Supv Coding

Consistently applies the
corporate values of respect honesty and fairness and the constant pursuit of
excellence in improving the health status of the people of the region through
the provision of customer-friendly geographically accessible and high-value
services within the environment of a comprehensive integrated academic health
system.  Is responsible for knowing and
acting in accordance with the principles of the Brown University Health Corporate Compliance
Program and Code of Conduct.

Monitors unbilled accounts
for uncoded or outstanding accounts to ensure the cases is completed within 2-3
days of discharge.  Maintains efficient
workflow in coding and clerical processes. 
Prioritizes high paying accounts. 
Monitors staff productivity and accuracy  to ensure requirements are met. Reviews bill
hold reports for physician queries and contact physicians who are not
responding. 

Provides training and
education to staff in the use of coding guidelines and practices proper
documentation techniques medical terminology and disease processes
appropriate to the job description. 
Participating with the coding validators communicates to staff any
coding updates.  Ensures external coding
staff (agency coders) understands and agrees to adhere to the organization�s
coding and policies when applicable. Serves as a resource to department staff  and other health care professionals in need of
coding assistance responding to questions. 
Researching complex coding issues finding solutions and updating staff
and practices as needed.

Performs coding validation
for outpatients as required. May be required to perform coding in instances of
staff shortages.  Supervises outpatient coders
as required.  

Maintains knowledge of
current professional coding certification requirements.     Ensures staff is thoroughly trained in usage
of ICD-10 and/or CPT coding procedures in order to optimize reimbursement to Brown University Health
for its services.

Maintains knowledge of
current payor policies and procedures including medical necessity and stays up
to date with CMS and all third party regulations.

Ensures effective
recruitment selection development and evaluation of coding and clerical staff
to optimize achievement of goals and objectives.

Prepares payroll submits
work orders as needed for departmental upkeep and orders supplies. Performs
employee appraisals as necessary 

Abides by the Standards of
Ethical Coding as set forth by the American Health Information Management
Association and the American Association of Professional Coders. Monitors
coding staff for violations and reports to Coding Manager or Director when
areas of concern are identified.  

Associate Degree or
equivalent in a health services discipline .

CPC coding certification
required from AAPC or AHIMA.

 EXPERIENCE:

Three to five years
progressively responsible experience performing outpatient coding preferably in
a similar setting and operationally complex healthcare environment.

One to two years supervisory
experience strongly preferred.

Experience should demonstrate
a high level of knowledge in ICD-10-CM and CPT-4 coding methodologies.

Effective written and oral
communication skills effective leadership/management skills and familiarity
with automated systems required.

WORKING CONDITION AND PHYSICAL REQUIREMENTS:

Normal office environment.

INDEPENDENT ACTION:

Performs independently within
the department�s policies and procedures. 
Refers specific complex problems to the supervisor when clarification of
the departmental policies and procedures are required.

SUPERVISORY RESPONSIBILITY:

Supervisory responsibility
for up to 20 FTEs.