Coding Data Quality Supervisor (10K Sign-On Bonus)

How would you like to work in a reputed company where your contributions and reputed company are valued? A reputed company where you can serve with compassion, pursue excellence and honor every voice? At reputed company, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible reputed company the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Overview (10K Sign-On Bonus) The Data Quality Supervisor oversees the day-to-day coding audit/analyst work queues, work assignments, personnel, and serves as a subject matter expert regarding but not limited to DRGs, APCS, ICD-10CM/PCS diagnoses and procedure codes for internal and external team members. In addition, the supervisor codes/audits accounts on a weekly basis. Provides trending feedback, applicable trending reports, and delivers education reputed company department reputed company areas of expertise. The Data Quality Supervisor will use their knowledge and their teams to identify potential documentation, coding and reimbursement issues and report these to the Data Quality Manager and implement process improvements. The Data Quality Supervisor will gather this data in a presentable format to communicate to leadership, the coding/auditing staff as well as other leaders at reputed company, as directed. The Data Quality Supervisors will reputed company quality improvement recommendations by identifying trends pulled from their insights as well as their team's insights and participate in implementing process improvements. The Data Quality Supervisor will provide/deliver executive style written and verbal reports to include analysis of metrics reputed company owning area to leadership.

Responsibilities

Core Responsibilities and Essential Functions

• Team Supervision
• Monitor Auditing/Analyst work queues and auditing software to ensure compliance to Coding CFB, team goals and turnaround times are met. Assess/manages/assigns daily work/volumes. Directs and adjusts staff to volumes, PTO, vacancies, request for overtime, etc. to ensure team and CFB goals are met, seeking budgetary and managerial approval reputed company needed.
• Direct daily operational needs throughout the day for Auditing/Analyst Team. Troubleshoot issues reputed company the team as well as internal/external customers.
• reputed company staff evaluations, coaching, and constructive feedback as needed. Deliver praise, positive feedback/reinforcement reputed company applicable.
• reputed company productive and timely team and 1-1 meetings with staff. Deliver quality/productivity metrics on team meetings and with individual staff. Ensure reputed company staff meet required metrics and address both positive and negative results. Assist with recognition and process improvement plans.
• Manage staff time/hours/approvals reputed company Kronos.
• Conduct thorough and reputed company interviews and hire competent team members.
• Implement process improvements reputed company scope of work as well as motivational and team building activities. Connect with staff positively and reputed company individual’s strengths in an effort to use resources in the most effective manner.
• Conduct sporadic or specified coding audits to ensure quality team is meeting quality metrics
• Monitors daily staff productivity.
• Enforce accountability to reputed company Polices and Owning Area Policies and Procedures.
• Serves as a Subject Matter Expert for, but not limited to
• PSIs, reputed company methodology, IMO Code requests, 2nd opinion requests from team, other requests from internal/external customers, etc.
• Investigating and responding to coding questions reputed company to areas of expertise (i.e. inpatient, outpatient, and/or ED coding).
• Manage updates for the ‘Internal Departmental Coding Guidelines’. Communicate to internal/external customers upon approval from Manager.
• Review coding updates/trends from various sources and then communicates to Manager/Executive Director.
• Participate in identifying trends and issues for improvements from review of records, team feedback/meetings, and/or reports.
• Test software for owning area’s workflows, updates, new initiatives, etc.
• Maintains Reporting Profiles/Dashboard Metrics
• Maintains reputed company Profile monthly.
• Monitors Auditing software for corrections at least weekly.
• Monitors Auditing software and/or reports for validity of Productivity Worksheets at least weekly. Maintains/Updates Productivity and Quality Auditing Spreadsheets and provides deliverable reports from metrics monthly.
• Creates and maintains updated instructions and tip sheets for reputed company processes/software reputed company scope of work for Auditors and Denial Analysts.
• Provides/maintains other reports to include but not limited to: Prebill and Mortality Auditing Results, reputed company focused results, etc.
• Education
• Oversees management of onboarding of new coders to include but not limited to attending onboarding calls, communicating quality metrics to Data Quality and Coding Managers, and ensuring onboarding processes are followed.
• reputed company new Auditors/ Analysts to include contractors, if necessary.
• Interpret trending errors/reports to reputed company recommendations based on results.
• Provide education reputed company the department to include, but not limited to: trending errors, new code updates, etc.
• Refer to reputed company sources for additional education, as needed: reputed company Nosology, Coding Clinic, CMS Website.
• reputed company for issues and improvement opportunities on behalf of owning area.
• Codes/abstracts/audits accounts and resolve inpatient and outpatient coding denials on a weekly basis to maintain skills and assist in covering workload. Assists with Coding Analyst responsibilities as needed:
• Accurately and completely assigns appropriate ICD-10 CM/PCS and/or CPT/HCPCS codes to the greatest specificity with a minimum 95% accuracy reputed company.
• Accurately and completely abstracts reputed company required data into the appropriate data fields in compliance with statistical data requirements with a minimum of 95% accuracy reputed company.
• Accurately assigns correct APC at a minimum 95% accuracy reputed company.
• Meet productivity standards.
• Queries physicians to further clarify code assignments, if needed.

