Under the direction of the Manager of Coding Operations, the Inpatient Coding Supervisor supervises the daily workflow, quality, and reporting activities for inpatient encounters ensuring that productivity standards are consistently achieved. Another key aspect of this role is to function as the primary communication point between the Coding unit and the Clinical Documentation Improvement (CDI) manager. The Inpatient Coding Lead will have knowledge of both Coding and CDI practices and work to ensure collaboration of both functional areas through daily discussions and communication/monthly meetings and joint attendance at Medical Staff Meetings. The determinant of success is to achieve accurate documentation of the severity and complexity of the patients served by the Health System to enable accurate coding of that clinical information to be used for quality measures and reimbursement. Assures compliance with all regulatory bodies, including 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 inpatient coders. Reports job performance, attendance and quality issues to the Manager for action and participate as appropriate in employee discussions, interviews, evaluations and disciplinary action. Provides backup support for inpatient 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 Improvement Department policies and procedures.
Experience: Minimum of 5-7 years of progressive supervisory experience with inpatient acute care coding and outpatient surgical/ambulatory care coding. 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) required and Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred.
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