Peak Health Solutions is seeking a Supervisor, Outpatient Coding for its Coding and Documentation department. This position is responsible for supervising day to day operations of Outpatient / Professional coding. Coordinates Outpatient coding related aspects of the Network coding compliance plan, including quality monitoring and staff education.
Peak Health Solutions, an AMN Healthcare company, is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female applicants to apply
This position requires a minimum formal education of Associate Degree and minimum of five years job-related experience. In lieu of Associate Degree High, will consider School Diploma and minimum seven years of experience.
License, Registration, Certification Requirements:
Desired (not required) criteria include: Bachelor’s Degree preferred.
Certification: CPC, COC, or CCS-P
Skills to code CPT including Evaluation and management coding, ICD 10 diagnosis coding, knowledge of anatomy and physiology.
Strong analytical skills with attention to detail and a high degree of accuracy.
Ability to take initiative by identifying problems, conceptualizing resolutions to the problems, and implementing change.
Strong comfort level with computer systems.
Strong verbal and writing communication skills.
Accountable for quality, timelines, completeness and accuracy of outpatient / professional coding, abstracting and data entry for optimal reimbursement and quality reporting.
Proactively identifies and resolves barriers preventing revenue from crossing to financial system.
Supervises workflow to ensure timely bill submission, as well as, individual coder work assignment in various record categories to balance productivity with coder skill development and individual competence. Monitors coders productivity based on set standards.
Performs ongoing focused & compliance audits on DRG assignment, quality and completeness, analyzes findings and submits written reports to manager/director. Reviews and analyzes any in patient denials including RAC followed by appropriate and timely discussions.
Stays current with ICD 10 regulatory and code changes, coding skills. Assists Director in training of coders and providers as needed.
Maintains a working knowledge of ICD-10-CM, CPT-4 coding principles, government regulations, Seimen's In vision, software, third party billing protocol requirements, as well as, trends in the prospective payment system and/or provider payment systems. Performs actual coding and abstracting duties as necessary to maintain workflow.
Instrumental in strengthening coders’ knowledge of anatomy and physiology, ICD 10 coding guidelines. Coding principals, methodology including skills to create appropriate and efficient queries.
Assures that all coding is based on actual physician documentation. Works with Physician liaison and clinical staff to obtain complete documentation, helps to identify areas of documentation that need improvement.
Fulfills all compliance responsibilities related to the position.
Performs other duties as assigned.