Coding Supervisor
Mount Sinai Medical Center - Manhattan, NY

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Supervise coding processes and provide education regarding documentation requirements for the Outpatient infusion centers which includes chemotherapy and non-chemotherapy infusions and transfusion services to improve quality of CPT and ICD-9/10 coding, documentation and to ensure accurate and complete capture of revenue.

Duties and Responsibilities:
1. Implement and manage coding process for the Outpatient infusion centers which includes infusion services, medical office visits, and transfusion services.

2. Validate and determine appropriate coding levels, procedures and diagnosis codes by obtaining and reviewing clinical documentation.

3. Compare and review charge tickets, both manually and system generated, to clinical documentation to ensure that all charges for procedures and pharmacy items have been accurately documented and captured.

4. Ensure that documentation and coding supports billings to prevent denials and underpayments.

5. Follow-up with providers regarding missing clinical documentation which is required to complete accurate coding and billing.

6. Develop educational materials and policies/procedures to assist staff and providers with the new regulatory or payer policies.

7. Identify and assist with implementation of documentation and revenue enhancement opportunities.

8. Develop a working relationship with Clinical, Operational, Financial and Information Technology staff to identify and implement appropriate documentation, coding and charging modifications based on updated coding and billing guidelines or new services/drugs being provided.

9. Review and distribute coding related information to clinical and financial staff, including CPT and ICD-9/10 code changes, medical necessity policies, coding/billing information regarding new procedures and pharmacy items.

10. Develop educational material and policies and procedures to assist providers and staff with understanding new regulatory or payer policies.

11. In conjunction with the Revenue Cycle Manager, identify relevant charge master updates.

12. Responsible for resolving any coding related errors and denials that are identified by Hospital's billing and follow-up team as part of the revenue enhancement initiatives.

13. Assist the Hospital billing and follow-up team with denial appeals.

14. Consults and provides feedback with frontline clinical staff, financial clearance team, and financial counselors to identify reimbursable indications for treatment.

15. Continuous review of revenue cycle with the Director and Revenue Cycle Manager.

16. Participate in education programs to maintain up to date coding skills.

17. Working with Compliance, coordinate random chart audits to ensure appropriate documentation, coding and billing.

18. Supervise a staff of at least three.

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.

MNST

Job Qualifications:
Education:
HS/GED required, Associates degree preferred.

Microsoft Office

Knowledge of Epic EMR, Eagle and/or 3M a plus.

Experience:
3 years of relevant experience.

Oncology related coding experience is required.

Oncology business office or patient accounts experience a plus.

Knowledge of facility based billing/reimbursement methodologies including APCs and APGs, as well as knowledge of federal, state and payer specific regulations and policies is a plus.

Exposure or participation in documentation improvement programs is helpful but not mandatory.

Excellent verbal and written communication and computer skills are essential.

Certification as RHIA, RHIT, CPC, CPC-H, CCS, CCS-P or any other coding related and nationally recognized designation is required

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.

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Mount Sinai Medical Center