The Coding Supervisor works in conjunction with the Director of Health Information Management to develop coding in-services and institutional coding policies to ensure that coding policies complement the official coding rules and guidelines. The Coding Supervisor works closely with the Clinical Reimbursement Managers, CDI Staff, Finance, Care Management Team, Coding Compliance Coordinators, and other departments to provide coding staff with feedback to assure coding uniformity, consistency and accuracy with ICD-9-CM and CPT-4 guidelines, UHDDS, sequencing guidelines, Federal and State regulations and the American Hospital Association coding guidelines and its publication Coding Clinic and AMA’s publication CPT Assistant. The Coding Supervisor performs quality reviews on medical records to validate the ICD-9-CM codes, DRG appropriateness, missed secondary diagnoses and procedures, and ensure compliance and accuracy of the MS-DRG, APR DRG, NY APR DRG and AP DRG. The Coding Supervisor continuously evaluate the quality of clinical documentation and monitor the appropriateness of physician queries with the overall goal of improving physician documentation through physician education and feedback and achieve accurate coding to support the optimal allowable reimbursement.
Associate degree in Health Information Technology or related health care field is preferred.
Three years of related work experience strongly preferred
Credentials in one of the following: RHIT, RHIA, CCS
Knowledge of medical terminology, anatomy and physiology, clinicopathology, and Pharmacology, ICD-9-CM and CPT-4 is required.
Knowledge of MS-DRG, APR DRG, NY APR DRG and AP DRG reimbursement methodology.
Accurately apply diagnosis and procedure code utilizing ICD-9-CM, CPT-4, and HCPCS.
Understand what changes are coming with the ICD-10-CM and ICD-10-PCS classification systems.
Interpret coding guidelines for accurate code assignment.
Identify the importance of documentation on code assignment and the subsequent reimbursement impact.
Practice AHIMA's Standards of Ethical Coding.
Must be detail oriented with good verbal, written, communication, interpersonal and customer friendly skills.
Must be able to understand and follow written and verbal instruction.
Must have the ability to organize multiple priorities and make independent decisions.
Must demonstrate initiative and ability to work with physicians and other healthcare providers.
The team member has access to patient medical information, involved in ensuring the integrity of the legal medical record and must strictly uphold patient confidentiality.
Mount Sinai Queens is an equal opportunity/affirmative action employer. We recognize the power and importance of a diverse employee population and strongly encourage applicants with various experiences and backgrounds.
Mount Sinai Queens--An EEO/AA-D/V Employer.
Mount Sinai Medical Center is an equal opportunity/affirmative action employer. We recognize the power and importance of a diverse employee population and strongly encourage applicants with various experiences and backgrounds.
Mount Sinai Medical Center--An EEO/AA-D/V Employer.
Mount Sinai Medical Center - 18 months ago
Mount Sinai Medical Center