HIM Outpatient Coding Supervisor ID-5955

Summary:

The Outpatient Coding Supervisor at Akron Children's Hospital is responsible for overseeing and managing the outpatient coding team to ensure accurate and timely coding of outpatient services. This role includes supervising coders, ensuring compliance with healthcare regulations, conducting quality audits, providing training, and assisting in the development of coding policies and procedures. The Outpatient Coding Supervisor plays a key role in maximizing reimbursement while maintaining compliance with federal, state, and hospital regulations.

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Responsibilities:

1. Supervision of Outpatient Coders: Lead, mentor, and manage the outpatient coding team, ensuring that all coding assignments are accurate, timely, and compliant with healthcare regulations.

2. Quality Control & Audits: Perform regular audits of outpatient coding records to ensure accuracy, completeness, and adherence to coding guidelines (ICD-10, CPT, HCPCS). Address discrepancies and implement corrective actions as needed.

3. Training & Development: Provide ongoing training and development opportunities for coding staff to stay current with industry changes, coding updates, and regulatory requirements.

4. Policy Development: Assist in the creation and maintenance of coding policies, procedures, and guidelines. Ensure that all coding staff adhere to these standards.

5. Collaboration with Other Departments: Work closely with clinical and billing departments to ensure the seamless flow of information and the accurate coding of services. Communicate effectively with physicians, clinical staff, and other stakeholders to clarify documentation and coding issues.

6. Performance Monitoring: Monitor and evaluate the performance of coding staff, providing feedback and guidance. Identify opportunities for improvement and implement strategies to improve coding productivity and accuracy.

7. Regulatory Compliance: Stay current with coding changes and healthcare regulations. Ensure that coding practices comply with federal, state, and hospital-specific standards, including HIPAA regulations.

8. Data Reporting: Prepare reports on coding productivity, accuracy, and audit results for management. Use data to recommend improvements in coding operations.

9. Coding as needed

10. Other duties assigned

Other information:

Technical Expertise

1. Experience with Hospital Coding required

2 Experience in ICD-10-CM, CPT, Modifiers required.

3 Experience: 3-5 years of coding required

4 Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. 3M encoder preferred.

5 Knowledge: Thorough understanding of ICD-10, CPT, HCPCS, and other coding guidelines. Knowledge of healthcare regulations, billing processes, and payer requirements.

6 Skills: Strong leadership, communication, and organizational skills. Ability to manage multiple priorities and work in a fast-paced environment. Proficient with coding software and MS Office tools.

Education and Experience

1. Education: bachelor’s degree preferred. Associate degree required in Health Information Management, business administration, or healthcare field.

2. Certification: AHIMA or AAPC credentials required.

3. Years of experience: Minimum of three (5) years of hospital coding preferred. 

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