Supervisor Coding Compliance

TCH Medical Center; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

Texas Children's Hospital is seeking a Supervisor of Coding Compliance to support the Manager of Coding & Quality Assurance. You will oversee coding staff, monitor accuracy to minimize Bill Hold and AR days, and ensure compliance with government regulations.

You will mentor Coding Technicians, assist with training on encoder software, and participate in staff performance reviews. The role partners with multiple departments to resolve coding information needs.

Qualifications

• High School Diploma or equivalent; bachelor’s degree preferred.
• Certifications: RHIA, RHIT, CCS, CCA, CCS-P, CPC, CPC-A, COC, CIPC.
• Minimum 5 years coding experience; hospital setting preferred.

Responsibilities

• Supervise and evaluate the activities of assigned staff.
• Conduct daily/weekly analysis of departmental reports and implement corrective actions.
• Distribute workloads and adjust staffing to meet service levels.
• Participate in interviewing and make hiring recommendations.
• Provide coaching and education to staff; conduct competency assessments.
• Ensure adequate staffing levels and manage PTO and scheduling.
• Communicate strategically with teams; conduct regular staff meetings.
• Assist in training new employees on encoder work queues and accounts.
• Maintain Bill Hold per policy and department goals.
• Engage in special projects and process improvements as assigned.

Skills

Staff supervision

Staff coaching

Quality reviews

Training

Education

High School Diploma or equivalent

RHIA - Health Information Admin (RHIA)

RHIT - Health Information Tech (RHIT)

CCS - Coding Specialist

CCA - Coding Associate

CCS-P - Physician-based CCS

CPC - Professional Coder

CPC-A - Apprentice Coder

COC - Outpatient Coder

CIPC - Inpatient Coder

Tools

Encoder system

Job description

We're searching for a Supervisor of Coding Compliance, someone who works well in a fast-paced setting. In this position, you will support the Manager of Coding & Quality Assurance. Assist with follow-up on processes assigned, ensure continuity of coded accounts and monitor accuracy to ensure accounts do not exceed acceptable Bill Hold and AR days. Ensure that Texas Children's Hospital is coding according to government regulations and coding guidelines. Assist the Coding Technicians with the implementation and training of any new and existing software applications. Reviews coding denials and provides education to the Coding Technicians when appropriate. Work closely with Business Services, Admissions, Billing, Medical Records, Care Management, and healthcare providers to retrieve information supporting coding. Assist with special projects as assigned for management.

Think you’ve got what it takes

Job Duties & Responsibilities

• Supervises, ensures competencies, and evaluates the activities of assigned staff.
• Conducts daily and weekly analysis of reports, which assess the department's performance and identify corrective action plans were required (stats, productivity, quality, staff churn/turnover and attendance).
• Distributes workloads and queues and adjusts staff allocation to ensure the agreed service levels are met.
• Participates in interviewing and evaluating applicants and makes hiring recommendations as requested by leader.
• Completes off-orientation paperwork and provides feedback on annual performance reviews, ensuring objectivity and consistency of the evaluations and development plans.
• Performs staff coaching and counseling as required.
• Assesses competency of staff and identifies training needs to ensure staff can demonstrate required skills to complete staff assignments effectively.
• Ensures appropriate staffing levels by determining requirements for daily coverage, developing, and posting work schedules and making appropriate decisions regarding PTO requests to ensure adequate vacancy coverage to meet operational needs.
• Ensures timely and effective two-way communication of strategic and operational messages to teams.
• Funnels information between staff and leadership regarding workplace issues, resource needs, incidents, and departmental/organizational events by conducting regular staff meetings, one-on-one conferences, and education.
• Performs edits in API system (enters missed punches when appropriate, enters PTO and EIB hours).
• Monitors API system to ensure adherence to punctuality and attendance expectations in strict accordance with Hospital and departmental policies and procedures as measured by API reports and other performance and productivity metrics. Reports tardiest and missed punches to Management.
• Initiates timely contact with providers to be able to code outstanding accounts.
• Conducts quality reviews and provides education to the staff as needed.
• Maintains Bill Hold by following established Departmental Policy & Procedures, Workflow, and Departmental Goals.
• Actively participates in special assignments, programs, or improvement initiatives with successful outcomes.

• Assists in training new employees on how to use work queues and work accounts in the encoder.

Skills & Requirements

• Required H.S. Diploma or equivalent, preferred bachelor’s degree
• Required Certifications:
• RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association
• RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association
• CCS - Cert-Cert Coding Specialist by the American Health Information Management Association
• CCA - Certified Coding Associate American Health Information Management Association
• CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association
• CPC - Cert-Cert Professional Coder by the American Academy of Professional Coders
• CPC-A - Cert Prof Coder - Apprentice by the American Academy of Professional Coders
• COC - Certified Outpatient Coder by the American Academy of Professional Coders
• CIPC - Certified Inpatient Coder by the American Academy of Professional Coders

• Required 5 years coding experience with preferred experience in a large hospital setting