Supervisor, HIM

Job Details

Description

Essential Duties and Responsibilities

The HIM Supervisor promotes a professional practice image by the efficient performance of a wide variety of medical business, clerical, and computer related tasks, designed to facilitate the smooth flow of the organization. Demonstrates excellent written and oral communication skills as well as excellent interpersonal skills to work cooperatively and productively with others. Utilizes knowledge of coding and billing issues to help educate other employees for a more efficient office. Assists with charge entry, report analysis, and E/M audits. Monitors daily dictionary maintenance for optimum reimbursement and compliance.

In This Role You Will Be

• Direct oversight of the clerical, release of information, coding, clinical documentation specialists and authorization denial specialist workgroups.
• Direct oversight of the transcription system.
• Assisting the Manager with departmental operations including supplies, equipment, software systems, and performance evaluations.
• Able to learn various and multiple software systems and the interaction between them.
• Able to understand and apply coding concepts, guidelines, and clinics.
• Utilizing thorough knowledge of the ICD-10-CM coding system and inpatient payment systems including DRGs, CMGs, and inpatient payment systems.
• Using the CPT and HCPCS coding systems and outpatient payment systems including APCs.
• Coordinating special projects.
• Assist in recruiting, hiring, and maintains highly qualified employees.
• Assists with functions of personnel, budgeting, planning, organizing, and implementing department programs.
• Develops/revises policies and procedures to guide and support the provision of services required by the organization.
• Effectively communicates to ensure that staff are informed of and understand PMCN/hospital-wide and departmental information, policies, and procedures.
• Continually seeks opportunities for improvement/growth thru available resources.
• Prepares and manages bi-weekly employee time and labor data for payroll processing.
• Effectively maintains a positive work environment.
• Actively listens and uses restatement and reflection to clarify understanding while educating/training.
• Gives positive and negative feedback in a timely manner.
• Demonstrates effective problem solving and critical thinking skills.
• Utilize/educate the knowledge of current reimbursement regulations and provide educational memos when appropriate.
• Educate staff on the correct usage of the CPT and ICD-10 codes and provide educational memos or procedures when appropriate.
• Provides accurate financial analyses when requested by upper management and be the main report generator.
• Audit physician documentation for correct coding compliance and educate the providers on the requirements of documentation when necessary.
• Interactions with employed providers and contracted providers on a consistent basis regarding coding, auditing, compliance, and financials.
• Interactions and monitors external vendors on a consistent basis regarding auditing, compliance, and financials.
  
  

Qualifications

Required:

EDUCATION: Associate degree in health information management preferred

Experience

• 5 years experience in a supervisory position preferred (preference for health care supervision)
• 3 years of coding experience in acute care hospital setting including a wide variety of inpatient and outpatient services and provider-based clinic required.
• 2 years management of the DRG payer denials and appeal process for acute care facility preferred.
• Experience in medical transcription and/or medical office management