Under the direction of the Manager of Coding Operations, the Outpatient Coding Lead supervises the daily workflow, quality, and reporting activities for designated outpatient services: (ambulatory surgery, emergency, patient in a bed and observation) ensuring that productivity standards are achieved to consistently support the financial goals and that the quality of the data meets the needs of the organization.. Assures compliance with all regulatory bodies, including The Joint Commission (TJC), Office of Statewide Planning and Development (OSHPD/MIRCAL), and Center for Medicare and Medicaid Services (CMS). Assures the timely, efficient, and accurate transfer of required data to Patient Business Services on a daily basis. Acts as an internal consultant for all issues related to CareConnect or other systems used by outpatient coders. Reports job performance, attendance and quality issues to the Manager for action, and participates as appropriate in employee discussions, interviews, evaluations, and disciplinary action. Provides backup support for outpatient service coding. Maintains professional standards within the staff and its procedures adhering to the AHIMA professional code of ethics and standards for ethical coding. Enforces Health System and Medical Coding and Clinical Documentation Department policies and procedures
Experience: Minimum of 3-5 years supervisory experience with outpatient surgical/ambulatory care coding required. Proficiency in ICD-9-CM and CPT-4 coding with excellent working knowledge of the DRG and APC payment methodologies, AHA Coding Clinic and CPT assistant.
Education: BS or BA preferred.
Licensure /Certification: Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P) required
Other: Demonstrated ability to work with all internal and external customers in a professional manner. Ability to orient and train new / trainee coders.
Location/Region: Westwood, CA