Supervisor Inpatient Coding

70 HonorHealth Support Services; United States; On-site; USD 95,000 - 135,000; Full time

Job summary

HonorHealth seeks a Coding Supervisor to oversee system health record coding, abstraction, and DNFB management across hospitals, surgery centers, and clinics to ensure timely reimbursement. The role leads the coding section, participates in hiring and performance reviews, and drives process improvements and staff education while keeping current with ICD-10-CM/PCS, CPT, and HCPCS standards.

The ideal candidate has 5+ years in inpatient/outpatient coding with supervisory experience and relevant

Qualifications

• Associates degree or 2 years of related experience required; bachelor’s preferred.
• Inpatient/Outpatient coding lead, auditor, or trainer experience.
• Working knowledge of ICD-10-CM/PCS, CPT, and HCPCS coding.
• Experience with encoder software and supervisory roles (preferred).
• Active HIM certifications: CCS, CIC, RHIT or RHIA; CPC-H/CPC/COC are a plus.

Responsibilities

• Oversee workflow and productivity for system health record coding.
• Provide resources to hospitals to maintain the DNFB turnaround.
• Lead assigned section including hiring and evaluating staff.
• Monitor DNFB and ensure timely reimbursement.
• Plan monthly educational forums for coding staff and ancillary personnel.
• Maintain compliance with third-party payers and billing procedures.
• Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes correctly.

Skills

Workflow management

Leadership

Training

Process improvement

Education

Associates degree

Bachelor's degree preferred

Tools

Encoder software

Job description

Primary City/State: Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027 Category: Health Information Shift: Day Department: Coding Must have at least one (1) of the following active certifications: Inpatient: CCS (Certified Coding Specialist), or CIC (Certified Inpatient Coder), or RHIT or RHIA (Registered Health Information Administrator)

Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:

JOB SUMMARY

This position oversees workflow and productivity for system health record coding, abstracting functions, DRG (Inpatient) and APC (Outpatient) assignment and validation. Provides resources to the hospitals, surgery centers and clinics in order to maintain the DNB (Discharge Not Final Billed) turnaround process, and productivity standards. Provides leadership for assigned section and participates in administrative functions for department, including hiring, evaluating and terminating. Works closely with the Network Coding Manager and the Senior Network HIM Director to ensure timely reimbursement/billing be met consistently based on monitoring the Discharged Not Final Billed (DNFB) report. Designs and develops innovative ways to decrease DNFB.

ESSENTIAL FUNCTIONS

• Inpatient: Establishes policies and procedures, and operational benchmarks for system-wide standardization for best practices with ICD-10-CM, ICD-10-PCS,Coding.
• Outpatient: Established policies and procedures and operational benchmarks for system-wide standardization for best practices with ICD-10-CM, CPT, and HCPCs Coding.
• Inpatient/Outpatient: Serves as a resource for coding staff regarding questions, situations, and/or problem solving.
• Plans and coordinates monthly educational forums for coding staff and ancillary personnel to ensure correct coding and compliance with third party payers regarding billing/reimbursement activities.
• Inpatient/Outpatient: Keeps current with federal legislation, periodicals and publications establishing correct coding/reimbursement compliance.
• Inpatient/Outpatient: Sets priorities and scheduling to ensure that reimbursement and billing suspense days be met consistently. This includes monitoring the failed bill (incomplete abstract) report.
• Inpatient/Outpatient: Actively and collaboratively participates in special projects, training and/or other duties as assigned by Network Coding Manager.
• Inpatient: Assigns and sequences ICD-10-CM, ICD-10-PCS codes for all inpatient accounts for billing and reimbursement.
• Outpatient: Assigns and sequences ICD-10-CM, CPT, and HCPCs codes for all patient types which may include but not limited to: outpatient, observation, ambulatory records, and emergency room records for billing and reimbursement.
• Inpatient/Outpatient: Works closely with the Network Coding Manager and Senior Network HIM Director and Supervisors to ensure timely reimbursement/billing be met consistently based on monitoring the discharged not final billed (DNFB) report. Designs and develops innovative ways to decrease DNFB.
• Inpatient/Outpatient: Maintains and monitors quality of customer service provided to internal and external customers and medical staff to ensure positive outcomes in response to complaints of inadequate service.
• Inpatient/Outpatient: Initiates, prepares and implements process improvements and other projects to maximize system-wide effectiveness regarding HIM.
• Performs other duties as assigned.

EDUCATION

Associates or 2 years' work related experience Required Bachelors Preferred

EXPERIENCE

• Inpatient: Hospital inpatient Coding Lead, Auditor, or Trainer experience. Working knowledge of charging and billing process specific to hospital inpatient accounts.
• Outpatient: Outpatient Coding Lead, Auditor, or Trainer experience. Working knowledge of charging and billing process specific to three or more of the following: specialty work types, emergency department trauma, newborn, obstetrics, radiology, infusions, observations, day surgery, laboratory, rehab, interventional radiology, cardiology, or cardiology catheterization laboratory.
• Required 3 years Inpatient/Outpatient: Coding and encoding software experience.
• Required Other Inpatient: Hospital Coding including complicated accounts, and long length of stay accounts
• Outpatient: Working knowledge of coding edits: Medicare, NCCI, OCE, LCD, NCD and other claim edit guidelines and protocols.
• Required 5 years Inpatient: Hospital inpatient Coding Lead, Auditor, or Trainer experience. Working knowledge of charging and billing process specific to hospital inpatient accounts.
• Outpatient: Outpatient Coding Lead, Auditor, or Trainer experience. Working knowledge of charging and billing process specific to three or more of the following: specialty work types, emergency department trauma, newborn, obstetrics, radiology, infusions, observations, day surgery, laboratory, rehab, interventional radiology, cardiology, or cardiology catheterization laboratory.
• Preferred 5 years coding using encoder software and supervisory experience.

LICENSE AND CERTIFICATIONS

• Inpatient: CCS (Certified Coding Specialist), or CIC (Certified Inpatient Coder), or RHIT () or RHIA (Registered Health Information Administrator) Required
• Outpatient: CPC-H (Certified Professional Coder-Hospital Outpatient), or CPC (Certified Professional Coder), or COC (Certified Outpatient Coder), or CCS (Certified Coding Specialist), or RHIT () or RHIA (Registered Health Information Administrator) Required
• Inpatient/Outpatient: RHIT or RHIA Preferred

We're all in for your career. Expert care from experts who care. At HonorHealth, you'll find something special. Our culture is built on warmth and neighborly kindness, but behind every smile is a highly skilled professional with deep expertise and unwavering dedication. We're delivering a healthcare experience that simply feels better through:

• Nine acute-care hospitals
• Over 200 primary, specialty and urgent care centers
• More than 17,000 team members and 4,000 medical staff

Since 1927, we've been focused on doing what matters most - caring for people and communities across the greater Phoenix area. From humble beginnings to one of Arizona's largest nonprofit healthcare systems, we're just as driven as we were a century ago.

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