Midwest Supervisor – Primary Care

• Provides oversight for specialty/service line and/or patient service area (PSA) coding and documentation education and/or feedback to all employed Physicians and Advanced Practice Clinicians (APCs) for coding rules, coding changes (CPT including E&M, modifiers and internal codes, ICD-10, HCPCS), annual updates, payer requirements and insurance rejection resolution.
• Develops and implements appropriate new clinician coding orientations, new clinician documentation reviews, and ongoing quality feedback processes for all Physicians/APCs, Locum Tenens, Residents, Students and clinical or ancillary team members on documentation and coding matters.
• Regularly solicits information from employed Physicians, APCs, specialty/service line and PSA leadership, and/or Medical Group Chief Medical Officers (CMOs) on the value and quality of the Professional Coding Liaison Specialist or PSA Coding Liaison assigned to them and satisfaction of coding support.
• Oversees the coordination of responses to Clinicians questions along with Compliance and Clinical Informatics/CIE team members. At times, Clinician Compensation issues will need to be woven in. Attends and provides data as requested to Physicians/APCs, clinical operations leaders, and department/staff meetings.
• Reviews and provides guidance on Epic order entry, diagnosis and charge capture preference lists as well as SmartSets, SmartPhrases, and/or templates for coding and documentation specific items to assist Physicians, APCs, Locum Tenens, Residents, Students, and clinical or ancillary team members coding/documentation efficiencies.
• Monitors all assigned Professional Coding Liaison Specialists and PSA Coding Liaison Epic work queues and/or other transfer work queues to ensure Clinicians are completing work timely to ensure proper supporting documentation for billing and timely filing.
• Provides input for the Professional Coding Liaison Specialist specialty newsletters and PSA Coding Liaisons Monthly Coding Update Reports for feedback and coaching opportunities to team members. Provides feedback to the Production Coding Supervisors and Production Leads regarding new procedures and charge related updates. Ensures that all Professional Coding Liaison Specialists and PSA Coding Liaisons are educated and are providing the standardized and researched education to their assigned Clinicians.
• Collaborates with both internal department and external department teams to ensure quality coding and documentation education is provided to our team members and Physicians/APCs, Locum Tenens, Residents, Students in order to be successful.
• Maintains current knowledge of Medicare, Medicaid and/or other regulatory requirements pertaining to nationally accepted coding policies and standards.
• Responsible for understanding and adhering to the organizational Code of Conduct and for ensuring that personal actions and the actions of the direct team members supervised, comply with policies, regulations and laws applicable to the organization.
• Performs human resources responsibilities for staff which includes coaching on performance, completes performance reviews and overall staff morale. Recommends hiring, compensation changes, promotions, corrective action decisions, and terminations.
• Responsible for understanding and adhering to the organization’s Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization’s business.

Licensure, Registration, and/or Certification Required:

• Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA), or
• Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or
• Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
• Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or
• Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC), or

Education Required:

• Associate’s Degree (or equivalent knowledge) in Health Information Management or related field.

Experience Required:

• Typically requires 3 years of experience in provider coding that includes experiences in advanced level of ICD, CPT and HCPCS professional coding, physician billing processes and workflow and reimbursement in a large, complex clinic or hospital setting. Experience at a lead or senior level in a high volume setting required.

Knowledge, Skills & Abilities Required:

• Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology and regulatory requirement.
• Excellent communication (oral and written), adult education and interpersonal skills. Ability to develop rapport and maintain positive, professional relationships with employed Physicians, APCs, clinical leadership, as well as internal/external department team members.
• Intermediate computer skills including the use of Microsoft office products, video/web conferencing, electronic mail, including exposure or experience with electronic coding systems or applications.
• Excellent organization, prioritization, problem solving, facilitation and ability to have meaningful, albeit difficult conversations with Physicians/APCs, and clinical leadership.
• Excellent critical thinking, problem solving, and analytical skills along with a high attention to detail.
• Ability to work independently and exercise independent judgment and decision making.
• Ability to meet deadlines while working in a fast-paced environment.
• Ability to work in multiple environments (ie virtual, office, clinic/hospital, other).

Physical Requirements and Working Conditions:

• Exposed to normal office environment.
• Position requires travel which will result in exposure to road and weather hazards.
• Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.