Overview
At Houston Methodist the Supervisor Coding position is responsible for the supervision of correct coding conventions to inpatients hospital outpatients and ambulatory visits. The Supervisor is responsible for supervising staff process of abstracting diagnoses and procedures from hospital and physician office records and performing quality assurance and oversight to coding staff. The Supervisor has responsibility for overseeing the day-to-day operations of the coders by monitoring productivity workflows quality and timeliness of coding activities as well as necessary coverage and back up at month and year end. The Supervisor supervises the coding department in relation to the following : staffing distribution of work assignments modern technology information reviewing and analyzing reimbursement trends and assisting in providing education for physicians and revenue cycle staff. Additional responsibilities include supervising tracking appropriate metrics and facilitating policies and procedures to maximize reimbursement while maintaining patient and physician satisfaction and adherence to compliance policies.
The supervisor position responsibilities include overseeing the daily work activities of the work unit / department staff ensuring quality productivity functional excellence and efficiency. This position trains and supervises staff while maintaining adequate staffing levels and budget compliance. The supervisor position contributes to staffing decisions such as hiring coaching and counseling employees on work-related performance. This position assists in the development and implementation of policies and procedures to ensure a safe and effective work environment. Other duties for the supervisor position include participating in performance improvement activities as well as providing support for department management to achieve operational goals. This position may also perform staff duties and responsibilities as needed.
Houston Methodist Standard
PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental Scope of Service and Provision of Care plans as applicable for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
- Provide personalized care and service by consistently demonstrating our I CARE values :
INTEGRITY : We are honest and ethical in all we say and do.
COMPASSION : We embrace the whole person including emotional ethical physical and spiritual needs.ACCOUNTABILITY : We hold ourselves accountable for all our actions.RESPECT : We treat every individual as a person of worth dignity and value.EXCELLENCE : We strive to be the best at what we do and a model for others to emulate.Practices the Caring and Serving ModelDelivers personalized service using HM Service StandardsProvides for exceptional patient / customer experiences by following our Standards of Practice of always using Positive Language (AIDET Managing Up Key Words)Intentionally collaborates with other healthcare professionals involved in patients / customers or employees experiential journeys to ensure strong communication ease of access to information and a seamless experienceInvolves patients (customers) in shift / handoff reports by enabling their participation in their plan of care as applicable to the given jobActively supports the organizations vision fulfills the mission and abides by the I CARE valuesResponsibilities
PEOPLE ESSENTIAL FUNCTIONS
Participates in management responsibilities of selection scheduling supervision retention and evaluation of employees in the department. Provides development and mentoring of staff. Ensures that all department staff are properly trained and comply with all policies and procedures. Assists with meeting or exceeding threshold goal for department turnover.Consults with department leadership on coaching / corrective counseling and staff performance to achieve desired outcomes. Conducts new hire feedback sessions and provides recognition / commendations as appropriate.Creates and maintains an environment of collaboration by role modeling teamwork within the department. Effectively interacts within and between departments ensuring seamless flow of information / communication. Role models clear and professional communication to facilitate problem resolution to achieve mutual understanding. Teaches others to think critically by verbally expressing rationale for decisions and follows up consistently.Meets or exceeds threshold goal for department and / or system metrics on employee engagement indicators.Establishes and maintains strong effective working relationships with physicians peers and healthcare professionals; effectively communicates with internal and external customers including IT and Business Practices.Monitors workflows to optimize internal coding education and procedures and communicates regularly with physicians and physician office staff on clarification to accurately code diagnosis and proceduresSERVICE ESSENTIAL FUNCTIONS
Oversees daily department operations schedule and activities. Sets priorities and functional standards giving direction to staff as necessary to ensure the best possible delivery of service and high customer / patient satisfaction.Organizes the workflow proactively problem solves anticipates needs and manages multiple ongoing priorities. Provides reports to management of needs issues to be addressed and all important information necessary to ensure department success. Serves and actively participates on various committees as directed.Ensures inpatient hospital outpatient and ambulatory visits are coded timely and monitors delays. Enforces coding standards and guidelines consistently across all account and payor types. Codes inpatients hospital outpatients ambulatory visits surgery charges and office procedures as needed to support coders and departments.Responds to or clarifies internal requests for coding review by coders or department representatives.QUALITY / SAFETY ESSENTIAL FUNCTIONS
Ensures a safe and effective working environment; assists in monitoring and / or revising the department safety plan and / or any specific accreditation / regulatory agency required safety guidelines.Uses and optimizes information systems to enhance operations; participates in performance improvement and data management / analysis functions as directed.Employs a proactive approach in the optimization of positive outcomes by monitoring and improving the department workflow supporting peer-to-peer accountability and identifying solutions via collaboration. Role models situational awareness using teachable moments to improve safety. Participates in investigations as a result of the root cause analysis process as assigned by manager.Monitors self and ensures employee compliance with policies procedures and System HR Standards of Practice and performs associated actions upon non-compliance (i.e. focal point review requirements disaster plan in services influenza immunization wage and hour standard hours timely termination submission timely timecard approval etc.).Applies and monitors performance metrics for coding teams and ensures standards are met. Implements action plan to reduce clinical denials and coordinates department training.FINANCE ESSENTIAL FUNCTIONS
