Supervisor, Professional Fee Coding

Alameda Health System; San Leandro (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

Alameda Health System in San Leandro, CA seeks a Supervisor of Professional Fee Coding to back up the coding manager, oversee daily activities, and lead training and quality reviews for the coding staff. The role focuses on ensuring accurate charge capture and timely coding in line with ICD-10-CM and CPT changes.

The position requires five years of healthcare coding experience, CCS/CCS-P/CPC credentials, and a BS/BA in a related field with preferred RHIA/RHIT credentials.

Qualifications

• Education/experience combination to meet knowledge, skills, and abilities.
• Required Education: Associate or Bachelor of Science in business, healthcare, or related field.
• Required Experience: Five years coding experience in a healthcare environment.
• Required Licenses/Certifications: CCS, CCS-P or CPC.
• Preferred Licenses/Certifications: RHIA or RHIT.

Responsibilities

• Communicates with physicians and health care professionals to clarify documentation for code assignment.
• Monitors updates to ICD-10-CM and CPT and adjusts codes as required.
• Performs standard supervisory functions: task assignment, conflict resolution, and staffing.
• Oversees coding staff daily, including outsourced vendor coders.
• Performs quality reviews to validate code and reimbursement assignments.
• Assists Coding Manager and attends professional meetings as needed.
• Trains coding staff as needed.
• Collaborates with Patient Access, Patient Financial Services, Revenue Integrity, and Quality for accuracy and efficiency in coding and reporting.
• Organizes and prioritizes work to ensure timely coding in compliance with regulatory requirements.

Skills

Supervisory skills

Coding expertise

Training staff

Education

Associate or Bachelor of Science degree in business, healthcare, or related field

Bachelor's degree in related field

Job description

Supervisor, Professional Fee Coding

Alameda Health System San leandro, California, United States

About this position

Supervisor, Professional Fee Coding

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.

1. 1. Communicates with physicians and health care professionals on an ongoing basis to clarify supportive documentation for code assignment.
2. 2. Monitors governmental and insurance industry information for updates/changes to standard coding practices and procedures, including updating correct code assignments as required.
3. 3. Performs standard supervisory functions, including task assignment, conflict resolution and allocating staff resources.
4. 4. Provides daily supervision of the coding staff, including outsourced vendor coders.
5. 5. Performs quality reviews for coding staff in order to validate code and reimbursement assignments.
6. 6. Assists the Coding Manager and attends professional meetings as needed.
7. 7. Training coding staff as needed.
8. 8. 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.
9. 9. 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: Associate or Bachelor of Science degree in business, healthcare, or related field.

Preferred Education: Bachelor’s degree in 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).