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HIS - Professional Coding Integrity Supervisor (FT Salaried) Job in Findlay, Ohio US
Blanchard Valley Regional Health Center
Job Summary
Company
Blanchard Valley Regional Health Center
Location
Findlay, OH
Industries
Government and Military
Job Type
Full Time
Employee
Contact Information
Blanchard Valley Regional Health Center
Apply by Email
HIS - Professional Coding Integrity Supervisor (FT Salaried)
About the Job
PURPOSE OF THIS POSITION
The primary purpose of the Professional Coding Integrity Supervisor is to maintain the daily operations of the Professional Coding Integrity Specialists (PCIS), provide education to providers, offices, and other departments to ensure accurate, compliant and optimal professional charge capture which is supported by clinical documentation. Coordinate with the Professional Coding Integrity Auditor/Educator to research coding questions from offices, departments, and providers. Supports the PCIS job functions as necessary. Provides general coding support as well as education and training for new and existing BVHS providers.
JOB DUTIES/RESPONSIBILITIES
Duty 1: Provide direct oversight of the Professional Coding Integrity Specialists (PCIS) team and related functions with the primary objective to support the integrity of the professional charge processes by ensuring capture of all revenue opportunities and compliance with applicable regulatory standards. Effectively communicate and solicit input from team and other impacted areas to promote a collaborative and innovative team environment, translates BVHS Mission, Vision, and Values into front-line action. Maintains effective connectivity and collaboration between all members of the team, including onsite and remote associates.
Duty 2: Perform supervisory administrative support functions including but not limited to: assist in the recruiting and hiring process, training and education of associates, coordinate staff schedules, payroll, completion of associate performance evaluations, recognition and reward, disciplinary follow up as appropriate, monitor adherence to established quality and productivity standards and department metrics, support associate, departmental and organizational goals, assist in the development and monitor completion of competencies and organizational mandatory requirements, etc.
Duty 3: Identify clinical documentation opportunities and provide routine feedback and education to medical staff providers to support compliant, accurate and optimal charge capture. Provide education in a meaningful and organized approach which is supported by examples, research, potential revenue impact, and/or tools to support the provider. Communicate with electronic health record (EHR) Trainers, Superuser or Analyst to explore potential options to improve quality and ease of provider documentation.
Duty 4: Remain current on regulatory guidelines related to CPT and ICD-10 coding updates. Serve as primary resource for providers and the revenue integrity team for guidance relative to professional-related coding issues and/or clinical documentation practices. Provide research as necessary and collaborate with various team members or other departments to provide accurate and credible guidance.
Duty 5: Complete quarterly internal quality audits of the PCISS, in coordination with the Coding Claims Resolution Specialist. Provide feedback and documented education to the Vregarding the results and areas of opportunity for improvement. Complete monthly follow-up audits and monitoring, as needed.
Duty 6: Work with the Compliance Department to provide assistance in response to investigational or potential compliance risks.
Duty 7: Review tracking spreadsheets, such as the charge validation tracker and the missing/ incomplete information tracker to identify potential areas that would benefit from education resulting in a reduction to the number of encounters that are being corrected or held for reasons indicated on the various tracking spreadsheets. Develop and provide education to the appropriate audience.
Duty 8: Monitor PCIS work queues and reassign encounters as needed to maintain a manageable level of enApply here:
https://www.aplitrak.com/?adid=YmJnZW5lcmljLjAzMjA2LjEwNTA4QGJsYW5jaGFyZHZhbGxleWNvbXAuYXBsaXRyYWsuY29t
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