Key Responsibilities:

Complies with all policies and procedures that pertain to HIPAA including minimum necessary requirements for this position. Must maintain 100% patient confidentiality for e-PHI during the course of work functions
Responds to inquiries from Business Office on patient claims resolution
Assists coding team with inquiries from departments to achieve timely resolution
Assists coding team to ensure coding accuracy, completeness, and adherence to established guidelines and standards
Participates in meetings with Revenue Cycle Committee and coding team
Abides by the Standards of Ethical Coding set forth by AHIMA and monitors coding staff for violations and reports as areas of concern are identified
Assists HIM Director in maintaining compliance with applicable regulations (e.g., ICD-10, CPT, or internal standards)
Train new staff and existing staff on coding standards, tools, and updates
Maintains knowledge of current professional coding certification requirements and promotes recruitment and retention of certified staff in coding positions
Develops reports and collects and prepares data for studies involving cases for clinical evaluation purposes, fiscal impact, and profitability
Assists HIM Director with developing and implementing coding policies, procedures, and best practices
Assist HIM Director with tracking key performance metrics such as accuracy rates, productivity, and turnaround times
Keeps abreast of recent technology in coding software and other forms of automation and stays informed about transaction code sets, HIPAA requirements and other future issues impacting the coding function
Demonstrates competency in the use of computer applications and grouper software, medical edits, and all coding software and hardware
The supervisor should demonstrate initiative and discipline in time management and assignment completion
The supervisor must be able to work in a virtual setting under minimal supervision

Qualifications:

Required Education:

Associate or bachelor's Degree and accredited by AHIMA Required Licenses and/or

Certifications:

Certified Coding Specialist (CCS) and Certified Professional Coder (CPC)

Certifications Required Work Experience:

Five (5) years in relevant working field, with one (1) year of supervisory experience

Required Knowledge, Skills, and Abilities:

Advanced knowledge of ICD-10-CM and CPT coding principles and rules
Strong leadership and communication skills
Problem solving
Good knowledge of medical records systems
Excellent computer applications knowledge including Microsoft Word and Excel
Must be fluent in general information technologies
Significant level of autonomy, must be self-directed
Intermediate to advanced knowledge of disease pathophysiology and drug utilization
Intermediate to advanced knowledge of MS-DRG and APR-DRG classification and reimbursement structures
Advanced knowledge of

APC, OCE, NCCI

classification and reimbursement structures

Excellent organizational skills for initiation and maintenance of efficient workflow
Regular and reliable attendance and time reporting per Gritman Medical Center Telecommuting program requirements
Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment
Good visual acuity
Ability to operate computer keyboard, mouse, and other peripherals as appropriate to accomplish coding

Preferred Qualifications:

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