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Coding Supervisor Job in Pinehurst, North Carolina

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Job Title: Coding Supervisor

Employer:Pinehurst Medical Clinic
Type:FULL TIME
Skills:Coding
Specialties:Outpatient Physician Office
Required Certifications:CPC
Required Experience:3 to 4 years
Preferred Experience:5 to 7 years
Location:205 Page Rd Pinehurst 28374, NC, US
Date Posted:3/11/2019

Position Summary:

The Coding Supervisor supervises the work of inpatient coding, inpatient registration and laboratory interface billing staff to ensure that charges are accurately posted to the patient accounts in a timely manner. Monitors work flow of these departments, assists with tasks and reassigns duties as needed to ensure the departments function efficiently. Maintains current knowledge of coding conventions, guidelines, updates and regulations for government and third party billing to ensure that inpatient coding department and laboratory interface billing staff are compliant with regulatory guidelines and audit standards. Communicates billing or coding issues to the Coding Compliance manager and works with her for resolution of problems.

Essential Functions and Responsibilities:
• Supervise and monitor workflow of inpatient coding, registration and laboratory interface billing staff to ensure accurate and timely posting of charges. Supervises inpatient registration staff to ensure timely and accurate registration of hospital patients.
• Assists inpatient coding, inpatient registration and laboratory interface billing staff and other staff outside of her department in resolving issues that arise with daily operations.
• Supervise the work of the inpatient coding and laboratory billing team to ensure adherence to quality standards, deadlines, proper coding/billing procedures, correcting errors and or problems.
• Maintains knowledge of current billing rules and regulations for multiple specialties and trains staff members to understand coding rules and the billing processes.
• Reviews all charges from multiple locations for accuracy, assigns/reviews CPT codes, and diagnosis codes and assigns modifiers when applicable to charges.
• Responsible for overseeing the charge capture process, which involves reviewing missing ticket report for PMC and CAR databases, reconciling monthly heart catheterizations report and CT/SPECT study reports that are generated by MRH.
• Processes sleep studies weekly performed at PMC, Sanford and Fayetteville sleep centers utilizing Allscripts system.
• Works assigned scrub queue for both government payers and private payers, making any needed corrections, resubmissions, or appeals to provide relevant information to payers to facilitate reimbursement.
• Oversees staff members’ queues and provides guidance and direction in handling difficult and complex coding and billing questions that arise from claim denials in the queues.
• Discusses job performance with staff members and works with them to resolve any identified issues and mentors staff.
• Oversees ADP processes for inpatient coding, inpatient registration and laboratory interface billing departments.
• Communicates inpatient coding updates to physicians, midlevel providers and team members.
• Attends various meetings and professional development programs as requested and needed to maintain coding certification.
• Works close with the Coding Compliance Manager to identify coding changes and problems that affect both compliance and reimbursement.
• Performs other duties as assigned.


Qualifications:
Education (Including Licenses and Certifications):
• High school diploma or general education degree (GED) required. Associates degree preferred.

• Current certified coding certification through AAPC or AHIMA required.

Experience:
• 3-5 years of working in coding required.
• Supervisory experience in a coding department preferred.

Applying

To apply send your resume to Debbie O'Neal at DO'Neal@pinehurstmedical.com

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