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HIM Outpatient Coding Supervisor

U of L Health

About Us

UofL Health is a fully integrated regional academic health system with seven hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehabilitation Institute and the Brown Cancer Center.

With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Our Mission

As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.

Job Summary

This position is responsible for overseeing the performance of onsite and remote outpatient coders as well as overseeing the workflow of all outpatient work queues.  Ensures that coders are maintaining the daily HIM Discharge Not Final Billed (DNFC) goals. Assures coder compliance with all HIM department policies and procedures. Responsible for performing quality review on outpatient coders, ensuring compliance with established coding and billing rules and regulatory body guidelines. Assists with hiring, training, work assignments, and performance management of staff. Collaborates with HIM Coding Integrity Educators to inform of coding education needs as well as the appropriate feedback to providers and clinical staff.  Aids with special projects as needed. Provides supervisory direction in the daily assignment of ICD-10-CM, HCPCS, CPT, modifiers, review of NCCI edits and LCD and NCD edits for outpatient surgical, interventional radiology, emergency department and ancillary charts. Responsible for aiding Outpatient Coding Manager in the development and maintenance of the annual HIM Coding Compliance Assurance Plan, report writing and remaining abreast of coding updates.  Participates in quality reviews and performance improvement initiatives throughout the department and serves as a point of contact to internal departments regarding outpatient coding concerns. Actively participates in department and hospital performance initiatives when needed to ensure UofL success.

Responsibilities

  • Organize, direct, and coordinate daily coding job functions of Outpatient (OP) Coding for Emergency Department (ED), Ancillary (ANC), same-day surgery (SDS), Interventional Radiology (IR), Rehabilitation (Rehab), Oncology (ONC), and the Infusion & Injection charts.
  • Closely monitors DNFC (uncoded) and DNFB (unbilled) and resolve accounts holding for missing documentation, charge review, missing facility levels or hitting pre-bill edits (PBE) and/or claim scrubber edits, etc., to ensure timely billing.
  • Maintains a current knowledge of ICD-10-CM, CPT, HCPCS coding; including continuous knowledge of new and amended or deleted code changes and/or Coding & Oncology Rules and Guidelines, I&I, including Medicare updates and Coding Clinic.
  • Plan and supervise internal and external training, tutorial instruction, and/or in-service education for Coders to facilitate functional job competency.
  • Routinely conduct quantitative and qualitative Coding Audits and provide feedback to ensure adherence to established quality standards for productivity and mastery of competencies.
  • Monitor compliance with vendor service contracts for coding and oversee vendor relations to ensure quarterly external coding audits and other chart reviews.
  • Monitor compliance to coding productivity standards and ensure a coding accuracy rate at 95% or better.
  • Demonstrate working knowledge of regulatory agency standards, federal and state regulations and statutes, HIPAA, hospital and department policies regarding patient privacy and confidentiality.
  • Ensure that all Coders attain needed CEU’s to maintain certification(s) and attend continuing
  • and provides the highest reimbursement supported by documentation.
  • Assists with educating Attending and Resident physicians to ensure documentation compliance and improvement efforts.
  • Oversees the continuing relevancy of Coding Compliance Plan, including implementing coding best practices and adherence to ethical coding standards and AAPC and AHIMA’s Code of Conduct.
  • Facilitate initial training and continued education of new Coders and existing Coders.
  • Review and update Coding policies and procedures every two years or as needed.
  • Complete Annual Performance Evaluations for onsite outpatient coders.
  • Model all Core Behavior standards, including routinely Rounding on staff.
  • Plan for and make yearly Capital Budget recommendations to the Director.
  • Perform other duties as assigned.

Required Qualifications:

  • Academic teaching facility experience, a plus.
  • Associates or bachelor’s degree in HIM required.
  • Previous experience with 3M HDM/Encoder software required.
  • Minimum of 2 years supervisory experience in coding required.
  • Minimum of five years of outpatient coding experience required.
  • Minimum of two years coding in an acute care hospital setting required.
  • Prior experience with Cerner PowerChart and 3M 360 Computer-Assisted Coding preferred.
  • Must have one of the following Certified Coding Credentials (i.e., CPC-H, CCS, NRCCS, CCA, CPC, COC, CHONC, ROCC, CBCS or CMPA.

Preferred Qualifications:

  • Knowledge of medical terminology.
  • Proficient in analyzing statistical data.
  • Strong time-management skills required.
  • Strong time management and critical thinking skills.
  • Must be able to work independently with little supervision.
  • Completes other assigned duties as directed by management.
  • Experience with HIM systems, computers and various office equipment.
  • Strong written and verbal communication skills and attention to detail and quality.
  • Demonstrate excellent organizational, computer, written and oral communication skills.
  • Resolve all coding edits and error reports associated with the coding and billing process, identify and report coding error trends, and, when necessary, assist in design and implementation of workflow changes to improve coding outcomes, reduce billing errors and denials prevention.
  • Utilize technical coding principles and MS-DRG reimbursement expertise to assign appropriate ICD-10-CM and/or ICD-10-PCS diagnoses and procedures.
  • Work collaboratively with HIM Staff and Clinical Documentation Improvement Specialists (CDIS) to ensure the most accurate and complete documentation to support accurate coding/billing.
  • Identify non-payment conditions or hospital-acquired conditions (HACs) and when required, report through established procedures.
  • Abide by the AHIMA Standards of Ethical Coding and adheres to Official Coding Guidelines AHA Coding Clinic and HIM Coding Policies.
  • Must possess working knowledge of AHA Coding Clinics, NCCI Policy Manual Guidelines, LCD/NCD Guidelines and the Official Coding Rules and Guidelines.
  • Ability to work effectively in Remote Setting.

Education Qualifications:

  • Associates or bachelor’s degree in HIM required.
  • Must have one of the following Certified Coding Credentials (i.e., CPC-H, CCS, NRCCS, CCA, CPC, COC, CHONC, ROCC, CBCS or CMPA.

Compensation/Benefits:

  • Competitive Pay & Benefits Options
  • Paid Vacation, Sick days, and Holidays
  • Free tuition to UofL for Part- and Full-time employees for Child/Spouse/Domestic Partner
  • 401K with Employer Match

Apply Online: https://careers-uoflhealth.icims.com/jobs/28124/him-outpatient-coding-supervisor/job

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