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Position Details

Department: Professional Svcs Coding
Category: Hlth Info Mgmt/Med Records
Location: Phoenix
Posting #: 449993
Date Posted: 4/29/2019
Employee Type: Regular

Position Summary

The Supervisor, Professional Services Coding is responsible for the planning, coordinating and managing of daily operational functions of the team to include developing and implementing an efficient coding review and audit processes and an internal compliance audit plan. This position manages the budget, sets productivity standards by performing analysis of the daily workload of assigned staff and provides leadership with reports by service line, divisions and providers. This position assists with internal and external coding audits and with documentation education for providers and coders. Additionally, oversees the day-to-day production of the charge entry staff and ensures that charges are timely and accurate for both the facility and the professional revenue as needed.

PCH Values

  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
  • Excellence in clinical care, service and communication
  • Collaborative within our institution and with others who share our mission and goals
  • Leadership that set the standard for pediatric health care today and innovations of the future
  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.

Position Duties

  1. Analyzes and evaluates clinical coding relative to hospital inpatient, outpatient and ambulatory reimbursement through chart review and other special study methods.
    • Establishes quality improvement, fiscal productivity, and patient satisfaction goals and objectives in conjunction with organizational and regulatory standards.
  2. Develops quality and service benchmarks and specific PCH and PCMG coding guidelines.
    • Commitment to identifying areas and/or processes for increased efficiencies and/or reduced operational expense.
  3. Ensures department compliance to the Joint Commission, CMS and/or all applicable governmental agencies.
    • Develops, implements and monitors practice-wide coding compliance process and related plans.
  4. Makes sound recommendations for data quality improvements and revenue enhancements.
    • Educates providers regarding coding and regulatory matters.
  5. Organizes the functions of the department through the appropriate assignment of responsibilities, delegation of authority, and overall direction of work flow processes.
    • Monitors and evaluates the activities of the assigned departmental and PCMG employees and provides coaching and guidance, as necessary, to ensure operational efficiency and adherence to policies and procedures.
  6. Performs miscellaneous job related duties as requested.

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Do you meet this requirement?
Education
1. Associate Degree or equivalent actual work experience. Required
Do you meet this requirement?
Experience
1. Three (3) or more years of medical record coding and reimbursement experience. Required
2. Three (3) or more years of supervisory or leadership experience. Required
3. Experience will billing and coding compliance regulations, official coding guidelines, HCPCS and ICD coding classification system and encoding software. Preferred
4. Experience in a pediatric physician-based setting or hospital environment. Preferred
5. Experience with revenue cycle function and process/dispute resolution. Preferred
Do you meet this requirement?
Certifications/Licenses/Registries
1. Certified Coding Specialist, APC, RHIT or RHIA or equivalent accreditations. Required
Do you meet this requirement?
Special Skills
1. Ability to respond quickly and professionally when asked how to properly code for providers. Required
2. Ability to create excel spreadsheets used for productivity tracking. Required
3. Proficient in using powerpoint presentation when educating providers. Required
4. Effectively demonstrate oral and written communication skills. Required
5. Ability to resolve conflict in a timely and effective manner. Required
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Climbing Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) Occasionally
4. Physical Requirement - Hearing Constantly
5. Physical Requirement - Pushing/pulling Frequently
6. Physical Requirement - Reaching Occasionally
7. Physical Requirement - Sitting Constantly
8. Physical Requirement - Standing Constantly
9. Physical Requirement - Stooping/crouching/kneeling/crawling Occasionally
10. Physical Requirement - Talking Constantly
11. Physical Requirement - Tasting/smelling Occasionally
12. Physical Requirement - Walking Constantly
13. Physical Requirement - Near Vision Constantly
14. Physical Requirement - Far Vision Frequently
15. Physical Requirement - Color Discrimination Occasionally
16. Physical Requirement - Use of keyboard, mouse and/or computer equipment Constantly
17. Physical Requirement - Lift up to 35 pounds without assistance Occasionally
18. Occupational Exposure/Risk Potential - Inside office environment Applicable
internal/external
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply