Supervisor VI -(CDM Coding) Chargemaster/Projects -Corporate-Full-Time Days

Supervisor VI - (CDM Coding) Chargemaster/Projects -Corporate-Full-Time Days

Assist with supervising CDM’s coding team daily operations. This includes working assigned edits & WQs, ensuring quality coding assessments from coding staff and determine the priorities of the dept.’s WQs to avoid delinquent accounts or untimely filing.

• Assoicate Degree. Bachelor?s Degree Preferred or equivalent working experience required.

• 5 years of directly related experience with 1 year in a supervisory role or an equivalent combination of relevant education and/or experience.

• *At least 5-7 years of managerial or supervisory coding experience with extensive knowledge of various coding edits *

• In-depth knowledge of the coding process, coding systems software, workflow management, and excellent navigation of electronic medical records

• Experience and working knowledge of various Health Insurance including CMS guidelines

• Advanced knowledge of the ICD-10 CM/PCS and CPT/HCPCS coding systems and conventions

• Thorough understanding of hospital coding and billing rules

• Previous experience with EPIC EMR system

• Strong clinical and analytical skills to evaluate appropriate Medical Record Coding

• Currently credentialed as CPC and/or CCS certifications with coding experience (as noted above) required and must be maintained

• Non-Bargaining Unit, 506 - Chargemaster/Projects

• MSH, Mount Sinai Hospital

• Document standard operating policies and procedures for various Trac buckets and WQs that will aid the coders in the quality and consistency of their coding assessments.

• Serve as an expert resource for the coding staff by performing random quality and productivity reviews and share findings with Director and staff for performance improvement.

• Review accounts in various WQs to identify coding errors, denial patterns and troubleshoot root causes, if/when needed.

• Assist with reviewing and maintaining claim edits and identify edit discrepancies based on coding guidelines and make recommendations to Associate Director for updates and changes.

• Work with Associate Director to implement and maintain on-going coding educational sessions that address coding edits from various depts., medical necessity and documentation gaps.

• Work in affiliation with PFS, HIM, and clinics to resolve coding edits, as needed

• Remain abreast of coding changes from ICD-10- CM/PCS, AMA, AHA, CMS, NGS by reviewing policies, manuals and bulletins and other relevant resources and share the information with the staff.

• Assist in training current and new employees on the use of systems and departmental policies and procedures

• Assist with conducting other supervisory related duties such as timekeeping and monitor various Epic training required by the coders.