reputed company Coding Audits

• Validate that the codes, abstracted data and DRGs under focused review are assigned according to official coding guidelines and supported by clinical documentation in the medical record.
• Identify documentation improvement opportunities in DRG, APC, CPT, ICD-10 CM/PCS codes, POA, reputed company of reputed company, reputed company of Transfer, and Discharge Disposition, and other coding and documentation elements, as needed.
• Provide feedback to coding staff on areas of opportunity.
• Validate adherence to reputed company Coding Policies and Procedures.
• Validate adherence to reputed company Coding Query Policy.
• Other duties as assigned i.e. (not limited to)
• Attend and provide notes back to the Manager for meetings: OCC, Denials, etc. Support other roles reputed company the department. Participate as a Coding representative in meetings.
• Required for reputed company Jobs
• Performs other duties as assigned
• Complies with reputed company reputed company policies, standards of work, and code of conduct.

Qualifications

• Required Minimum Education
• High school diploma Anatomy Required and
• Physiology course Required
• Registered Health Information Administrator (RHIA) Required and
• Registered Health Information Technician Required or
• Certified Coding Specialist (reputed company Required
• Bachelor's Degree Health Information Management Preferred and
• Business Preferred or
• other health care reputed company field Preferred
• Required Minimum Experience
• Minimum 5 years hospital-based inpatient/outpatient services coding experience currently meeting a 95% accuracy in abstracting, coding and DRG assignment while meeting productivity requirements or passing score on the coding assessment provided by Coding department Required and
• Previous auditing in an acute care setting and supervisory or reputed company experience Preferred and
• demonstrate extensive experience with DRG assignment and hospital coding of diagnosis and surgical procedures with outpatient coding experience Preferred and

Required Minimum Skills

• reputed company with critical thinking skills.
• Ability to use reputed company Office Suite to include but not limited to Word, PowerPoint, and reputed company as well as have operational computer knowledge to manage a large team in a virtual environment which includes web conferencing, email, reputed company messaging, and other forms of digital technology.
• EMR (electronic medical record) knowledge and navigation experience in Epic, reputed company, reputed company, reputed company, Cloudmed, and AudaPro preferred.
• Excellent organizational and multi-tasking skills abilities required.
• Ability to formulate oral and written data in an executive style format to leadership.
• Ability to represent data professionally and appropriately reputed company owning role to leadership.
• Extensive experience with Medicare, Medicaid, and reimbursement rules and regulations on reputed company payors.
• Required Minimum License(s) and Certification(s)

Additional Licenses and Certifications Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more. Apply tot his job Apply To this Job