Assists in the management of essential and non-essential department expenditures to achieve financial target through optimization of productivity supply / resource efficiency minimizing incidental overtime and overtime percentage and other areas according to department specifications.Manages staffing needs including scheduling time off requests and time keeping.Monitors staff daily responsibilities including the oversight of coding staff work queue activity and duties to ensure timely and accurate processing for resolution and within established performance standards and accounts receivable (AR) metrics. Oversees the investigation and appeal of unpaid and partially paid claims by third-party payors related to coding or clinical denials.GROWTH / INNOVATION ESSENTIAL FUNCTIONS
Implements change demonstrating the ability to motivate employees and follow through to ensure change in behavior has actually occurred. Supports Houston Methodist and department goals and vision. Identifies industry trends and implements innovative solutions for practice or workflow changes to improve department operations.Develops skills of team members and continually assists with improving competencies performance and outcomes. Fosters a positive and constructive teaching environment by engaging staff / team members in learning opportunities that are valuable and in alignment with business objectives. Conducts conversations with staff on their development and My Development Plan (MDP).Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates MDP on an ongoing basis.Remains current on all coding procedures and assignments and implements training and coaching plans for all levels of staff to provide continuous coding education as it relates to International Classification of Diseases 10th Revision (ICD-10) Current Procedural Terminology (CPT) and The Healthcare Common Procedure Coding System (HCPCS) coding and ensures consistency between departments and coders.This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business / job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Qualifications
EDUCATION
Associates degree; will consider an additional two years of certified coding experience in addition to the minimum experience requirements in lieu of degreeWORK EXPERIENCE
Six years of experience in applicable coding operations; may consider HM employee with one year less experience who demonstrates progressive leadership abilitiesLicense / Certification
LICENSES AND CERTIFICATIONS - REQUIRED
Must have one of the following :RHIT - Certified Health Information Technician (AHIMA)RHIA - Registered Health Information Administrator (AHIMA)CCS - Certified Coding Specialist (AHIMA)CPC - Certified Professional Coder (AAPC)KSA / Supplemental Data
KNOWLEDGE SKILLS AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job determined through ongoing skills competency assessments and performance evaluationsSufficient proficiency in speaking reading and writing the English language necessary to perform the essential functions of this job especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate through a variety of channels with patients physicians family members and co-workers in a manner consistent with a customer service focus and application of positive language principles; engages the recipient(s) and helps them understand and retain the messageDemonstrates the ability to interact with others in a way that gives them confidence in ones intentions and those of the organizationDemonstrates leadership qualities and critical thinking through self-direction initiative effective interpersonal skills and oral / written communication skillsAbility to identify and understand issues problems and opportunities; and recommend solutionsAbility to work effectively in a fast paced environmentDemonstrates flexibility and adaptability in the workplaceThorough understanding of CPT / ICD-9 / ICD-10-DX / ICD-10-PCS coding MS-DRG APR-DRG and APC assignment systemsThorough understanding of managed care contracting third party and governmental payers billing and compliance regulations and computerized billing and collection management systemsExpert knowledge of official coding guidelines medical terminology anatomy and physiology disease processes and pharmacologyProficient with electronic encoder application and electronic health record systemsExtensive computer knowledge and proficient in Microsoft Office productSUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform NoScrubs NoBusiness professional YesOther (department approved) NoON-CALL
Note that employees may be required to be on-call during emergencies (ie. DIsaster Severe Weather Events etc) regardless of selection below.On CallNoTRAVEL
Travel specifications may vary by departmentMay require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile
Houston Methodist (HM) is one of the nations leading health systems and academic medical centers. HM consists of eight hospitals : Houston Methodist Hospital its flagship academic hospital in the heart of the Texas Medical Center and seven community hospitals throughout the greater Houston metropolitan area. HM also includes an academic institute a comprehensive residency program a global business division numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall HM employs over 25000 employees. Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment.
In 2019 Houston Methodist and its physicians treat more than 6333 international patients from more than 76 countries. Houston Methodist Global Health Care Services consulting and education divisions also provide advisory services and training and development to health care organizations around the world.
Required Experience :
Manager
Key Skills
Restaurant Experience,Customer Service,Hospitality Experience,Management Experience,Mediation Experience,Guest Services,Merchandising,Experience with Children,Leadership Experience,Mentoring,Supervising Experience,Neonatal Ventilator
Employment Type : Full-Time
Experience : years
Vacancy : 1
