Supv,Professional Svcs Coding New! Professional Svcs Coding | Full-Time | Telecommuting ...Read[...]

Phoenix Children's Hospital, Inc.; Mission (KS); Remote; USD 60,000 - 100,000; Full time

Job summary

Join a forward-thinking healthcare organization as a Supervisor in Professional Services Coding. In this pivotal role, you will lead a dedicated team, ensuring the highest standards of coding accuracy and compliance within a vibrant pediatric health system. You'll play a crucial part in developing efficient coding processes, conducting audits, and providing essential education to healthcare providers. This position offers the opportunity to make a significant impact on the quality of care delivered to children and families. If you are passionate about healthcare and possess strong leadership skills, this is the perfect opportunity to advance your career in a supportive and innovative environment.

Qualifications

• 3+ years of medical record coding and reimbursement experience required.
• Experience in a supervisory role and with coding compliance regulations.

Responsibilities

• Manage daily operations of coding team and ensure compliance with regulations.
• Conduct coding audits and provide education for providers.

Skills

Medical Record Coding

Leadership

Billing Compliance Regulations

Excel Spreadsheets

PowerPoint Presentation

Oral and Written Communication

Conflict Resolution

Education

Associate Degree

Tools

HCPCS Coding

ICD Coding Classification System

Encoding Software

Job description

Department: CORP | Professional Svcs Coding

Location: Telecommuting

Shift: Mon-Fri, Days, 8am-5pm

Category: Hlth Info Mgmt/Med Records

Posting #: 886899

Employee Type: Full-Time

Position Summary

The Supervisor, Professional Services Coding is responsible for the planning, coordinating and managing of daily operational functions of the team to include developing and implementing an efficient coding review and audit processes and an internal compliance audit plan. This position manages the budget, sets productivity standards by performing analysis of the daily workload of assigned staff and provides leadership with reports by service line, divisions and providers. This position assists with internal and external coding audits and with documentation education for providers and coders. Additionally, oversees the day-to-day production of the charge entry staff and ensures that charges are timely and accurate for both the facility and the professional revenue as needed.

Position Duties

• Analyzes and evaluates clinical coding relative to hospital inpatient, outpatient and ambulatory reimbursement through chart review and other special study methods.
  • Establishes quality improvement, fiscal productivity, and patient satisfaction goals and objectives in conjunction with organizational and regulatory standards.
• Develops quality and service benchmarks and specific PCH and PCMG coding guidelines.
  • Commitment to identifying areas and/or processes for increased efficiencies and/or reduced operational expense.
• Ensures department compliance to the Joint Commission, CMS and/or all applicable governmental agencies.
  • Develops, implements and monitors practice-wide coding compliance process and related plans.
• Makes sound recommendations for data quality improvements and revenue enhancements.
  • Educates providers regarding coding and regulatory matters.
• Organizes the functions of the department through the appropriate assignment of responsibilities, delegation of authority, and overall direction of work flow processes.
  • Monitors and evaluates the activities of the assigned departmental and PCMG employees and provides coaching and guidance, as necessary, to ensure operational efficiency and adherence to policies and procedures.
• Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission
To advance hope, healing and the best healthcare for children and their families

Vision
Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable

Position Qualifications

Education

1. Associate Degree or equivalent actual work experience.
Required

Experience

1. Three (3) or more years of medical record coding and reimbursement experience.
Required

2. Three (3) or more years of supervisory or leadership experience.
Required

3. Experience with billing and coding compliance regulations, official coding guidelines, HCPCS and ICD coding classification system and encoding software.
Preferred

4. Experience in a pediatric physician-based setting or hospital environment.
Preferred

5. Experience with revenue cycle function and process/dispute resolution.
Preferred

Certifications / Licenses / Registries

1. Certified Coding Specialist, APC, RHIT or RHIA or equivalent accreditations.
Required

Special Skills

1. Ability to respond quickly and professionally when asked how to properly code for providers.
Required

2. Ability to create excel spreadsheets used for productivity tracking.
Required

3. Proficient in using PowerPoint presentation when educating providers.
Required

4. Effectively demonstrate oral and written communication skills.
Required

5. Ability to resolve conflict in a timely and effective manner.
Required

Physical Requirements & Occupational Exposure/Risk Potential

1. Physical Requirement - Climbing -Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) -Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) -Occasionally
4. Physical Requirement - Hearing -Constantly
5. Physical Requirement - Pushing/pulling -Frequently
6. Physical Requirement - Reaching -Occasionally
7. Physical Requirement - Sitting -Constantly
8. Physical Requirement - Standing -Constantly
9. Physical Requirement - Stooping/crouching/kneeling/crawling -Occasionally
10. Physical Requirement - Talking -Constantly
11. Physical Requirement - Tasting/smelling -Occasionally
12. Physical Requirement - Walking -Constantly
13. Physical Requirement - Near Vision -Constantly
14. Physical Requirement - Far Vision -Frequently
15. Physical Requirement - Color Discrimination -Occasionally
16. Physical Requirement - Use of keyboard, mouse and/or computer equipment -Constantly
17. Physical Requirement - Lift up to 35 pounds without assistance -Occasionally
18. Occupational Exposure/Risk Potential - Inside office environment -Applicable

I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply. I Agree