Coding Supervisor - Professional Billing

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Non-Clinical
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23001129 Requisition #

Grady Health System offers many career paths for your professional growth. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding position at Grady!

 

JOB SUMMARY:

Supervises the coding function and corresponding staff and manages auditing and quality control and improvement initiatives. Investigates, diagnoses, and corrects problem accounts that impede the billing/revenue cycle. Coordinates and reviews the work of designated coding staff. Oversight of Coding Staff training and professional development and assumes full responsibility for the charge capture, coding, and charge entry of all assigned surgical cases into the practice management system. Responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, data input of encounters in the practice management system, resolving edits and denials, and releasing encounters for billing. Utilizes advanced problem-solving skills to address coding related tasks of high complexity. Requires advanced knowledge of all coding workflows including coding for surgical procedures for multiple specialties. Duties include capturing services, reviewing physician documentation, CPT and ICD-10 coding, claim edit resolution, and coding denial management of coding related tasks. Generates both routine and ad-hoc reports and serves as a senior resource to staff. Consults with the coding educator, supervisor, or manager in developing coder education programs. Ability to translate operative notes into billable services. Monitors medical records to ensure documentation complies with hospital and payer policies and regulations Provides technical guidance to physicians and other departmental staff in identifying and resolving  issues or errors.

 

Ensures compliance with internal policies and procedures and governing agencies. Works with managers to assist with departmental needs and planning, including developing policies and procedures to facilitate timely and accurate reimbursement.

 

 

JOB QUALIFICATIONS:

  • High School Diploma or GED is required.
  • Five (5) years of coding experience required, one (1) years of experience must be in a Surgical/Ancillary Diagnostic discipline or 1 year of experience with specialty coding certification in a Surgical/Ancillary Diagnostic discipline
  • Experience with Epic, 3M CAC and HDM system preferred.
  • Certification as a Certified Professional Coder (CPC) or Certified Outpatient Coding (COC), formerly Certified Professional Coder-Hospital (CPC-H)
  • AAPC or AHIMA accredited preferred.
  • Remote, but must live in Georgia.

 

EOE-Females/Minorities/Protected Veterans/Individuals with Disabilities

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