Supervisor, Professional Fee Coding

Alameda Health System; San Leandro (CA); On-site; USD 57,000 - 95,000; Full time

Benefits offered by this job

Comprehensive benefits package

Competitive pay

Job summary

Alameda Health System in California is seeking a Coding Supervisor to back up the Coding Manager and oversee daily coding operations, training, and quality reviews for the coding staff.

You will clarify documentation with physicians, monitor updates to ICD-10-CM and CPT, supervise both in-house and outsourced coders, and ensure timely, compliant code assignments for reimbursement. Collaborate with Patient Access, Revenue Integrity, and Quality teams to ensure accuracy and efficiency.

Qualifications

• High school diploma or equivalent plus one coding cert.
• CCS/CCS-P or CPC certification required.
• Five years coding experience in healthcare.
• RHIA/RHIT preferred for advanced credentials.

Responsibilities

• Supervise coding staff and outsourcing vendors; assign tasks and resolve conflicts.
• Conduct daily quality reviews of coding and reimbursement assignments.
• Train coding staff and stay current on ICD-10-CM and CPT changes.
• Communicate with physicians to clarify documentation for code assignments.
• Collaborate with Patient Access, Revenue Integrity and Quality for accurate coding.

Skills

Supervisory skills

Communication

Coding knowledge

Quality reviews

Education

High school diploma, GED or Associate’s degree

CCS/CCS-P/CPC certification

RHIA/RHIT (preferred)

Associate or Bachelor in business/healthcare (preferred)

Tools

Coding tools/software

Job description

Summary

SUMMARY: Back up to the coding manager to cover daily management activities. Performs related duties as required. Under general direction performs training and quality reviews for coding staff to validate charges. Research coder questions for PB charge review. Stay up to date with all yearly changes to ICD-10-CM and CPT changes.

DUTIES & ESSENTIAL JOB FUNCTIONS

NOTE: Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

• Communicates with physicians and health care professionals on an ongoing basis to clarify supportive documentation for code assignment.


• Monitors governmental and insurance industry information for updates/changes to standard coding practices and procedures, including updating correct code assignments as required.


• Performs standard supervisory functions, including task assignment, conflict resolution and allocating staff resources.


• Provides daily supervision of the coding staff, including outsourced vendor coders.


• Performs quality reviews for coding staff in order to validate code and reimbursement assignments.


• Assists the Coding Manager and attends professional meetings as needed.


• Training coding staff as needed.


• Working with the Patient Access, Patient Financial Services, Revenue Integrity, and Quality departments ensures accuracy, consistency, and efficiency in relation to the visit and code assignment for reimbursement and reporting purposes and conventions.


• Organize and prioritize all work to ensure that records are coded in timeframes that will assure compliance with regulatory requirements.

Minimum Qualifications

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Required Education: High school diploma, GED or Associate’s degree and one of the required coding certifications from an accredited/certifying organization.

Preferred Education: Associate or Bachelor of Science degree in business, healthcare, or related field.

Required Experience: Five years’ coding experience within a healthcare environment, including chart audit, professional fee coding, charge capture, or billing experience.

Required Licenses/Certifications: Certified Coding Specialist (CCS), Certified Coding Specialist-Professional (CCS-P) or Certified Professional Coder (CPC).

Preferred Licenses/Certifications: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).

Pay Range: $41.43 - $69.05 / Hour

The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate’s experience, education, skills, licensure and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program.