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Coding Supervisor, HIM, 40-Hours, Days, Monday - Friday, Hybrid

Heywood Hospital

Gardner, Massachusetts

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JOB DETAILS
SKILLS
Accounts Receivable, Advance Beneficiary Notice (ABN), Analysis Skills, Auditing, Billing, Certified Coding Specialist (CCS), Communication Skills, Compensation Management, Cross-Functional, Customer Support/Service, Detail Oriented, Documentation, Electronic Medical Records, Establish Priorities, Federal Laws and Regulations, Health Information Management, Health Maintenance Organization (HMO), Healthcare, Healthcare Common Procedure Coding System (HCPCS), Hospital Administration, ICD-10, Identify Issues, Interpersonal Skills, Keyboards, LCD (Liquid Crystal Display), MEDITECH, Maintain Compliance, Medicaid, Medical Billing, Medical Coding, Medical Records, Medical Treatment, Medicare, Needs Assessment, People Management, Performance Management, Preferred Provider Organization (PPO), Problem Solving Skills, Publications, Quality Monitoring, RMON, Regulations, Reimbursement, Research Skills, SSI, State Laws and Regulations, System Test, Team Player, Time Management, Training/Teaching, Workflow Analysis
LOCATION
Gardner, Massachusetts
POSTED
16 days ago
Overview:
You Matter Here!
 
Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! 

 

Hours: 40-Hours, Days, Monday - Friday, Hybrid

 

 

Disclaimer

We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization.
 

 

Responsibilities:
Essential Functions
  • Maintain and oversee the efficient operation of the coding unit to include the contract and vendor coders.  Coordinate and support the activities of the Coding specialists and assist with coding/charge entry related processes.
  • Conducts on the job training for new and existing coding team members to ensure understanding of the job responsibilities, policies and procedures.
  • Serves as a liaison between HIM Coding and other departments to facilitate coding processes.  May lead or participate in cross-functional workgroups/committees as needed to represent coding and billing issues.
  • Collaborates daily with Coding Specialists to assess coding workflow needs.  May assist with coding when volume increases and/or reallocates work as needed.  
  • Reviews medical records to correctly codes all diagnoses and/or procedures using current coding guidelines.
  • Monitors Coding Vendor services to ensure all encounters are captured, coded and billed within timely filing deadlines.
  • Works SSI Coding Edits and serves as coding liaison for the Patient Accounting department.
  • Maintains Coding credential thru AAPC or AHIMA.  Acquires the knowledge and education to keep up with changes in technology, coding guidelines, and regulations.
  • Monitors the remote coding staff schedules, attendance and ETO time.  May perform payroll functions.
  • Shares knowledge and expertise to help others improve performance provide education and give support.
  • Conducts system testing, provides feedback, and supports conversions/implementations related to coding issues.
  • Continuously prioritizes projects, activities, and tasks to ensure deadlines of minor and major projects are met.
  • Monitors quality, productivity, and performance by conducting coding validation audits.
  • Communicates with co-workers, management, and hospital staff regarding clinical and reimbursement issues.
  • Maintains 3M Encoder, coordinates and performs regular updates and troubleshooting issues, submits tickets to 3M and IT department when needed.  
  • Monitors Medicare and other payor bulletins and notices and communicates a summary of these to coding and CDI staff.
  • Runs reports to catch unbilled accounts, accounts not discharged or loaded in 3M as part of the DNFB/DNFC and A/R monitoring. 
  • Interacts with the Coding Staff to resolve issues and concerns in a timely fashion to ensure smooth operations within the department.
  • Maintains good communication with the physicians, other HIM Staff, and all personnel throughout the organization to ensure that coding is done accurately and timely without communication breakdowns.
  • Maintains knowledge of coding and billing requirements based on third party publications, including Blue Shield, Medicare, Medicaid, commercial insurers and HMOs/PPOs.  Ensures compliance of all federal and state regulations and standards relative to coding.
Statement of Other Duties

This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described.
 
Functional Demands
 
Physical Requirements
 
Prolonged sitting 8 hours or more, using a keyboard, mouse and two monitors for long periods of time. Exerts up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands).
 
Behavioral Attributes
 
The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking.
Qualifications:
Job Requirements:
 
Minimum Education
  • Coding credential certification from the American Health Information Management Association (CCA, CCS, CCS-P), or the American Academy of Professional Coders (CPC, CIC, COC, CRC) is required.   
Minimum Work Experience
  • Minimum of three to five years of previous coding and billing experience. 
  • Minimum of two years of supervisory experience is highly preferred.  
Required Skills
  • Experienced in several coding methodologies to include ICD-10-CM/PCS, CPT4, HCPCS, and E/M.  Knowledge and understanding of Medicare billing rules (i.e. LCD/NCD, CCI, Medical Necessity, and ABN) a plus.    
  • Experience with 3M Encoder required. 
  • Experienced with Meditech Expanse EMR preferred.
  • Ability to comprehend and accurately interpret all aspects of medical documentation as it related to coding and billing.  
  • Must have strong analytical skills, attention to detail, critical thinking, and researching skills.

 

About the Company

H

Heywood Hospital

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