Essential Job Functions
- Provides day-to-day supervision and direction of coding and abstracting activities. Oversees duties and responsibilities of the coding staff on a day-to-day basis.
- Supervises all functions including scheduling, training, payroll monitoring and approval, Performance Improvement/Corrective Action process.
- Serves as primary point of contact for coders. Skilled in multi-tasking and being able to identify and set priorities.
- Establishes work schedules and monitors/approves time off requests and time worked.
- Responds to Coding/Abstracting data and report requests made by Client, physicians, and other internal customers.
- Works with the various client departments for resolution and education of coding, documentation, and reimbursement issues.
- Provides day-to-day oversight for internal coding staff in conjunction with established client programs. Identifies cases, monitors timeliness of data collection, aggregates, analyzes, and trends data. Provides summary and individual feedback to coding staff for performance improvement and compliance purposes. With assistance from the Manager, reports findings to Client on a monthly (or other established) frequency and identifies areas for coder education.
- Maintains a knowledge base of various payment methodologies, grouping classifications and ICD-10 CM and ICD-10 PCS, as well as CPT and HCPCS.
- Provides or coordinates ongoing training for coding staff to support corporate compliance.
- Oversees that month end coding activity is closed out for abstracting purposes within the established client timelines.
- Assists the Coding Manager with monthly management report preparation and distribution on client productivity, turn-around time, and quality.
- Provides input on performance reviews, recommends and/or initiates employee selection, promotion, disciplinary and/or discharge actions. Works with Omega team to perform vetting on candidates to ensure appropriate client assignment.
- Coordinates coding staff meetings in the direction of Coding Manager, keeps staff informed of Omega, AHIMA, and regulatory changes, developments, and events.
- Provides expertise in the areas of coding, compliance, reimbursement, and reporting of coded data.
- Understands flow of health information in the electronic health record from registration through documentation, discharge, coding, and billing. Maintains knowledge of OIG, CMS, state Medicaid third party payer, RAC and additional state and federal auditing contractor regulations regarding coding and data reporting.
- Abides by the Standards of Ethical coding set forth by AHIMA and monitors coding team for violations and reports as areas of concern are identified.
- Assists Coding Manager with weekly Omega metrics report.
- Meets budgetary goals per client agreement and achieves margins determined by Omega.
- Meets all SLAs for client engagement.
- Manages staffing resources to accommodate daily patient volume within expected turn-around times and financial targets.
- Demonstrates the ability to attract, recognize, retain and manage staff and to effectively utilize staff to enhance the facilities and Omega's organizational performance.
- Perform duties in compliance with Company's policies and procedures, including but not limited to those related to HIPAA and compliance.
Key Success Indicators/Attributes
- Ability to prioritize and multi-task in a fast-paced, changing environment.
- Demonstrates ability to work in multiple work types and specialties.
- Demonstrates ability to self-motivate, set goals, and meet deadlines.
- Demonstrates leadership, mentoring, and interpersonal skills.
- Demonstrates excellent presentation, verbal, and written communication skills.
- Comfortable in mentoring and training resources who will be performing IP/OP/ProFee coding to include Ancillary/Diagnostic, ED, Ambulatory Surgery & Observation work types.
- Ability to develop and maintain relationships with key business partners by building personal credibility and trust.
- Maintains courteous and professional working relationships with employees at all levels of the organization.
- Demonstrates excellent analytical, critical thinking and problem-solving skills.
- Must be able to adjust schedule according to where client is located geographically, flexibility is key
- Skill in operating a personal computer and utilizing a variety of software applications.
- Denial Experience in Facility and ProFee Coding.
Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com
We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.
AAP/EEO Statement
Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.
Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com.
Required Education and Experience
- Bachelor's Degree or a combination of advanced formal training within the
discipline
Experience in Epic, Cerner, 3M, Optum CAC (or any other CAC) required
Expertise in Coding (IP, OP & ProFee)
PF knowledge/background preferred
Experience with multiple EHR's
At least 2 years lead experience; minimum 5 years coding experience.
AHIMA certification as a RHIA, RHIT, CCS, CPC.
Preferred Education and Experience
Prior supervisory experience a plus.