Coding Supervisor
US –Remote (Any location)
Full time
22408
Job Family:
General Coding
Travel Required:
None
Clearance Required:
None
What You Will Do:
The Physician Coding Team Supervisor must be proficient in Surgical Coding and have experience overseeing physician coding teams. The Supervisor will perform training and initial QA review for coders who are direct reports. Supervisors must have the ability to review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the Coding Manager—Supervisors should be proficient in communicating with coding teams, Client contacts and Providers regarding the coding of conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The Supervisor scope may involve oversight of teams working coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines. Supervisors should be proficient in Excel and create reports as requested and must communicate professionally with all levels of personnel both internally and externally. Travel may be necessary to client sites at times. This position is full time and is 100% remote.
Duties and Responsibilities:
- Demonstrates the ability to perform oversight, training, and response to internal and external requests regarding quality and production.
- Respond to provider and client questions
- Host client-facing calls and create reports for leadership regarding assigned projects in a timely manner.
- Maintain team goals to promote coder accuracy and efficiency for assigned projects.
- Work with internal education resources to promote skillsets of assigned coding team both domestic and global as assigned.
- Maintain a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
- Ensure all services documented in the patient’s chart are properly coded with appropriate ICD-10 and CPT codes when reviewing coding work or responding to coder and client queries.
- Work with coders/client to attain proper documentation in a timely manner according to facility standards when services/diagnoses are not documented appropriately.
- Ensure assigned coding team maintains 95% accuracy in coding while maintaining a high level of productivity.
- Supervisors will work with coders one-on-one during monthly reviews to cover educational opportunities and accuracy.
- Ability to maintain average productivity standards as follows per internal and client coding contracts.
- Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process.
- Coder downtime must be reported immediately to the administrative staff to ensure turnaround is met.
- Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility.
- Provides accurate coding and/or billing questions within eight hours of request.
- Responsible for coding or pending every chart placed in their queue within 24 hours.
- It is the responsibility of the Supervisor to coordinate with coding management in the event the 24 hour turn around standards cannot be met.
- Supervisors must maintain their current professional credentials while working for Guidehouse.
- Supervisors are responsible for becoming familiar with the Guidehouse coding website and using the information contained on the website as a daily tool to correctly code and abstract for each facility.
- Supervisors are responsible for maintaining HIPAA compliant workstations (reference HIPAA workstation policy).
- It is the responsibility of the supervisor to review and adhere to the coding division policy and procedure manual content.
- Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services.
- Communicates problems or coding discrepancies to Coding Leadership immediately.
- Communication in emails should always be professional (reference e-mail policy).
What You Will Need:
- Requires a University Degree and a minimum of 5 years of prior relevant experience (Relevant experience may be substituted for formal education)
- 3 years of pro fee ortho, trauma or surgical coding
- CPC certification from AAPC
- Must maintain credential throughout employment.
- Strong working knowledge &experience with Federal &State Coding Regulations and Guidelines.
What Would Be Nice to Have:
- Must be able to work independently, multi-task, and interface with all levels of personnel and clientele.
- Excellent verbal, written, and interpersonal communication skills.
- Experience in multiple EMR and/or practice management systems (EPIC, Cerner, Next Gen, Allscripts, IDX, etc.).
- Coding Supervisory experience preferred
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The annual salary range for this position is $57,000.00-$85,400.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer:Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
- Medical, Rx, Dental &Vision Insurance
- Personal and Family Sick Time &Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave
- 401(k) Retirement Plan
- Basic Life &Supplemental Life
- Health Savings Account, Dental/Vision &Dependent Care Flexible Spending Accounts
- Short-Term &Long-Term Disability
- Tuition Reimbursement, Personal Development &Learning Opportunities
- Skills Development &Certifications
- Employee Referral Program
- Corporate Sponsored Events &Community Outreach
- Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Remote co