at Guidehouse in Montpelier, Vermont, United States
OverviewGuidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com.
ResponsibilitiesThe Coding Supervisor is responsible for the oversight and management of the coding & reimbursement function within Health Information Services to ensure compliant, timely, and accurate coding of patient records. This position will perform any and all related job duties as assigned. Essential Job Functions
+ Coding and Reimbursement Management
+ Computer Literacy with working knowledge of Microsoft Excel, PowerPoint, and Word
+ Advanced Coding Skills, ICD-10-CM and CPT
+ Excellent verbal and written Communication Skills
+ Strong working knowledge of governmental regulations relating to coding
+ High level of productivity
+ Monitoring of Coding Team/Revenue Cycle Workflow
+ Report Analysis and Quality Management of Coded Date
+ Management Skills
+ Ability to work independentlyDuties and Responsibilities
+ Responsible for the achievement of goals for significant statistical indicators of revenue cycle performance.
+ Oversees the timely and accurate coding of physician encounters and daily monitoring of the DNFB, CFB or other revenue cycle report.
+ Assess coder productivity, workload, workflow and unbilled report to align with goals.
+ Maintains DNFB or CFB at or below 4 days average revenue or per Client established goal.
+ Compiles & tracks monthly production reports and provides to Manager for Review
+ Generates and reviews coding reports to monitor and maintain coding quality.
+ Performs Project training and oversight of coders assigned to project to ensure performance meets 95% accuracy and production. Assist with creation of performance improvement plan as necessary.
+ Assists with Pre-bill review of coding team as assigned.
+ Communicates to Manager any issues related to backlogs, coding, or reimbursement and makes suggestions for process improvements.
+ Monitors coding & billing procedures to assure compliance with all regulatory and governmental requirements.
+ Stays current with relevant rules, regulations, standards, and directives from regulatory agencies and third-party payers.
+ Participates in revenue cycle, denial management work teams.
+ Monitors and supports daily staff functions in all areas related to coding & reimbursement and perform other related duties as assigned or requested.
+ Maintains a good working relationship with physicians, case management, registration, billing office, and clinical areas and works to address any problems related to documentation and coding.
+ Ensure compliance with coding & documentation guidelines and governmental requirements.
+ Performs monthly random coding quality reviews to identify abstracting, ICD-10-CM, and CPT coding errors. Communicates findings to Manager and educates staff accordingly.
+ Compiles monthly Report for manager identifying coding risk areas, trends, and coding accuracy.
+ Conducts routine coding educational meetings, team in-services and provides minutes to Manager and Director of Operations. Acts as a coding resource and responds to questions about coding issues and provide references and resources to Coding staff members and other Project staff.
+ Track healthcare changes that affect coding, including technical issues, code changes, regulatory issues, and reimbursement policy. Reads Coding Clinic within seven days of receipt and requires all coders to read and complete the examination.
+ Develops and analyzes reports as needed and requested to assist in the review and analysis of the documentation and coding patterns of physicians.
+ Interviews and hires qualified staff. Trains, orients and in-services new employees.
+ Performs 90-day evaluations and annual evaluations for coding staff.
+ Observes confidentiality and safeguards all patient-related information.
+ Serves as a role model for all co-workers by setting an example of high standards in dress, conduct, cooperation and job performance.
+ Performs other duties and conducts projects as assigned.
+ Provides training to Coders on assigned facility, including facility specific coding/abstracting guidelines, encoder and EHR functionality.Client Responsibility
+ Communicates and maintains the performance expectations of client.
+ Anticipates customer needs and initiates action to meet and/or exceed those needs.
+ Identifies and recommends ways to improve client satisfaction.
+ CPC, CPMA or other Specialty credential preferred.
+ Supervisory experience preferred.
+ Experience with multiple MAC, CMS guidance, payer policies and denial experience
+ Five years Physician coding experience
Additional RequirementsThe successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described. Candidates from Eastern Standard Time, Central Standard Time, and Pacific Standard Time Zones as well as candidates from Arizona, New Mexico and Utah will be considered for this position. Due to our contractual requirements, to be eligible for this role, you must be fully COVID-19 vaccinated at time of hire.
DisclaimerAbout Guidehouse Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee. Rewards and Benefits Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits include:
+ Medical, Rx, Dental & Vision Insurance
+ Personal and Family STo view full details and how to apply, please login or create a Job Seeker account