The posting
Job Description
Manage and audit the coding team. Ensures proper coding of documents in accordance with the regulator’ coding guidelines and regulations, Checks and compiles all Insurance claims before submitting them to respective payers and insurance companies using coded data to finalize and submit claims to insurance companies.
Responsibilities
- Ensures work is performed within the required technical and patient confidentiality standards.
- In coordination with the Revenue Cycle Manager, implements standard operating procedures and guidelines for the coding section.
- Provides leadership and guidance to staff when required to address issues or concerns.
- Trains new and existing coding staff on coding expectations and meeting quality and productivity goals to ensure accurate service coding and appropriate revenue generation.
- Acts as a mentor and resource to Coding Team members.
- Monitors tasks to improve billing practices and increase revenue.
- Audits both IP and OP charts regularly, shares audit results with team members, ensures implementation of performance improvement plans, and submits monthly audit reports to the Corporate Audit Team.
- Attends training sessions and meetings to receive updated billing and coding information.
- Assesses and determines staffing requirements and coordinates with the Revenue Cycle Manager to meet defined KPIs.
- Reports all staffing deficiencies and disciplinary issues to the Revenue Cycle Manager, providing the necessary documentation for review and action.
- Ensures adherence to objectives, operating policies, procedures, and strategic action plans for achieving goals.
- Provides leadership and motivation by setting clear expectations and communicating specific performance feedback to the Revenue Cycle Manager to ensure timely and thorough performance reviews using internal measurement and monitoring standards.
- Communicates coaching requirements for staff who fail to meet prescribed performance expectations and standards to the Revenue Cycle Manager.
- Complies with all OSH and infection control policies, standards, and procedures and cooperates with hospital management to meet these requirements.
- Works in accordance with documented OSH procedures and instructions and fulfils specific assigned responsibilities.
- Maintains familiarity with emergency and evacuation procedures.
- Reports OSH hazards, incidents, near misses, and issues, and assists with the preparation of risk assessments and incident reports.
- Complies with waste management procedures and policies.
- Attends applicable OSH and infection control training programs, mock drills, and awareness programs.
- Uses appropriate personal protective equipment and safety systems.
- Ensures employees follow applicable OSH and infection control policies, procedures, and standards.
- Provides OSH information, training, and supervision to staff.
- Reports all OSH-related incidents, near misses, and hazards within the department in a timely manner.
- Ensures that corrective actions following incidents are implemented.
- Assists with the preparation of risk assessments and monitors the implementation of control measures.
- Ensures required training is conducted, including general, departmental, FMS, and OSH orientation for new and transferred employees, as well as refresher training for department staff.
Qualifications
- Bachelor’s degree or any other degree in Paramedical, with coding certification from AAPC/CPC/AHIMA. DRG coding and EMR knowledge preferred.
- Minimum 5 years of experience in ICD and CPT coding, with a proven track record in supervising the day-to-day functions of a Medical Coding Team.
- Strong supervisory competencies in leadership, team development, coaching, mentoring, and situational assessment.
- Knowledge of computers and related software applications, with proficiency in MS Office programs.
- Strong supervisory judgment and decision-making skills.
- Excellent communication, analytical, and interpersonal skills, with the ability to interact effectively with co-workers, supervisors, customers, and all levels of the organization.
- Strong ethics and a high level of personal and professional integrity.
