Each employee who participates in the coding, billing or claims submission process, from the initial receipt of a physician order to the receipt of payment for services, shall accurately and honestly perform his/her functions to ensure that accurate claims are submitted, and the organization retains only those funds to which it is legally entitled.
The Coding Supervisor (CS) will assist the Director and Assistant Director with projects related to on-going coding and billing compliance. The CS will review unbilled accounts, perform coding and billing compliance audits, and assist in the development of performance improvement initiatives related to coding and billing compliance. The CS will serve as a backup coding specialist using ICD and CPT and specialized medical classification software to assign procedure and diagnosis codes. The CS will also review accounts to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. The CS is an experienced and well educated coder that will work towards serving as a department training preceptor and go-to individual when others need assistance.
All organizational staff, including this position, are specifically required as a condition of continued employment to make advance preparations for their families and pets in the event of weather emergencies such as Hurricanes and flooding threats. Any staff member can be determined as essential staff required to report to the facility during these events. In many cases this means reporting and sleeping at the facility before, during and after a weather emergency. By signing this job description, the staff member accepts this responsibility of readiness to report to work during any designated emergency staffing situation. CMC staff members operate as one team meeting the healthcare needs of our communities, thus this position will on occasion complete other duties as assigned beyond those designated in this primary job description which may include float coverage at an alternate facility, department or assignment.
Education: Qualified as a Lead Coding Specialist in one of three ways required: Associates degree as a Registered Health Information Technician (RHIT) or; Bachelor's degree as a Registered Health Information Administrator (RHIA) or; Certified Coding Specialist by an accredited certifying agency.
Experience: A minimum of three (3) years' experience using current ICD-CM and CPT in a hospital setting required. Previous leadership experience in coding preferred.
Special Skills: Ability to work effectively and collaboratively with nursing colleagues, physicians, and department heads. Exemplary core customer service skills strongly required. Strong organizational skills required. Strong PC skills required. Strong verbal and written communication skills required.
Working Conditions Stress level high due to multiple demands frequently occurring simultaneously. Physical surroundings generally pleasant and comfortable. Generally contained office type environment. Most work performed while sitting, however, a moderate amount of walking and moving around within a confined area occurs. Physical Requirements:
Light-Medium - While performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert 15 to 20 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or 5 to 10 pounds of force frequently, and/or greater than negligible up to 5 pounds of force constantly to move objects. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Ability to hear to process instructions and safety code and alarms required. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job and will be assessed by post offer Employee Health fit-for-duty review.