Coding Supervisor

City/State:

Nyack, New York

Department:

Health Information Management

Work Shift:

Day

Work Days:

MON-FRI

Scheduled Hours:

7:30 AM-4 PM

Scheduled Daily Hours:

8 HOURS

Hours Per Pay Period:

40

Pay Rate/Range:

$85,000.00-$92,000.00

Job Summary

The Medical Coding Supervisor is responsible for overseeing the daily operations of the hospital coding team, ensuring accurate, timely, and compliant coding of inpatient and outpatient medical records. This role supports the HIM coding manager by enforcing coding standards and assisting in maintaining compliance with regulatory requirements.

Essential Functions

• C. Job Specific Contacts

  1. General Contacts: Administrators, Directors, Department heads and other staff, Vendors. Liaison with IT, PFS, Physicians. Other departments as required provide and implement solutions to issues encountered within coding.

  2. Job Provides Direction to: N/A

  D. Environment and Demands

  1. Environmental Demands: Describe the physical environment in which the job must be performed.

  2. Essential Physical and Cognitive Demands, Manual Dexterity: Describe the physical efforts, manual dexterity and cognitive skills required for the job (i.e., eye/hand coordination, lifting, pulling, walking, concentration, analysis, customer sensitivity, etc.).

  B. MISSION/STRATEGIC PLAN:

  Demonstrates support of the mission and strategic action plan through the initiation and ongoing implementation/evaluation of department activities/plans.

  C. JOB SPECIFIC COMPETENCIES:

  Demonstrates the technical/professional knowledge, skills and abilities necessary for the successful operations of the department including, where applicable, age specific competence. *

  1. Support the coding manager in coordinating daily workflow for inpatient and outpatient staff.

  2. Assist in monitoring productivity, accuracy, and quality metrics in the absence of the coding manager; implement performance improvement plans as needed to optimize coding with the coding manager.

  3. Review and audit outpatient coded records to ensure compliance with ICD-10-CM, ICD-10-PCS, and CPT/HCPCS guidelines.

  4. Accurately assign codes to meet established coding guidelines, including ICD-10CM, ICD-10 PCS, CPT-4, HCPCS, and Modifiers.

  5. Support coding related to denials and appeals process.

  6. Ensure timely coding to meet billing and compliance guidelines.

  7. Maintaining work queues within 72 hours.

  8. Assist in reviewing Local coverage determinations (LCD)/National Coverage Determinations (NCD) edits to ensure that diagnoses are accurately captured and documented.

  * Document on addendum age specific competency.

  Part II: Employee Performance Standards

  A. CUSTOMER SERVICE:

  1. Demonstrates personal excellence in customer service for both internal and external customers.

  2. Holds staff accountable for the delivery of excellent customer service.

  3. Participates in team efforts to increase the level of customer satisfaction.

  B. PERFORMANCE IMPROVEMENT:

  1. Demonstrates the ability to recognize an opportunity for improvement and to collect and assess data.

  2. Demonstrates the ability to develop, implement and evaluate a Performance Improvement Plan.

  3. Participates in Departmental/Hospital-wide activities which improve processes/outcomes.

  4. Utilizes resources to maintain and improve self knowledge and development and fosters the same for employees.

  5. Demonstrates compliance with licensure/certification requirements and the timeliness of their submission.

  D. PROJECTS/ASSIGNMENTS:

  1. Completes projects/assignments within projected time frames and expectations.

Qualifications

• Associates or bachelor’s degree in HIM or related field required.
• At least 5 years coding (Inpatient/Outpatient), HIM experience, and minimum 3 years’ experience in leadership or supervisory role.
• Required RHIT/RHIA along with CCS/CCSP, CPC with extensive coding knowledge will be considered.
• Strong knowledge of DRG/APC. Demonstrates the ability to use Microsoft applications including but not limited to 3M 360 Coding application, Optum Lynx and Excel proficient, strong Epic knowledge. Strong communication and leadership abilities. Ability to manage multiple priorities in a fast-paced hospital environment. Knowledge of coding guidelines, compliance, auditing and regulatory standards. Exceptional administrative and organizational skills.

Montefiore Nyack Hospital is an equal employment opportunity employer. Montefiore Nyack Hospital will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.