Supervise and coordinate workflows and staffing within the AMHS Practice Coding Operations Department related to professional fee coding/charging/denials/auditing/provider and coder education. Reviews CPT, ICD-10, and HCPCS to ensure accuracy, compliance with regulations, and complete documentation. Serves as a critical check and balance to prevent revenue loss, mitigate legal risk, and ensure proper reimbursement by identifying errors. Provides ongoing feedback and education to staff and providers. Collaborate with physicians and clinical teams to clarify medical documentation and provide education on coding updates. Performs coding audits and assists with denials as needed. Remote position
1. Supervise the daily operations of coding team(s) to ensure staff is meeting established coding/charge processing productivity and quality standards. Identify and research performance deficiencies.
2. Assist coding team(s) with coding/charge processing as needed within all applications.
3. Define and submit coding and charging rules for consideration to streamline coding accuracy and efficiency within multiple interfaced systems.
4. Participate and represent Professional Coding in integrated testing to include test script building, script processing through varying test systems and detailed review of accuracy for each process.
5. Supervises staff schedules and ensures workflow meets the needs of the department.
6. Orient and train, provide feedback, evaluate, and provide corrective action to the staff as needed. Complete annual staff evaluations. Perform audits as determined by management. Participate in the recruitment and interview process to fill personnel vacancies.
7. Assure Audit and Education Plan goals and objections are met.
8. Assist with interaction/communication with providers to support accuracy and specificity in documentation and diagnosis coding to include the risk adjustment program. Education of providers and staff may require onsite attendance -Audit and Education Team.
9. Provide input for policies and procedures to include system development and maintenance documentation. Assist in creating and providing education in various formats to AMHS providers and staff regarding clinical documentation improvement, Current Procedure Terminology (CPT) and ICD-10-CM coding and billing regulations and standards-Audit and Education Team
10. Mentor, educate, and train staff on correct coding guidelines. Participates in research, summarizes and disseminates information regarding new coding requirements (e.g. annual CPT code updates, etc.) and updates appropriate clinic management, providers and coding staff of changes. Audit and Education team
11. Attend and contribute to all PCO staff meetings, department meetings and all other meetings assigned.
12. Fulfills department requirements in terms of providing work coverage and administration notification during periods of personnel illness, vacation, or education.
13. Ability to work well with people from different disciplines with varying degrees of business and technical expertise. All other duties and assignments as assigned.
Thank you for your interest in Albany Med Health System! Albany Med Health System is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
AMHS Supervisor HIM, Practice Coding Operations • Albany, NY, United States
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