Certified Coding Supervisor, CBO - UofL Health

WE ARE HIRING!
Location: 300 E. Market St., Louisville, KY 40202 

About Us

UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow’s physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient.

With more than 13,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.

Our Mission
As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.

Job Summary

The team member performs highly technical and specialized functions.  The Coding Supervisor handles the day-to-day operations of the Coding Department – including personnel issues, process flows, and coding deadlines – in order to ensure proper financial reimbursement. The Coding Supervisor possesses above average analytical skills, excellent verbal and written communication skills, problem-solving skills, self-motivation, and the ability to make decisions using available data. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.

JOB RESPONSIBILITIES

Essential Functions:

• Supervisor (60% Weight)
• Manage productivity, quality and turnaround times for high volume departments.
• Responsible for planning, assigning and directing work of staff for efficient work flow.
• Appraising team member performance, providing feedback, and resolving issues through coaching and mentoring.
• Report on account volumes, turnaround times and quality measures;
• Respond to queries from coders or providers on complex records and keep coders and stakeholders informed on coding industry updates and changes.
• Comply and communicate deficiencies that impact the billing process.
• Review documentation needed to clarify or complete the information required for compliant coding and billing of services performed.
• Follow production and quality standards for coders as established.

• Compliance (20% Weight)
• Ensure that documentation meets the Teaching Physician Rules as mandated by CMS and ULP policies prior to release of a code for billing
• Ensure that documentation for Advanced Practice Providers meets the payer specific rules prior to release of a code for billing

• Communication/Education (10% Weight)
• Develop daily/weekly communication with providers.
• Provide comments/suggestions relative to weak areas identified in the coding reviews.
• Provide trending deficiencies to CBO Manager and Compliance Educator as appropriate.
• Responds in a timely manner to questions from providers, department representatives.

• Maintain compliance with rules and regulations regarding coding.
• Constant reviews of incoming Fee Tickets to ensure compliance standards are met.
• Ability to work within a team environment and meet monthly goals.
• Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

• Position requires 3 to 5 years of coding experience and a minimum of 2 years in a supervisory role. Certified Professional Coder designation and knowledge of ICD-10 coding required.
• High School education or GED required.
• Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.
• Three years direct coding experience and in depth Coding and HIPAA regulations for physician offices, preferred.

KNOWLEDGE, SKILLS, & ABILITIES

• Ongoing coding guideline knowledge is required
• Advance knowledge of medical terminology, abbreviations, techniques and surgical procedures
• Advance knowledge of medical codes involving selections of most accurate and description code using the ICD-9-CM, ICD-10-CM, CPT, HCPCS, and IHS coding conventions.
• Advance knowledge of medical codes involving selection of most accurate and descriptive code using the CPT codes for billing of third party resources
• Skill in correlating generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct ICD-10-CM code
• Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
• Requires the knowledge of the business use of computer hardware and software to ensure the effectiveness and quality of the processing and presentation of data
• Strict compliance with all coding guidelines at all times.
• Working in a highly accurate and yet efficient manner.
• Strict attention to detail in both coding and EMR entries.

WORKING CONDITIONS

• Sedentary Work: Lifting 10lbs. maximum and occasionally lifting and/or carrying items as needed.
• Frequent Talking (Expressing or exchanging ideas by means of the spoken word.)
• Frequent Hearing (Perceiving the nature of the sounds by the ear.)
• Frequent Seeing (Visual acuity, depth perception, field of vision, color vision).
• Consistent use of hand movement for keyboarding purposes.
• Concentration varies depending on the tasks at hand. High levels of mental concentration are required. Must handle multiple tasks simultaneously and is subject to interruptions. Physical effort requires sitting and reaching with hands and arms. Manual dexterity, visual acuity, and the ability to speak and hear are required.
• Only those candidates whose experience best meets our requirements will be contacted.
• Univeristy of Louisville is an Equal Opportunity Employer.