Supervisor, Professional Fee Coding

Alameda Health Sytem; San Leandro, Northern (CA, KY); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Alameda Health System seeks a Coding Supervisor to back up the coding manager and oversee daily coding operations. You will train staff, perform quality reviews, and ensure accurate coding for reimbursement.

Stay current with ICD-10-CM and CPT changes and collaborate with related departments to maintain compliance and efficiency. The role requires a BS/AS in a health-related field, 5 years of healthcare coding experience, and CCS/CCS-P/CPC credentials, with RHIA/RHIT preferred.

Qualifications

• Education: Associate or Bachelor of Science in business, healthcare, or related field.
• Experience: Five years coding experience in a healthcare environment, including chart audit, professional fee coding, charge capture, or billing.
• 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; updates code assignments as required.
• Performs standard supervisory tasks: task assignment, conflict resolution, resource allocation.
• Supervises coding staff daily, including outsourced vendor coders.
• Performs quality reviews to validate codes and reimbursements.
• 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 departments to ensure accuracy and efficiency in coding and reimbursement.
• Organizes and prioritizes work to ensure records are coded timely for regulatory compliance.

Skills

Communication with physicians

Supervisory skills

Quality reviews

Training staff

Billing/code knowledge

Education

Associate or Bachelor of Science in business/healthcare

Bachelor’s degree in related field

Job description

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).

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