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SUPERVISOR, MEDICAL CODING - Business Services Admin - Full Time - Day

Job Description

Performs a variety of medical specialty based charge capture and/or coding functions (entering charges, reviewing and resolving coding edits, adding/removing modifiers, validating medical necessity, appropriately selecting the correct codes (ICD9/ICD10, CPT/HCPCS add modifiers), ensuring completeness of clinical documentation supports medical billing, performs partial/full record abstraction of charges and other medical coding or charge capture related duties. Reviews, processes and posts transaction data from patient accounts. Gathers, classifies, tabulates and proofreads financial data. Performs arithmetic calculations. Scans and electronically files documents. Checks items on reports, summarizing and posting the data to designated accounts, performs a variety of other fiscal office duties. Performs regular coding monitoring and educational reviews for providers and coding team to support meeting billing requirements for governmental and commercial payers. Provides timely and accurate updates to key stakeholders relative to coding updates and performance to maintain and/or improve reimbursement. Responsible for assisting with charge reconciliation and charge corrections. Also responsible for reviewing providers who are on continued coding holds (aka Concurrent Coding Reviews). Responsible for assisting with the communication of annual coding updates to providers. Responsible for evaluating patient related coding disputes. Oversees and performs quality audits to assure consistency, accuracy and standardization of procedures and optimizes medical coding. Ensures compliance with policies/procedures and standards coding. Actively involved in improvement efforts, workflow design and validation with input on policies and procedures. Supervises departmental resources effectively. Performs quality audits, providing retraining or action plans as needed to improve accuracy and meet production/patient satisfaction targets. Generates and reviews reports to track performance outcomes, performs root cause analysis to identify performance improvement needs. Works with leadership on process improvement, tracks all efforts and outcomes. Monitors reports to identify additional process improvement opportunities. Assigns work based on staffing levels and work load to optimize productivity and meet department standards. Communicates with customers including clinical and non-clinical staff, physicians and leadership to manage department operations. Provides timely feedback to staff on job performance, improvement or corrective actions as needed. Provides input on and may conduct staff annual performance evaluations. Responsible for keeping abreast of current policies, practices and procedures and provide guidance to staff. Assists in urgent situations requiring immediate decision making. Responsible for assisting/preparing staff schedules and managing coverage arrangements to ensure excellent patient care.

Job Requirements

Required Education/Experience/Specialized Skills: 4 or more years coding or charge capture experience in ambulatory or professional fee billing with 2 year experience in utilization of spreadsheets, graphics, power point, analytics and database applications with focus on the performance of charge quality assessments. 2 or more years of supervisor or leadership experience strongly preferred.Requires strong working knowledge of commercial and governmental payor policies. Working experience in the use of medical terminology and Medicare regulatory requirements for coding, billing and reimbursement is required. Familiarity with HIPAA privacy requirements for patient information. Basic understanding of medical ICD9/ICD10 codes, CPT/HCPC codes and modifiers. Ability to multitask, meet deadlines and stay organized. Must have excellent verbal and written communication skills and customer service skills. Must be detail oriented with the ability to prioritize work. Requires a moderate level of interpersonal and problem solving skills. Knowledgeable on medical coding and billing specific to insurance and reimbursement processes. Must demonstrate the ability to establish/maintain cooperative working relationships with staff, operations and providers. Proficient in preparation and presentation of summary information to provide clear and concise coding monitoring and quality updates to focused groups and finance leadership.

Required Certification/Registration: Requires certification from either Registered Health Information Technician (RHIT); Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA) or a comparable certification from another accredited coding organization.(i.e. Certified Professional Coder from the American Academy of Professional Coders).

