Remote Revenue Integrity Jobs in Springfield, PA

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A Brief Overview
Under the direction of the Coding Manager, the Coding Supervisor is responsible for providing first-line supervision for Coding staff. Supervisor responsibilities include but are not limited to daily supervision and monitoring of DNB, productivity performance, inpatient and outpatient quality reviews, performance reviews, clinical documentation improvement (CDI) collaboration, handling of grievances, and any necessary discipline of staff. The Coding workforce is predominantly remote. This position also involves participation in process improvement projects and supporting the work needed to meet department and institutional wide goals. The position requires communication with hospital personnel, including, but not limited to CDI, physicians, nurses, administrators, directors, billing office, revenue integrity, and co-workers.
What you will do

• Provides feedback to the Coding Manager on exceptional and/or substandard performance.
• Supervise and monitor performance of coding staff as well as individual performance.
• Leads all efforts associated with monitoring and maintaining the DNB, productivity, CDI collaboration, coding work queues, quality reviews, external coding audits, training, education, and discipline.
• Manage productivity and reconciliation reports to ensure that workflow is evenly distributed amongst employees.
• Summarize findings for reports and presentations to leadership.
• Monitors DNB daily.
• Management and analysis of DNB to assist in account prioritization.
• Manage HIM Coding WQs for aging accounts holding on the DNB.
• Coordinate reports for internal and external coding audits.
• Supervises audits of coded medical records.
• Assures that coding staff ratio can “flex” to meet both inpatient and outpatient coding volumes.
• Provides ongoing feedback to staff on areas for improvement.
• Ensures that all members of the coding team are following official policies and standard procedures and conducts discipline for those in violation.
• Counsel’s coding staff on actions required to meet minimum performance requirements.
• Provides or arranges for necessary knowledge-based resources required by the coding staff to meet quality and production standards.
• Prepares staffing schedules to provide adequate coverage for all work queues and bodies of work.
• Compiles, analyzes, and presents data related to coder performance, documentation issues, and charging errors.
• Executes process improvement projects.
• Communicates documentation concerns to clinical staff.
• Communicates charging issues to revenue integrity.
• Responsible to ensure that testing and scripting for coding-related system upgrades, updates and changes are completed according to established timelines.
• Maintain a working knowledge of new coding and DRG guidelines and regulations as well as changes to established coding and DRG guidelines and regulation. Work with the Manager to interpret and apply these changes.
• Maintain a working knowledge of regulations, including billing, coding, and documentation requirements.
• Maintain a strong knowledge of medical terminology and new conditions and treatments.
• Maintain a proficiency in various coding structures as applicable to the hospital.
• Participates in Quality Improvement initiatives and committees as needed.
• Train, develop, and effectively supervise staff.
• Complete orientation in the new area within 30 days of hire of new employee 100% of the time.
• Complete annual evaluations within 2 weeks of review date 100% of the time.
• Assist in the training of employees on new systems, new functions, processes, and procedures 100% of the time.
• Provide supervisory human resource support in the following areas:
• Adherence to Human Resource policies and procedures, disciplinary actions, and quality of work control.
• Monitor attendance, schedule vacations and holidays 100% of the time.

Education Qualifications

• Associate's Degree Health Information Management or similar field of study. Required
• Bachelor's Degree Health Information Management or similar field of study. Preferred

Experience Qualifications

• At least two (2) years inpatient and outpatient coding experience with at least one (1) year in a leadership role Required or
• At least three (3) years inpatient and outpatient coding experience. Required

Skills and Abilities

• In depth knowledge of coding process, coding systems software, workflow management, and electronic medical records. (Required proficiency)
• Advanced knowledge of the ICD-10 CM/PCS and CPT/HCPCS coding systems and conventions (Required proficiency)
• Advanced knowledge of, but not limited to, Official Coding Guidelines and methodologies. MS-DRGs, APR-DRGs, APCs, and Clinical Documentation guidelines. (Required proficiency)
• Familiarity of automated/computerized encoders, groupers, abstracting, database, billing systems, medical records. (Required proficiency)
• Proven/demonstrated skills in use of encoder grouping and abstracting software (Required proficiency)
• Knowledge of the principles and practices of supervision as applied to the management and direction of personnel (Required proficiency)
• Strong organizational, planning, scheduling, and project management abilities (Required proficiency)
• Excellent leadership ability (Required proficiency)
• Excellent oral and written communication skills (Required proficiency)
• Excellent critical thinking skills (Required proficiency)
• Excellent analytical ability to develop and analyze data to recommend solutions and solve complex problems. (Required proficiency)
• Ability to adapt to changes in workload and work functions and to effectively prioritize work assignments. (Required proficiency)
• Ability to ensure a high level of customer satisfaction including employees, patients, visitors, and other departments within CHOP. (Required proficiency)

Licenses and Certifications

• Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - upon hire - Required or
• Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - upon hire - Required or
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - upon hire - Required or
• Certified Coding Specialist (CCS) - National Association for Healthcare Professionals (NAHP) - upon hire - Required or
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - upon hire - Required or
• Certified Coding Specialist-Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - upon hire - Required

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must be fully vaccinated against COVID-19 and receive an annual influenza vaccine. Learn more.
Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed.
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