Supervisor Coding Provider Practice - Gen Surg, Plastics, Wound

10000 Sanford; North Dakota; Hybrid; USD 68,000 - 108,000; Full time

Job summary

Sanford Health seeks a coding leader to guide and develop coding staff, ensure accurate documentation, and maximize compliant reimbursement across the enterprise.

You will collaborate with physicians and clinics, review payer policies, train teams on ICD-10, CPT and HCPCS, and report findings to leadership. RHIA/RHIT/CPC/CCS/CCS-P/COC credentials are preferred or required.

Qualifications

• Associate degree in Health Information Technology or coding certification required.
• Experience with ICD-10, CPT, HCPCS coding schemes preferred.
• RHIA/RHIT/CPC/CCS/CCS-P/CCS-H/COC certifications required or preferred.
• Three years coding experience with professional charges; Medicare/third-party payors preferred.

Responsibilities

• Lead coding staff to assign accurate codes for reimbursement and data collection.
• Meet with physicians to provide feedback and train on documentation.
• Analyze coding data and report discrepancies to management.
• Review payer audits and updated coding guidelines.
• Educate clinics/providers on charges and codes.
• Assist with training and hiring decisions.

Skills

Leadership

Communication

Training

Problem-solving

Data analysis

Education

Associate degree Health Information Technology or Coding certification

RHIA/RHIT/CPC/CCS/CCS-P/CCS-H/COC certifications

Job description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40 Compensation: Salary Range: $32.50 - $52.00 Union Position: No Department Details

If you are looking for a challenging opportunity, looking to foster a positive, accountable, high-performing team, manage productivity & coding WQs, and build strong relationships between you and your coding staff and the departments you work with. Then this is the job for you

Summary

Provide leadership to coding staff in assigning accurate and timely codes to medical records for optimal reimbursement, data collection, and statistical reporting. Provide accurate information, education and reviews regarding coding to assure the most effective reimbursement methods are identified and utilized and to assure compliance.

Job Description

• Responsible for meetings with physicians to provide feedback, educate, and train on appropriate documentation.
• Report findings of analyzed coding data to upper management and executives on any discrepancies or variances amongst the industry data compared to departmental data.
• Validate any potentially missed professional revenue, running reports to find missed charges, validate charges as shown on billing, assist with template development, research new coding guidelines, information sharing new coding guidelines with others, have an understanding of service and revenue routing, review payer audits.
• Provide responses to any reviewed patient related concerns to charges associated with service received.
• Provide input as needed into pricing of services, monitor, and analyze reimbursement-related issues.
• Knowledge and understanding of ancillary coding services.
• Review updated payer bulletins.
• Inform clinics/providers of any updates and/or changes, related with charges and codes.
• Perform other duties as assigned by the manager and/or director.
• Have a working knowledge of anatomy, physiology and pathophysiology to understand disease processes, treatment or management of conditions either medically or surgically.
• Computer skills, the ability to interpret, analyze and abstract data/documentation, and have good problem-solving skills.
• Current in coding schemes and have knowledge of prospective payment systems, insurance policies, drug/pharmacy related coding rules and documentation process, and clinical practices and technology.
• Specific knowledge of diagnostic and procedural terminology, international classification of disease, tenth edition (ICD-10), current procedural terminology (CPT) and healthcare common procedure coding system (HCPCS) coding schemes.
• Demonstrate leadership skills, excellent communication, and proven ability to effectively train others and motivate people in realizing and attaining their goals.
• Assist with training of personnel, dealing with employee issues/behaviors, assisting with hiring/termination.

Qualifications

• Associate degree in Health Information Technology or Certification in Coding required.
• Specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in International Statistical Classification of Diseases (ICD) diagnosis, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding schemes, medical terminology or human anatomy/physiology is preferred.
• Prefer to have at least three years of experience in coding for professional charges, as well as experience with Medicare and other third party payors.
• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to [e-mail].

The Sanford organization owns and manages multiple distinct brands, including Sanford Health, Marshfield Clinic, and Good Samaritan, as well as Lewis Drug, Sanford Health Equip, Solutions by Sanford, Great Shots, and Blue Rock Bar & Grill.

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world‑class health care in America’s heartland.

Headquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan. The integrated nonprofit health system includes a network of 56 hospitals, 288 clinic locations, 147 senior care communities, 4,000 physicians and advanced practice providers and nearly 1,500 active clinical trials and studies. The organization’s transformational virtual care initiative brings patients closer to care with access to 78 specialties.

Learn more about Sanford Health’s commitment to shaping the future of rural health care across the lifespan at sanfordhealth.org or Sanford Health News.

Good Samaritan, one of the nation’s largest nonprofit providers of senior care and services, is committed to transforming the aging experience through innovation, compassion and personalized care. As part of Sanford Health, an integrated nonprofit health system headquartered in Sioux Falls, South Dakota, Good Samaritan serves 10,000 seniors and offers access to a full continuum of care, including 94 rehabilitation and skilled nursing centers, 56 assisted living and memory care facilities, 44 independent living locations and 37 home health and hospice agencies. The senior care provider delivers services across the upper Midwest, with 70% of residents living in rural communities.

Learn more about Good Samaritan’s mission and commitment to delivering high quality senior care in rural America at good-sam.com.