Coding Supervisor

Job Summary:  Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases and CPT-4.  Requires skill in the sequencing of diagnoses/procedures to optimize reimbursement. Ensures that records are coded in an accurate and timely manner. Supervises the chart analyst, birth certificate and correspondence function. Acts as director in their absence.

DUTIES AND RESPONSIBILITIES:

Demonstrates Competency in the Following Areas:

Ensures that records are coded within 24 hours of discharge, excluding weekends and holidays.

Reviews chart thoroughly to ascertain all diagnoses/procedures.

Contacts responsible physician in a professional, tactful manner, if diagnosis is not available on chart.

Coder’s diagnoses and procedures on clinical summary agree with physician’s discharge summary.

Refers chart to Director, If there is a question regarding the diagnoses/codes.

Utilizes computerized coding/abstracting equipment.

Codes all diagnoses/procedures in accordance to ICD-10-CM and CPT-4 coding principles and adheres to the Coding Clinic Guidelines.

Meets productivity standard of assigning codes to a minimum of three charts per hour on federally funded patients and six charts on non-federally funded patients.

Meets quality standards of having 95% of principal diagnoses and procedures appropriately and/or correctly coded.

Maintains 99% rate of information correctly abstracted.

Maintains the number of DRG/coding changes below the 3% quarterly per PRO threshold.

Reviews coding periodicals within 7 days of receipt.

Updates the Coding Manual on an ongoing basis.

Notifies director whenever work is more than 48 hours behind work deadline.

Assists the director with state requirements and reports.

Supervises chart analysis, birth certificate and correspondence function.

Ensures data quality and optimum reimbursement allowable under the federal and state payment systems.

Acts as a resource person to Hospital staff for coding and may provide education regarding coding changes/issues.

Fulfills duties of Director in his/her absence.

Must be familiar with all charting and coding requirements, including Pediatric and SNF.

Maintains a good working relationship within the Department, other departments and Medical Staff.

Must be familiar with the following manuals: Administration/Organization, Health Information Management Department, Emergency Preparedness and Safety.

Willing to accept additional assignments.

Performs performance improvement functions through data collection and documentation review.

Adheres to and practices the standards ofperformance outlined in the Standards of Performance handbook.

Performs within the prescribed limites of the hospital’s/department’s Ethics and Compliance program. Is responsible to detect, observe, and report compliance variances to their immediate supervisor, or, upward through the chain of command, the Compliance Office or hospital hotline.

Professional Requirements:

Meets dress code standards; appearance is neat and clean.

Completes annual educational requirements.

Maintains AHIMA accreditation status through C.E.U.’s.

Maintains regulatory requirements.

Maintains patient confidentiality at all times.

Wears identification while on duty; uses computerized punch time system correctly.

Reports to work on time and as scheduled. 

Completes work within designated time frame.

Completes inservices and returns in a timely fashion.

Attends annual review and departmental inservices, as appropriate.

Attends at least 90% departmental meetings.

Is familiar with quality improvement through data collection and documentation review.

Represents the organization in a positive and professional manner.

Actively participates in performance improvement and continuous quality improvement (CQI) activities.

Complies with all organizational policies regarding ethical business practices.

Communicates the mission, ethics and goals of the facility, as well as the focus statement of the department.

Regulatory Requirements:

1. Registered Health Information Technician
2. 2 or more years of previous hospital experience as a Coder.
3. Knowledge of diagnoses/procedures in accordance with ICD-10-CM and CPT-4 coding principles for both acute and skilled nursing facilities.
4. Ability to work with physicians and staff in a collaborative manner.

Language Skills:

1. Ability to read and communicate effectively in English. 
2. Additional languages beneficial. 

Skills:

1. Basic computer knowledge.
2. Ability to type 50 net w.p.m.

Physical Demands:

1. For physical demands of position, including vision, hearing, repetitive motion and environment, see following description.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising client care.