Sanford Health Supervisor, Coding Provider Practice - Clinic Coding in Sioux Falls, South Dakota

Job Title: Supervisor, Coding Provider Practice | Clinic Coding | Multi-city

City: Fargo

State: Multi-State

Department : CLINIC CODING

Job Schedule: Full Time

Shift: Days

Hours Per Shift: 8 hr

JOB SUMMARY

The Supervisor will provide leadership to coding staff in assigning accurate and timely codes to medical records for optimal reimbursement, data collection, and statistical reporting. Provide accurate information, education and reviews regarding coding to assure the most effective reimbursement methods are identified and utilized and to assure compliance. Responsible for meetings with physicians to provide feedback, educate, and train on appropriate documentation. Report findings of analyzed coding data to upper management and executives on any discrepancies or variances amongst the industry data compared to departmental data. Validate any potentially missed professional revenue, running reports to find missed charges, validate charges as shown on billing, assist with template development, research new coding guidelines, information sharing new coding guidelines with others, have an understanding of service and revenue routing, review payer audits. Provide responses to any reviewed patient related concerns to charges associated with service received. Provide input as needed into pricing of services and monitor and analyze reimbursement-related issues. Knowledge and understanding of ancillary coding services. Review updated payer bulletins and inform clinics/providers of any updates or changes related to charges and codes. Perform other duties as assigned by the manager and/or director. Have a working knowledge of anatomy, physiology and pathophysiology to understand disease processes, treatment or management of conditions either medically or surgically. Must have computer skills, the ability to interpret, analyze and abstract data/documentation, and have good problem-solving skills. Must be current in coding schemes and have knowledge of prospective payment systems, insurance policies, drug/pharmacy related coding rules and documentation process, and clinical practices and technology. Must have specific knowledge of diagnostic and procedural terminology, ICD-10, CPT and HCPCS coding schemes. Must have demonstrated leadership skills, excellent communication, and proven ability to effectively train others and motivate people in realizing and attaining their goals. Assist with training of personnel, dealing with employee issues/behaviors, assisting with hiring/termination.

POSITION RESPONSIBILITIES

Processes large quantities of detailed information with high levels of accuracy. Follows organization's coding procedures and standards to conduct medical coding practices. Oversees audits for compliance with multiple policy requirements and regulations. Monitors health information coding trends and directions of both technical and regulatory aspects; relates them to the organization. Identifies key medical information coding concepts and features such as Current Procedural Terminology (CPT) and International Classification of Diseases (ICD). Trains others on best practices, guidelines and regulations of medical coding. Oversees medical record coding services to ensure complete, accurate and timely coding, reporting and service reimbursement. Discusses major health information coding guidelines and specifications (e.g. ICD, 10th Edition). Delivers written and oral communication, responds to questions and concerns, and produce specific outcomes and impact. Follows proper data gathering and analysis processes and policies. Participates in developing resolutions using calm thinking and rational judgment for unexpected difficult problems. Identifies issues and communicates with others when a decision needs to be made. Establishes and maintains productive working relationships within and outside of own area. Conveys medical record documentation requirements to physicians to ensure that coding guidelines are applied for appropriate information recording. Discusses key concepts of normal and pathological anatomy and physiology.

DEPARTMENT DETAILS

Hours of the position are somewhat flexible between 6:30am-5:00pm. Training will be done with current manager upon start. Must have CPC or RHIT license. Prefer 3-5 years of epxerience.

QUALIFICATIONS

RHIA, RHIT, CPC, CCS, CCS-P, CCS-H, COC required. Associate degree in Health Information Technology or Certification in Coding required. Must have specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in ICD diagnosis, CPT, and HCPCS coding schemes, medical terminology or human anatomy/physiology is preferred. Prefer to have at least three years of experience in coding for professional charges, as well as experience with Medicare and other third party payors.

About Sanford Health:

At Sanford Health, we are dedicated to the work of health and healing.

Every day, we show that commitment by delivering the highest quality of care to the communities we serve.

We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.

In addition to strong clinical care, we are also committed to research, education and community growth.

We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases.

We continuously seek new ways to achieve our vision of improving the human condition here in your community,

across the region and around the world.

The entire team at Sanford Health recognizes the value of healthy families and communities.

We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application,

please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

In compliance with federal law requiring employers to verify new employees' U.S.

employment eligibility, Sanford participates in E-Verify. To learn more click here for English Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterEnglish.pdf or here for Spanish Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterSpanish.pdf .

City: Multi-City

State: Multi-State

Job Function: Revenue Cycle

Job Schedule: Full Time

Shift: Days

Req Number: req27938