Supervisor, Provider Coding Specialist
Tidelands Health
full-time
Posted on:
Location Type: Remote
Location: South Carolina • United States
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About the role
- Leads and guides staff that performs medical coding functions and supervises the processes and systems required to accomplish timely, accurate, and compliant record management and coding.
- Supervise and coordinate all activities of the medical coders to include effective management of staffing schedule to achieve timely coding, provider and coder audits, identification of and implementation of proactive denial mitigants, and staff engagement.
- Responsible for maintaining current knowledge of applicable medical record and coding laws, rules, and regulations, Follows compliant charge capture in accordance with Medicare, Medicaid or Third-Party payer guidelines.
- Assists with development of policies, procedures and job aids related to coding and charge entry.
- Assist in the development of processes and education of team related to provider coding.
- Translates regulatory requirements into daily operating procedures.
- Assists with the preparation of special reports for Leadership to document utilization of the charge capture outcomes (e.g., late entry volumes, pricing impacts, etc.).
- Assists with and works in cooperation with CDM managers to establish charge capture, CDM maintenance practices and methodologies.
- Recommends revisions to charge codes and submits requests for charge codes for new services.
- Support ongoing education needs of employee-partners to keep all apprised of most current coding regulations and guidance.
- Educates caregivers on charge capture as omissions or errors are identified.
- Supervise daily revenue cycle operations to include creation, monitoring and problem-resolution needed to achieve agreed upon revenue cycle metrics for the coding team
- Work with physicians to ensure consistent coding and documentation policies and procedures are followed.
- Act as a resource to clinic staff on matters pertaining to the revenue cycle.
- Identifies inconsistencies and works with Clinical Informatics to streamline charge capture process.
- Lead or participate in cross-functional workgroups/committees as needed.
- Support all other functions of the Revenue Cycle Team.
- Will work with HR, IT Provisioning team, and coding manager/director in all aspects of onboarding new employees.
Requirements
- High School Diploma Required
- Associate's Degree in healthcare administration, Health Information Technology, or related field Preferred
- 2 years of supervisory experience based on education Required
- 3 years of coding experience for hospital and/or professional fee services for multi-specialty departments Required
- 2 years of coding auditing experience Preferred
- Minimum of five (5) years of coding experience and/or charge capture experience, including two (2) years in a healthcare revenue cycle supervisor/lead role Required
- Experience in a Supervisor/Lead role with oversight of 4+ employees Required
- Experience with coding and/or auditing in a Healthcare environment for hospital and/or professional fee services for multi-specialty departments Required
- Experience with ICD-10 diagnosis, ICD-10 procedures, HCPCS level I and II codes, and CPT coding Required
Benefits
- Health insurance
- Professional development opportunities
- Flexible working hours
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical codingcoding auditingcharge captureICD-10 diagnosisICD-10 proceduresHCPCS level I codesHCPCS level II codesCPT codingrevenue cycle managementpolicy development
Soft skills
leadershipstaff managementcommunicationproblem resolutionteam engagementtrainingcollaborationorganizational skillssupervisory skillsinterpersonal skills
Certifications
High School DiplomaAssociate's Degree in healthcare administrationHealth Information Technology