Job Summary: The HIS Coding Supervisor coordinates the day to day activities of the HIS department coding/abstracting functions. This position provides leadership to coding staff and ensures staff maintain up to date knowledge and skills. This position will be responsible for managing and optimizing the business processes that facilitate professional and acute care coding. The Medical Coding Supervisor will maintain accurate, efficient and compliant coding practices and will establish internal controls and key performance indicators to monitor the efficiency, effectiveness and compliance of all coding processes and staff.

Primary Responsibilities:

Coordinates the hiring and training of personnel. Conducts performance evaluations and counsels employees in performance improvement. Resolves conflict among staff and investigates and initiates disciplinary actions when appropriate. Coordinates employee schedules to ensure adequate coverage.

Collaborates with the CDI team staff to foster strong relationships with the coding team in the query process and clinical documentation improvement process.

Develops, implements and monitors coding policies/procedures, and quality monitors for the coding area.

Monitors and analyzes performance and productivity for coding/abstracting processes to assure quality standards and HIS department and Saratoga Hospital goals are met.

Acts as the subject matter expert for coding and handles coding staff issues as they pertain to coding, charge entry, regulatory changes etc. Knowledgeable on both inpatient DRG coding as well as outpatient areas with APC/APG and Evaluation and Management E/M coding. Serves as liaison in coordination with clinical documentation staff (CDI) for the medical staff to address coding related issues and questions. Responsible for ensuring the timely education of the coding team regarding coding/abstracting changes in laws, regulations and policies requirements to ensure compliance.

Assists with 3rd party payor insurance, RAC review process and DRG denial review process including submission of appeals in a timely manner. Effectively works with revenue cycle staff on coding denials management and will assist with appeals as needed.

Provides leadership for process improvement and redesign to improve customer satisfaction, reduce costs and/or meet departmental and organizational goals and objectives. Maintains DNFB at acceptable levels to ensure all cases are final coded in accordance with facility specific goals.

Qualifications: Bachelor’ Degree in Health Information Management (RHIA) Or Associates Degree in Health Information Management (RHIT) with at least 3 years of related management experience, and a minimum of 3 years of previous coding experience. CCS or CPC.