Coding & Auditing Supervisor bei SPINE TEAM TEXAS MANAGEMENT COMPANY

Description

Job Summary:   The Coding and Auditing Supervisor is responsible for supervising the day-to-day activities of the coding, precheck, and auditing teams ensuring all charges, prechecks and audits activities are completed timely, accurately, compliantly and within the established business office guidelines.

This position requires full understanding and active participation in fulfilling the mission of Spine Team Texas.

Spine Team Texas Attributes

For Spine Team Texas to meet the goals expressed through the company mission statement, it is imperative that all employees possess the following attributes:

1. Knowledge – The blending of job-related education, skills, and experience.
2. Quantity – Level of satisfactory output generated in position per unit time.
3. Accuracy – Absence of errors.
4. Judgment – Capacity to make reasonable decisions.
5. Innovation – Imagination and creativity used to better position.
6. Appearance & Habits – Personal habits, grooming, uniform / clothing.
7. Orderliness – Organization of the individual’s work and work area.
8. Courtesy – Respect for the feelings of others. Politeness on the job.
9. Cooperation – Willingness to help others accomplish their objectives.
10. Initiative – Voluntarily starting projects. Attempting non-routine jobs and tasks.
11. Reliability – Dependability and trustworthiness.
12. Perseverance – Steadfast pursuit of job objectives when faced with unexpected obstacles.
13. Stability – Even temperament. Acceptance of unavoidable tension and pressure.
14. Alertness – Ability to quickly understand new information and situations.
15. Professionalism – Professional actions, communications, and attitude.
16. Teamwork– Ability to work in a team for the betterment of staff, patients, and the Company.
17. Observance – Observance of Company policies and procedures.
18. Attendance – Consistent adherence to work schedule.

Job Responsibilities

The Coding and Auditing Supervisor is responsible for the supervision of the coding and auditing teams (including the Precheck Program). They ensure a strong focus on all coding, auditing, and compliance activities.    They will work very closely with the Business Office Operations Manager, Revenue Cycle Manager as well as the Director of Revenue Cycle to ensure all Business office goals are met.

• Improve the efficiency and effectiveness of all charge posting activities.
• Ensure compliance with all federal, state, and local regulations related to billing, coding and claims submission.
• Analyzing revenue cycle data to identify trends, issues, and opportunities for improvement within the coding teams.
• Ensuring the quality of service by maintaining knowledge of all coding guidelines along with all third-party payor requirements.
• Developing training materials for coders, physicians, and other STT providers.
• Educating providers on coding and documentation requirements.
• Strong communication with providers, third party payors and other STT members regarding coding and auditing activities.
• Performing and/or assisting in all audits of coded medical records and partnering with vendors for external audits.
• Compiling, analyzing, and presenting data related to coder/charge posters performance.
• Preparing staff schedules and overseeing the workload of the coders, precheck and auditing teams.
• Providing training and guidance to the RCM team to ensure best practices are followed.
• Assist in the development and ongoing review of all core competencies for staff development and new hire training.
• Developing and maintaining productive positive relationships with all key stakeholders in such as department leads, supervisors and managers to integrate and align the RCM process with other business operations.
• Motivating assigned employees to achieve peak productivity and performance.
• Responsible for project management for assigned areas and others as assigned.

Customer Service

All Spine Team Texas employees are required to always maintain the highest level of customer service. Employees must always speak in a kind, courteous and professional manner when dealing with a patient/customer or co-worker. Employees are required to fulfill the Spine Team Texas mission of “Offering an Unparalleled Patient Experience!”  All employees must possess teamwork and positive attitude while remaining professional at all times.

Team Concept:

Spine Team Texas was founded on a team concept approach. To build and enhance the team, each employee must contribute positive interaction, promote value and be a “team-player” not only for their unit or department, but for Spine Team Texas as a whole.

Physical Requirements and Work Environment:

Must be able to sit for extended periods of time and work in a well-lit, air-conditioned office environment. Must have the ability to lift a minimum of five pounds. Must be able to work under pressure. Tasks involve no exposure to blood or other potentially infectious materials.

Qualifications

Educational Requirements & Position Qualifications:

1. High School diploma required.
2. Certified Coder with at least 5 years of coding experience.
3. Certified Professional Auditor’s Certification.
4. Certified Orthopedic Surgery Coder Certification is preferred.
5. Excellent written and oral communication skills.
6. Excellent time management skills, including ability to prioritize own work.
7. Excellent organizational ability.
8. Possess the ability to plan and execute work projects.
9. Possess the ability to work productively, either independently or with other individuals.
10. Proficient in communicating in the English language both written and verbally.
11. Sound judgment and highest ability to remain confidential.
12. Strong critical thinking skills and ability to make timely decisions.