Job DescriptionSUMMARY STATEMENT:Under the direction of the Medical Coding Manager, the Coding Supervisor works the daily workflow, quality, and reporting activities for all coding services: (inpatient, ambulatory surgery, emergency and observation) ensuring that productivity standards are achieved to consistently support the financial goals and that the quality of the data meets the needs of the organization Assures compliance with all regulatory bodies, including The Joint Commission (TJC), Office of Statewide Planning and Development (OSHPD/MIRCAL), and Center for Medicare and Medicaid Services (CMS).
Assures the timely, efficient, and accurate transfer of required data to Patient Business Services on a daily basis.
Acts as an internal consultant for all issues related to 3M 360 Encompass, EPIC (CareConnect) and other systems used by inpatient, outpatient Coders and ED chargers and coders.
Reports job performance, attendance and quality issues to the Manager for action, and may participate, as appropriate, in employee discussions, interviews, evaluations, and disciplinary action.
Provides backup support for outpatient service coding on a continual basis.
Maintains professional standards within the staff and its procedures adhering to the AHIMA professional code of ethics and standards for ethical coding.
Enforces Health System and Medical Coding and Clinical Documentation Department policies and procedures.REQUIREMENTS: Certifications: RHIA, RHIT, CCS preferred Windows Suite
– ConstantEPIC/Care Connect
– Constant3M 360 Encompass
– ConstantSMART
– OccasionalCIRIUS
– Constant QUALIFICATIONSExperience: Minimum of 5-7 years of progressive supervisory experience with inpatient acute care coding and outpatient surgical/ambulatory care coding.
Proficiency in ICD-9-CM and CPT-4 coding with excellent working knowledge of the DRG and APC payment methodologies, AHA Coding Clinic and CPT assistant.Education: BS or BA preferred.Licensure /Certification: Certified Coding Specialist (CCS) required and Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred.Other: Demonstrated ability to work with all internal and external customers in a professional manner.
Ability to orient and train new / trainee coders.
TYPE OF SUPERVISION RECEIVED: Direct supervision from Coding Manager and Department Director Amount of Time Duties and Tasks 80% ADMINISTRATIVE DUTIES Works with and assists department Coders to achieve completed accounts of all records within the established departmental quality standards (95%) Works with and assists department Coders to achieve the established departmental productivity standards of 2-3 inpatient accounts/ hour, 4-6 outpatient surgeries/ hour and 10-13 charging & coding of /ED encounters/hour Maintains all Medical Coding Work Queues (WQs) and prioritizes high dollar interims, high dollar Medicare, and other high dollar as well as aging accounts.
Maintains required credential and CEUs per policy (20 hours annually) Communicates to Coding Manager and/or Director any concerns regarding coding, documentation, and departmental issues Assists with the training of new staff and contracted staff Attends all Medical Coding meetings, as required Ensure all accounts within 3M 360 Encompass are completed in a timely manner Manages the weekly inpatient, outpatient and ED bill hold and ensures all accounts are accounted for and/or cleared from the WQs by Friday at 6:00 pm.
Assists in managing Coding Support staff and ensures maintenance with applicable WQs and Cirius accounts as well as others Lead biweekly huddles and works with support staff to prepare each day by assembling dashboard values to share with the Team Working with the Coding Manager, identify staff deficiencies and develop process improvement plans (PIP) for these individuals to succeed within the department minimum parameters 10%UCLA C-I-CARE/Patient Experience Practices: MY COMMITMENT TO CARE Observe and practice all the Service Standards listed in the “World Class Practices” (which I have read and signed).
Practice C-I-CARE when interacting with patients, their families, visitors, or internal customers.
Connect with the patient and family members by addressing them as Mr./Ms., or by the name that they prefer.
Introduce yourself and your role.
Communicate what you are going to do, how long it is going to take, and how it will impact the patient.
Ask and anticipate patient and/or family needs, questions or concerns.
Respond to patient and/or family questions and requests with immediacy.
Exit courteously and/or with an explanation of what will come next (or when you will be back to check on them).
Practice C-I-CARE phone etiquette during all phone interactions Always exercise courtesy whenever patients, family members, visitors and co-workers are present.
Respect privacy and dignity of our patients, family members, visitors and co-workers.
Maintain professionalism in the presence of patients, their families, visitors and co-workers Observe departmental Patient Experience plan, competencies and practices.
Act as a role model, verbally and behaviorally demonstrating skill, enthusiasm, positive problem solving, commitment and loyalty to the profession and the organization.
Participate in positive problem solving by providing suggestions and possible solutions to identified concerns/problems in the work place.
Comply with Health System Workplace Conduct Policy Engaging in disruptive behaviors that interfere with or prevent normal work functions or compromise patient safety, including passive or active behaviors will not be tolerated as stated in the HS Workplace Conduct Policy.
Comply with Health System Dress Code Policy and practices 2% INSTITUTIONAL AND/OR PROFESSIONAL STANDARDS Comply with HIP nd Confidentiality Policies and Procedures as they apply to the job Comply with Department of Public Health (DPH), The Joint Commission and other accreditation and regulatory agencies standards Adhere to all Hospital Policies and Procedures Knowledge and adherence to Infection Control and Environment of Care Guidelines and Procedures as described in the annual education module 2% PERFORMANCE IMPROVEMENT Adhere to current organizational Performance Improvement priorities Participate in quality studies through data collection and dashboard data collection Make recommendations and take actions to improve structure, system or outcomes 6% OTHER DUTIES Contributes to the achievement of a high performing team Shares information, resources and ideas Contributes to improved data quality by preparing physician queries on cases where documentation is unclear As assigned