EMPLOYEE’S FULL NAME: ________________________

FLSA STATUS:☐ Exempt☒ Non-Exempt

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

The main function of the Coding Supervisor is to manage the day to day outpatient coding operations and coder performance. The Coding Supervisor will coordinate outpatient coding responsibilities as well as provide coding support to the organization. This position reports to the Director of Coding.

POSITION EDUCATION/ QUALIFICATIONS­:

• AAPC or AHIMA medical coding certification required
• RHIT or RHIA preferred
• Minimum of Associate of Science degree in Health Information Technology or equivalent field highly preferred
• Minimum of three to five years of previous coding and billing experience
• Minimum of two years of supervisory experience is highly preferred

JOB KNOWLEDGE/EXPERIENCE­:

• In depth knowledge in ICD-10 CM/PCS, CPT/HCPCS, modifier usage and medical terminology
• In depth knowledge of ICD 10 Coding conventions and coding guidelines
• Experienced in coding query compliance
• Knowledge and experienced in quality reporting thru coded data
• Possess strong leadership qualities of integrity, communication and attentive skills, with the ability to motivate and promote quality work

POSITION RESPONSIBILITES:

• Effectively utilize ICD, CPT/HCPCS and related materials to investigate coding issues and produce accurate results
• Understand payer specific billing rules (i.e. Medicare LCD/NCD, NCCI, Medical Necessity, and ABN) and communicate this information to staff, management and physicians
• Oversee the successful completion of daily work assignment for Outpatient coders
• Monitor Outpatient coding query process
• Perform outpatient pre-bill audits to ensure the accuracy of the codes assigned
• Assist in managing accounts receivable days
• Assist in managing the outpatient unbilled accounts
• Distribute daily work
• Manage scheduling and timesheets thru Kronos system for Outpatient coders
• Process payroll and resolve any payroll issues
• Approve time off requests for employees
• Lead or participate in cross-functional workgroups/committees as needed to represent coding issues
• Onboard new coders to ensure a successful launch
• Monitor new employee performance
• Assist with performing new employee 30, 60, and 90 day evaluations
• Assists with yearly performance reviews
• Assists in policy and procedure creation, updates, and revisions
• Develop reports and presentations on projects for senior management
• Monitor coding regulations for updates and changes, providing coder education as necessary
• Serve as a resource to providers and clinical staff on coding questions and documentation requirements/guidelines
• Monitor services performed to ensure all encounters are captured (charge capture reports), coded and billed timely
• Reviews and assists with outpatient coding denials
• Evaluate and implement processes to ensure accurate reimbursement
• Be informed of current changes in coding and reimbursement requirements for government programs and other third party payers
• Periodically conduct system testing, provide feedback, and support conversions/implementations in coding
• Actively participates in meetings and/or seminars and disseminates the information to peers to enhance the knowledge and skills of the department
• Follows the AHIMA Standards of ethical Coding
• Adheres to HIM Policies, Procedures for coding and Coding Compliance Plan
• HIPPA compliant by maintaining confidentiality safeguarding all patient related information
• Safeguards organizations confidential information of any kind

LINES OF REPSONSIBILITES:

(Chain-of-command)

1. Executive Physician VP of Medical Affairs →2.   Coding Director3. Coding Supervisor

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Compassion, Accountability, Respect, Excellence through Knowledge and Safety & Social Conscience.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit.  The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.  

AMERICANS WITH DISABILITIES ACT: (ADA): 

A.Essential Duties:Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:               

B.Working Conditions:  The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes.  The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents. 

C.Occupational Exposure:  This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids).  Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.    

D.Aptitudes:HIGH123456LOW

Intelligence:  General learning ability:  The ability to “catch on” or understand instructions and underlying principles.  Ability to reason and make judgments. 3

Verbal:Ability to understand meanings of words and ideas associated with them, and to use them effectively.  To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly.              2

Numerical:Ability to perform arithmetic operations quickly and accurately.   2

Spatial:Ability to comprehend forms in space and understands relationships of plane and solid objects.  Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms.  2

Form Perception:Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines.   3

Clerical Perception:Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination:  Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly.               3

Finger Dexterity:Ability to move hands easily and skillfully.  To work with fingers in placing and turning motions.              3

Manual Dexterity:Ability to move hands easily and skillfully.  To work with hands in placing and turning motions.              3

Eye-Hand-Foot Coordination:Ability to move the hand and foot coordinately with each other in accordance with visual stimuli.              3

Color Discrimination:Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color.  To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately.              3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature:________________________________Date:____________________

Transfer/Hire Date Effective: ________________________.