Preferred Education/Experience/Specialized Skills/Certification:

Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Job Snapshot

Location US-CA-Central San Diego County
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type Health Care
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Company Overview

Scripps

Medical Excellence Every Step of the Way. Scripps has been caring for San Diegans for nearly 90 years. In 2013, Scripps was recognized among the top five large health systems in the nation by Truven, and we’re honored that many of our medical specialists are consistently ranked among the finest regionally and nationally. This year, Scripps La Jolla and Scripps Green hospitals were once again recognized by USNews and World Report for excellence in heart care and heart surgery. But these accolades just make us work even harder to make sure we continue to give every patient the best possible care. Learn More

Contact Information

US-CA-Central San Diego County
Snapshot
Scripps
Company:
US-CA-Central San Diego County
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Health Care
Store Type:

Job Description

Performs a variety of medical specialty based charge capture and/or coding functions (entering charges, reviewing and resolving coding edits, adding/removing modifiers, validating medical necessity, appropriately selecting the correct codes (ICD9/ICD10, CPT/HCPCS add modifiers), ensuring completeness of clinical documentation supports medical billing, performs partial/full record abstraction of charges and other medical coding or charge capture related duties. Reviews, processes and posts transaction data from patient accounts. Gathers, classifies, tabulates and proofreads financial data. Performs arithmetic calculations. Scans and electronically files documents. Checks items on reports, summarizing and posting the data to designated accounts, performs a variety of other fiscal office duties. Performs regular coding monitoring and educational reviews for providers and coding team to support meeting billing requirements for governmental and commercial payers. Provides timely and accurate updates to key stakeholders relative to coding updates and performance to maintain and/or improve reimbursement. Responsible for assisting with charge reconciliation and charge corrections. Also responsible for reviewing providers who are on continued coding holds (aka Concurrent Coding Reviews). Responsible for assisting with the communication of annual coding updates to providers. Responsible for evaluating patient related coding disputes. Oversees and performs quality audits to assure consistency, accuracy and standardization of procedures and optimizes medical coding. Ensures compliance with policies/procedures and standards coding. Actively involved in improvement efforts, workflow design and validation with input on policies and procedures. Supervises departmental resources effectively. Performs quality audits, providing retraining or action plans as needed to improve accuracy and meet production/patient satisfaction targets. Generates and reviews reports to track performance outcomes, performs root cause analysis to identify performance improvement needs. Works with leadership on process improvement, tracks all efforts and outcomes. Monitors reports to identify additional process improvement opportunities. Assigns work based on staffing levels and work load to optimize productivity and meet department standards. Communicates with customers including clinical and non-clinical staff, physicians and leadership to manage department operations. Provides timely feedback to staff on job performance, improvement or corrective actions as needed. Provides input on and may conduct staff annual performance evaluations. Responsible for keeping abreast of current policies, practices and procedures and provide guidance to staff. Assists in urgent situations requiring immediate decision making. Responsible for assisting/preparing staff schedules and managing coverage arrangements to ensure excellent patient care.

Job Requirements

Required Education/Experience/Specialized Skills: 4 or more years coding or charge capture experience in ambulatory or professional fee billing with 2 year experience in utilization of spreadsheets, graphics, power point, analytics and database applications with focus on the performance of charge quality assessments. 2 or more years of supervisor or leadership experience strongly preferred.Requires strong working knowledge of commercial and governmental payor policies. Working experience in the use of medical terminology and Medicare regulatory requirements for coding, billing and reimbursement is required. Familiarity with HIPAA privacy requirements for patient information. Basic understanding of medical ICD9/ICD10 codes, CPT/HCPC codes and modifiers. Ability to multitask, meet deadlines and stay organized. Must have excellent verbal and written communication skills and customer service skills. Must be detail oriented with the ability to prioritize work. Requires a moderate level of interpersonal and problem solving skills. Knowledgeable on medical coding and billing specific to insurance and reimbursement processes. Must demonstrate the ability to establish/maintain cooperative working relationships with staff, operations and providers. Proficient in preparation and presentation of summary information to provide clear and concise coding monitoring and quality updates to focused groups and finance leadership.

Required Certification/Registration: Requires certification from either Registered Health Information Technician (RHIT); Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA) or a comparable certification from another accredited coding organization.(i.e. Certified Professional Coder from the American Academy of Professional Coders).

Preferred Education/Experience/Specialized Skills/Certification:

Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
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