• Stay current with ICD-10-CM, CPT, HCPCS, and related regulations.

Kenntnisse

HIPAA compliance

Leadership

Communication skills

Problem solving

Autonomy

Independent virtual work

Time management

Ausbildung

AHIMA-accredited degree (Assoc./Bac.)

Tools

EPIC

Grouper software

Coding software & hardware

Microsoft Office

Jobbeschreibung

Locations

Showing 1 location

Gritman Medical Center, Inc.
Moscow, ID 83843, USA

• On-site
• Billing & Coding Personnel
• Full-Time

Job Duties and Responsibilities

• Complies with all policies and procedures that pertain to HIPAA including minimum necessary requirements for this position. Must maintain 100% patient confidentiality for e-PHI during the course of work functions

• Responds to inquiries from Patient Accounting on patient claims resolution

• Assists coding team with inquiries from departments to achieve timely resolution

• Assists coding team to ensure coding accuracy, completeness, and adherence to established guidelines and standards

• Participates in meetings with Revenue Cycle Committee and coding team

• Abides by the Standards of Ethical Coding set forth by AHIMA and monitors coding staff for violations and reports as areas of concern are identified

• Assists HIM Director in maintaining compliance with applicable regulations (e.g., ICD-10, CPT, or internal standards)

• Train new staff and existing staff on coding standards, tools, and updates

• Maintains knowledge of current professional coding certification requirements and promotes recruitment and retention of certified staff in coding positions

• Develops reports and collects and prepares data for studies involving cases for clinical evaluation purposes, fiscal impact, and profitability

• Assists HIM Director with developing and implementing coding policies, procedures, and best practices

• Assists HIM Director with tracking key performance metrics such as accuracy rates, productivity, and turnaround times

• Keeps abreast of recent technology in coding software and other forms of automation and stays informed about transaction code sets, HIPAA requirements, and other future issues impacting the coding function

• Demonstrates competency in the use of computer applications and grouper software, medical edits, and all coding software and hardware

• The supervisor should demonstrate initiative and discipline in time management and assignment completion

• The supervisor must be able to work in a virtual setting under minimal supervision

Required Education

• Associate or Bachelor’s Degree and accredited by AHIMA

Required Licenses and/or Certifications

• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) Certifications

Required Work experience

• Five (5) years in relevant working field, with one (1) year of supervisory experience

Required knowledge, skills, and abilities

• Advanced knowledge of ICD-10-CM and CPT, and HCPCs coding principles and rules
• Strong leadership and communication skills
• Problem solving
• Good knowledge of medical records systems
• Excellent computer applications knowledge including Microsoft Office programs
• Must be fluent in general information technologies
• Significant level of autonomy, must be self-directed
• Intermediate to advanced knowledge of disease pathophysiology and drug utilization
• Intermediate to advanced knowledge of MS-DRG and APR-DRG classification and reimbursement structures
• Advanced knowledge of APC, OCE, NCCI classification and reimbursement structures
• Excellent organizational skills for initiation and maintenance of efficient workflow
• Regular and reliable attendance and time reporting per Gritman Medical Center Telecommuting program requirements
• Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment
• Good visual acuity
• Ability to operate computer keyboard, mouse, and other peripherals as appropriate to accomplish assigned tasks

Preferred qualifications

• Prefer five (5) years' experience in a supervisory role in healthcare with extensive knowledge of ICD-10-CM, CPT, HCPCS, and documentation guidelines;
• EPIC experience, including HB billing.

Equal Opportunity Employer

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