HIM Coding Supervisor - FT - Day - HIM Facility Coding Remote

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

Scheduled Weekly Hours:

Position Overview

SUMMARY (Basic Purpose of the Job)

MINIMUM REQUIREMENTS

Education:High school diploma or GED. Associate's degree preferred. CCS, CIC, COC, or CPC-H certification required.

Experience:Three years coding experience in a health care setting. One year of lead or supervisory experience preferred.

Other Credentials:

Knowledge and Skills: Prior experience with encoder computer system. Possesses excellent organizational, interpersonal, verbal and written communcation skills. Ability to effectively manage multiple projects simultaneously and ability to respond quickly in a fast paced environment.

Special Training:Instructed DRG assignment and the application of the requirements needed to comply with federal and local regulations.

Mental, Behavioral and Emotional Abilities:

Usual Work Day:8 Hours  

Reporting Relationships

Does this position formally supervise employees? Yes

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS

• Ensures responsibility for the schedule, payroll, and maintaining of appropriate staffiing levels while adhering to the budget.
• Performs all probationary and annual staff evaluations on or before the due date as measured by report for the inpatient and outpatient coding staff.
• Interviews, hires, trains, rewards, and disciplines employees in an effort to provide a productive work environment.
• Plans, assigns, and directs inpatient and outpatient workflow to ensure lowest possible volume of inpatient and outpatient accounts on the DNFB.
• Verifies accurate assignment of diagnoses and procedures within the medical record to comply with federal and state regulations.
• Monitors regulatory updates and their implementation and assesses their finanical impact on CH.
• Conducts regular audits and reviews of medical records at a senior leval and assists with external and internal reviews for coding accuracy of inpatient and outpatient accounts.
• Reviews inpatient and outpatient claim denials and rejections pertaining to coding and medical necessity issues and exercises discretion and judgment when recommending corrective action plans such as educational programs to prevent similar denials and rejections from occurring inthe future.
• Assists in the implementation of policy and procedural changes within the department regarding coding and quality issues required by third party payers and according to recommendations by coding consultants and agencies.
• Develops and coordinates educational and training programs on coding and documentation for department staff, physicians, billing staff, and ancillary departments.
• Provides management with various statistical reports, data, and audits information on health information management compliance issues, internal and external quality assurance results and activities, performance improvement activities and other statistical information as required or requested.
• Adapts to changing department demands required for higher department efficiency.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include: Wrist position deviation , Pinching/fine motor activities

Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl

Continuous physical demands include: Sitting , Keyboard use/repetitive motion

Lifting Floor to Waist 0 lbs. Lifting Waist Level and Above 0 lbs.

Sensory Requirements include: Accurate Near Vision, Minimal Hearing

Anticipated Occupational Exposure Risks Include the following: Uneven Surfaces or Elevations , Dust/Particulate Matter

This position is eligible for the following benefits:

• Medical Plan

• Prescription drug coverage & In-House Employee Pharmacy

• Dental Plan

• Vision Plan

• Flexible Spending Account (FSA)

- Healthcare FSA

- Dependent Care FSA

• Retirement Savings and Investment Plan

• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance

• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance

• Disability Benefits – Long Term Disability (LTD)

• Disability Benefits – Short Term Disability (STD)

• Employee Assistance Program

• Commuter Transit

• Commuter Parking

• Supplemental Life Insurance

- Voluntary Life Spouse

- Voluntary Life Employee

- Voluntary Life Child

• Voluntary Legal Services

• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance

• Voluntary Identity Theft Insurance

• Voluntary Pet Insurance

• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. 

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.