Southeast Supervisor - Primary Care

Advocate Aurora Health; Milwaukee (WI); Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a dedicated Coding Specialist to provide oversight and education in coding and documentation for healthcare professionals. This role involves implementing coding orientations, gathering feedback, and ensuring compliance with regulatory requirements. With a focus on collaboration and quality education, you'll work in a remote setting, contributing to the efficiency and accuracy of coding practices. If you have a strong background in coding guidelines and excellent communication skills, this opportunity is perfect for you to make a significant impact in the healthcare sector.

Benefits

Health insurance

Flexible working hours

Professional development opportunities

Remote work options

Qualifications

• 3+ years of provider coding experience in a large setting.
• Certifications like CCA, CCS-P, RHIA, RHIT, or CPC required.

Responsibilities

• Oversee coding education and feedback for Physicians and APCs.
• Develop new clinician coding orientations and documentation reviews.

Skills

ICD coding

CPT coding

HCPCS coding

Communication skills

Problem-solving skills

Organizational skills

Education

Associate's Degree in Health Information Management

Tools

Epic

Electronic coding systems

Job description

Department:

10395 Revenue Cycle - Coding & HIM Clinician Support

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Remote, First shift position

Major Responsibilities:

• Provide oversight for specialty/service line and/or patient service area (PSA) coding and documentation education and feedback to all employed Physicians and Advanced Practice Clinicians (APCs) regarding coding rules, changes (CPT including E&M, modifiers and internal codes, ICD-10, HCPCS), annual updates, payer requirements, and insurance rejection resolution.
• Develop and implement new clinician coding orientations, documentation reviews, and ongoing quality feedback processes for Physicians, APCs, Locum Tenens, Residents, Students, and other team members on documentation and coding matters.
• Gather feedback from Physicians, APCs, leadership, and Medical Group Chief Medical Officers on the quality and value of coding support provided.
• Coordinate responses to Clinicians' questions with Compliance and Clinical Informatics teams, and attend meetings to provide data and insights.
• Review and guide on Epic order entry, diagnosis, charge capture preferences, SmartSets, SmartPhrases, and templates for coding and documentation efficiency.
• Monitor work queues to ensure timely completion of coding and documentation tasks by Clinicians.
• Contribute to newsletters and reports for feedback and coaching, and communicate updates to team members and leadership.
• Collaborate internally and externally to ensure quality coding and documentation education.
• Maintain current knowledge of Medicare, Medicaid, and other regulatory coding requirements.
• Adhere to organizational policies, Code of Conduct, and legal standards; perform HR responsibilities including coaching, reviews, and staffing decisions.

Licensure, Registration, and/or Certification Required:

• AHIMA: CCA, CCS-P, RHIA, RHIT or AAPC: CPC certifications.

Education Required:

• Associate's Degree or equivalent in Health Information Management or related field.

Experience Required:

• At least 3 years in provider coding, including ICD, CPT, HCPCS, physician billing, and workflow experience in a large setting; leadership experience preferred.

Knowledge, Skills & Abilities:

• Advanced understanding of coding guidelines, medical terminology, anatomy, and regulations.
• Excellent communication, interpersonal, and adult education skills.
• Intermediate computer skills, familiarity with electronic coding systems.
• Strong organizational, problem-solving, and critical thinking skills.
• Ability to work independently, meet deadlines, and adapt to various environments.

Physical Requirements and Working Conditions:

• Normal office environment; travel required with associated hazards; operate necessary equipment.

This description provides the general scope of the role. Additional duties may be assigned as needed.