Virtual work setting supervises daily operations specific to national coding services. Develop staff coverage strategies to maintain consistent productivity flow. Develops, executes and monitors individual coder quality and productivity.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.Operations:
Supervises daily operations specific to coding and DNFB, DNFC monitoring for assignments. Supports coding specialists by discussing complex coding cases, answering questions, providing education and interfacing with leadership.
Develop, monitors and controls staff coverage strategies to maintain consistent productivity flow. Supervises business unit human resources by determining qualifications, competence and performance expectations; providing orientation; applying policies/procedures pertaining to human resources management.
Continually assess and improve the business unit s performance through data analysis and implementing sustainable performance improvement. Supports PFS RCS requests related to coding reviews. Supports RHIMD s and Conifer clientele with national coding coverage. Onboard, orientation and training of new hires.
Performs coding quality reviews in accordance with Conifer applicable monitoring policies. Coordinates feedback with appropriate parties.
Assists in review for any patient audit presented from Conifer for coding / editing from NCC staff. Organizes and reviews charts for Tenet coding audits and prepares action plans in response to audit findings. Coordinates and utilizes the SMART system as a tracking tool for monitoring coding errors. Tracks eTenet required educational updates and in-services. Goal: Average coding quality standard of =/> 95% accuracy per monitoring period.
DNFB, DNFC, DNFE, Management:
Meets and/or exceeds Conifer s coding productivity guidelines. Consistent monitoring of DNFC accounts to develop strategies to minimize un-coded accounts greater than bill hold period (4).
Researches and monitors healthcare regulatory standards. Attends and participates in meetings and is responsible for coding related information communicated at meetings and between hospital clinical personnel.
Attends relevant coding workshops to stay abreast of new and changing technologies. Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding.
Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls.
CDI: Communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow-up and resolution
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Direct Reports (incl. titles) Spec, NCC Coding I, II, III
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
CERTIFICATES, LICENSES, REGISTRATIONS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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