Coding SupervisorGrant Regional Health Center, Lancaster, WI
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Grant Regional Health Center is a critical access hospital and clinic located in Lancaster WI. We are a progressive and growing facility. Our new med/surg department and clinic opened as well as our new main entrance on 9-10-18. Please join us to 'experience the difference'. Other enhancements include a new state-of-the-art Radiology Suite, education center, larger Emergency Department, and remodel of our Surgical Services suite. We are fortunate to have an exceptional staff of medical providers. With our hearts and minds we area touching lives!
Under the direction of the HIM Manager, the coding supervisor plans, organizes, directs, and controls day-to-day operations of the coding department. They will provide developmental feedback, training & direction to coding. The coding supervisor will also assist providers in removing the barriers between clinical and coding languages to allow for more specific and complete documentation while following coding ethics and policy & procedures. They will provide leadership for process improvement and redesign to improve customer satisfaction, reduce costs, and/or meet departmental and institutional goals and objectives. This position will also foster an environment of teamwork and service excellence within the department and promote morale by effectively communicating goals, standards and needs of the department and organization. All of this is done to support the organization’s mission while living our values.
The Coding Supervisor duties include:
- With assistance from HIM Manager, hire personnel, conduct performance evaluations, counsel employees in performance improvement, conflict resolution, disciplinary action, and coordination of employee schedules for adequate coverage
- Coach and enforce staff on coding expectations and meeting goals related to quality, productivity standards and accuracy expectation
- Promote morale by effectively communicating goals, standards and needs of the department and organization
- Train new coders and assists with cross training in new areas
- Participate in the performance improvement activities and attend in-service programs and other activities to promote professional growth and enhance knowledge in care documentation requirements
- Attend and actively participate in staff meetings, participates in committees as requested
- Assist with oversite of HIM Students going through coding/HIM internships/practicums
- Develop, implement and monitor policies and procedures, guidelines, and coding compliance plan for coding
- Conduct internal chart reviews for all settings of selected patient records to address legibility, clarity, completeness, consistency, and precision of clinical documentation
- Coordination and oversight of external chart reviews
- Develop and manage peer/peer process
- Assure codes are supported by provider documentation and initiates appropriate queries based upon other clinical documentation for accurate and reliable data collection and reimbursement in a manner that is compliant and efficient
- Monitor changes and ensure compliance with the Office of Inspector General, Centers for Medicare & Medicaid Services, and state and federal regulations.
- Review workflow and processes and balance workload in coding department to meet targets
- Ensure timely, accurate, and complete clinical data for billing, reimbursement, utilization, and patient information systems
- Ensure proper staffing and distribution of assignments.
- Act as a resource for the coding staff as well as serves as a liaison in the organization to address coding related issues and questions and assist HIM Manager and Patient Accounting with questions or denied claims
- Use coding systems to accurately code diagnosis and procedures for all inpatient, outpatient surgery, observation, ER, and other outpatient encounters.
- Work closely with finance to establish AR goals and maintain AR days at an acceptable level and track DNFB (discharged not final billed)
- Monitor coding systems to ensure optimal performance, recommend upgrades or changes to current system, and participate in selection of new systems.
- Ensure records are coded within established guidelines and facility requirements while still maintaining quality
- Oversee coding educational needs by preparing and completing materials for internal and external audits, regulatory changes, and other changes in medical advancements
- Utilize coding/abstracting systems and ensure that appropriate computer systems are updated with the annual code changes and any other associated changes or updates
- Monitor operating budget for the coding section
- Provide leadership for process improvement and redesign to improve customer satisfaction, reduce costs, and/or meet departmental and institutional goals and objectives.
- Create consistency and efficiency in claims processing and data collection to optimize MS-DRG and APC reimbursement
- Assist in denial management
- Other duties as assigned
- Demonstrate understanding of clinical documentation requirements to ensure that the severity of illness, risk of mortality, and services provided are accurately reflected in the record. Serve as a resource on appropriate clinical documentation
- Communicate documentation discrepancies and coding definitions to the physicians both written and verbally as needed to clarify clinical documentation in accordance to query standards and/or policies.
- Collaborate with and educate physicians, the multi-disciplinary team, patient care services, case management, coding specialists and other healthcare disciplines regarding coding, documentation guidelines, and clinical documentation issues.
- Conduct 1:1 educational sessions with physicians and other healthcare team members related to specific documentation requirements
- Utilizes computer systems effectively and maintains record of reviews completed, queries completed and outcome of physician response
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Paid Sick Leave
|Years of Experience||2-5 Years|