AMHS Supervisor HIM, Practice Coding Operations

About the role

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.

Responsibilities

• 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.
• Absorb and assist with coding/charge processing as needed within all applications.
• Define and submit coding and charging rules for consideration to streamline coding accuracy and efficiency within multiple interfaced systems.
• 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.
• Supervise staff schedules and ensure workflow meets the needs of the department.
• 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.
• Assist with interaction/communication with providers to support accuracy and specificity in documentation and diagnosis coding to include the risk adjustment program.
• Provide input for policies and procedures to include system development and maintenance documentation.
• Audit and Education Team: 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.
• Mentor, educate, and train staff on correct coding guidelines.
• Participate 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.
• Attend and contribute to all PCO staff meetings, department meetings and all other meetings assigned.
• Fulfill department requirements in terms of providing work coverage and administration notification during periods of personnel illness, vacation, or education.

Requirements

• Ability to work well with people from different disciplines with varying degrees of business and technical expertise.

Qualifications

• High School Diploma or equivalent.
• Bachelor's degree in Health Information Management, Healthcare Administration, or a related field.
• Minimum of 3 years of experience in healthcare coding and/or billing.
• Knowledge of CPT, ICD-10, and HCPCS coding systems.
• Experience in managing and supervising a team.
• Strong communication and interpersonal skills.
• Proficiency in Microsoft Office Suite.

Skills

• Strong analytical and problem-solving skills.
• Excellent organizational and time management skills.
• Ability to work independently and as part of a team.
• Strong attention to detail.
• Ability to manage multiple tasks simultaneously.

Benefits

• Flexible work schedule.
• Remote work option.

Pay

$70,068.00 - $108,605.00

Schedule

Day shift