Coding and Reimbursement Supervisor
Summary
Supervise Clinical Coders for practicing clinical faculty physicians (College of Medicine). Monitor coder productivity, A/R trends and tracks coding and documentation issues within each division. Work closely with faculty, fellows and the residents in the respective clinical Divisions to provide education on correct coding, proper documentation to maximize physician reimbursement, and ensure compliance with federal and state regulations.
Examples of Work
Job functions are specific duties that would be included in the essential functions of the job description. These functions are not all-inclusive nor do they cover the full extent of the duties performed.
- Manages coding staff by monitoring divisional inpatient/outpatient hospital volume, completed notes and lag.
- Performs internal periodic reviews on abstracted notes, coded by coders and/or physicians to ensure compliance.
- Performs onboarding training and education for new faculty and other clinical billing staff.
- Performs monthly resident training for both inpatient and outpatient residents.
- Monitors EPIC documentation templates used by residents and faculty to ensure compliance.
- Meet with division administrators monthly to update them on coding and documentation issues, lag, new initiatives, etc.
- Establish and manage training manuals for all work flows.
- Responsible for training all new coders on department workflows, coding processes and compliance standards.
- Generates and monitors weekly productivity reports on coders.
- Approves bi-weekly time punches for staff.
Education and Experience
A high school diploma or equivalent with a minimum of five years in professional medical coding, (academic medicine setting preferred), with experience with more than four clinical specialties. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience.
Licensure and Certification
Certified Professional Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required.
Supervision
Supervises Clinical Coders.
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