Supv Professional Coding

CHS Children's Hospital and Health System, Inc.; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

Children's Wisconsin seeks a Supervisor for the Professional Coding Team to ensure accurate and timely coding of records for compliant charging and accurate reimbursement.

Thorough knowledge of ICD-10, HCPCs, and CPT codes and experience with electronic medical records are required. The role includes people management, HR activities, training, and staying current with CMS and payer guidelines.

Qualifications

• Exhibits leadership, organizational and conflict resolution skills.
• Excellent customer service and professionalism with providers, staff and patients.
• Knowledge of ICD-10-CM, CPT and HCPCS coding practices.
• Experience with electronic medical records and CMS/payor guidelines.

Responsibilities

• Leads coding activities to ensure accuracy and timeliness.
• Monitors metrics in quality, efficiency and production.
• Coordinates training for team members and participates in HR activities.
• Keeps current with coding guidelines and payer requirements.

Skills

Leadership

Customer service

Attention to detail

Team collaboration

Conflict resolution

Communication

Education

High School Diploma or GED

Associate's or Bachelor's Degree preferred

Tools

Epic

Claims Manager

Job description

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country. We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day.

Job Summary

Supervises the Professional Coding Team. Ensures accurate and timely coding of records to ensure compliant charging and accurate reimbursement. Thorough knowledge of medical coding and reimbursement topics and experience with electronic medical records required.

Essential Functions

Leads coding activities to ensure accuracy, consistency and timeliness in the application of ICD-10, HCPCs, and CPT codes. Monitors key departmental metrics in quality, efficiency and production. Collaborates with Revenue Cycle Leaders and Teams especially in the areas of Patient Accounts and Professional Billing to ensure resolution of denials and patient concerns. Serves as a resource for the use and updating of all software and resources used by the team such as Epic work queues, Claims Manager, and any coding knowledge sources. Works to educate employees on documentation and clinical coding guidelines and written standards to promote accurate coding and compliance. Maintains current knowledge of coding rules and guidelines and provides guidance on requirements established by CMS and payers. Coordinates and performs training for team members as needed. Participates in human resources functions including interviewing and selection of new employees, promotions, staff development, performance evaluations, and resolution of employee concerns and overall employee engagement. Demonstrates knowledge of organization safety policies and procedures and actively maintains a safe and positive work environment. Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development People Management Responsibility Performs people management responsibilities for employees which may include but is not limited to: employee engagement, recruitment, performance management and development

Education

High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required Associate's Degree preferred or Bachelor's Degree preferred

Experience

2+ years coding leadership experience demonstrating progressive responsibilities required Recent experience applying ICD-10-CM, CPT and HCPCs codes required

Knowledge, Skills and Abilities

Exhibits excellent customer service and professionalism when interacting with providers, staff, patients, families and co-workers to ensure all are treated with kindness and respect. Professional attitude and ability to relate to and interact with others throughout the organization. Demonstrates leadership skills, organizational skills, and conflict resolution skills. Must be able to work collaboratively in a team environment. Must have excellent attention to detail ability. Exhibits a commitment to continuous quality improvement. Responsible for understanding and adhering to the Children's Organizational Code of Ethics and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to Children's business. Coding certifications specific to outpatient professional coding required.

Certifications/Licenses

Dedicated solely to the health and well-being of children We are the region's only independent healthcare system dedicated solely to the health and well-being of children. In Milwaukee and throughout the state, we provide kids and their families a wide range of care and support - everything from routine care for ear aches or sore throats to life saving advances and treatment options. Our academic partner, The Medical College of Wisconsin, brings many of the nation's most well-respected doctors to our team. Together we work to ensure that every child and family we serve receives nothing but the best. Learn more about our affiliation with the Medical College of Wisconsin and the power of academic medicine.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.