Job Summary:
Oversees all functions within Health Information Management's coding team. Provides technical leadership while performing escalated or complex duties. Monitors department efficiencies and assumes responsibility for meeting departmental goals. Implements plans for improvement when needed. Maintains policies and procedures. Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment.
Job Requirements:
Education and Work Experience:
- Bachelor's Degree or equivalent combination of education/related experience: Preferred
- Five years' medical coding experience: Required
Licenses/Certifications:
- AHIMA Certified Coding Specialist Credential (CCS): Required
- Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT): Required
Essential Functions:
- Directs daily operations of staff and performs supervisory functions. Ensures accurate, compliant, and timely assignment of workload and work backlogs. Monitors and assesses performance of coding staff to assure timely, accurate coding of inpatient discharges, ambulatory surgery encounters, emergency department, clinic encounters, and diagnostic services. Assists with resolving coding/billing issues. Reviews medical records in order to code and abstract medical information to be submitted to financial reimbursement as required for the UB-04/1500 form and using IPPS and OPPS methodologies (Acute).
- Ensures compliance with rules and regulations approved by CMS using coding conventions approved by coding guidelines (Pro-fee). Maintains department statistics on work volume, productivity and accuracy for use in long-range planning and budgeting.
- Conducts performance reviews and provides input on direct reports for human resource decisions such as hiring, promotions and disciplinary actions. Participates in the development of employees. Delegates the work appropriately, provides clear expectations and follows up to ensure progress and overcome roadblocks. Identifies associates and team priorities based on business direction and adjusts when needed.
- Leads by example and shares knowledge and experiences with associates and team. Models a respectful work environment, creates accountability and recognizes accomplishments. Provides timely feedback to encourage success and connects opportunities for associates' development. Identifies top talent to achieve the desired results. Promotes and builds a diverse yet cohesive team to accomplish objectives and aligns associates' skills to fill gaps.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
