Employment Type:

Shift:

Description:

Purpose

Frontline department-based role that supervises daily functions of assigned area(s). Provides clear direction & manages / advances people processes structures & / or programs that support direct / indirect care. Demonstrates behaviors in alignment with culture & creates / supports comprehensive strategies & measures progress to achieve desired outcomes.

Note: patients refers to patients clients residents participants customers members

Essential Functions

• Our Trinity Health Culture: Knows understands incorporates & demonstrates our Trinity Health Mission Values Vision Actions & Promise in behaviors practices & decisions.
• Work Focus: Responsible for the daily operations & the oversight of staff. Supervisors work in collaboration with department managers to manage staff & department effectively. Participates in & contributes to the performance management / review process. Implements departmental plans & priorities identified by accountable leaders.
• May participate & recommend in the hiring & selection process. Responds promptly & directly to meet or exceed customers needs.
• Process Focus: Follows standards of performance & work processes in designated areas. Coordinates staff scheduling & assignment. Reviews & approves administrative functions (time payroll expense). Stewards productive use of resources (e.g. people financial equipment supplies materials) to achieve assigned commitments experiences & quality standards.
• Communication: Employs effective & respectful written verbal & nonverbal communications. Develops an environment of mutual confidence & trust through collaborative relationships. Effectively communicates goals standards program expectations service performance & how the work serves Trinity Health objectives.
• Proactively recognizes addresses & / or escalates organizational operational or team conflicts.
• Environment: Performs work in an environmentally safe & professional manner. Self-monitors & initiates corrections & / or seeks guidance when needed. Demonstrates flexibility & self-direction by responding as a team player. Helps to create a positive work environment that promotes productivity. Accountable for continuous self-development & supporting the growth of others.
• Maintains a working knowledge of applicable federal state & local laws / regulations Trinity Health Integrity & Compliance Program & Code of Conduct as well as other policies procedures & guidelines in order to ensure adherence in a manner that reflects honest ethical & professional behavior & safe work practices.
• Functional Role (not inclusive of titles or advancement career progression)
• Oversees & provides guidance on coding & charge audits which includes but not limited to E & M Surgical / Procedural HCC & Diagnosis coding & clinical documentation for the assigned service areas providers & coding teams. Provides emphasis on adherence to Centers for Medicare and Medicaid Services (CMS) & other insurance carrier standards optimizing revenues & the avoidance of monetary settlements from third party audits.
• Oversees retrospective & prospective medical record documentation audits of all regional network providers & other employed hospital-based physicians & the initial & ongoing medical documentation audits & coding educational programs to providers management & revenue site operations staff.
• Assists with complex coding technical & business issues & aligns action plans with local & Trinity goals & objectives & identifies patterns & trends impacting coding & charge capture & coordinates educational materials & communications.
• Reviews & responds to various quality or compliance reports including scheduling additional audit & education & follow-up as needed until resolution; Communicates professional coding process improvements as appropriate to Revenue Cycle Site Operations leadership.
• pay grade 13 range 75592..0581 Actual compensation will fall within the range but may vary based on factors such as experience qualifications education location licensure certification requirements and comparisons to colleagues in similar roles.

Minimum Qualifications

• Associates degree in related field & professional coding or auditing experience or equivalent combination of education & professional coding or auditing experience.
• Current standing as a Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Registered Health Information Technician (RHIT) Certified Documentation Expert Outpatient (CDEO) or equivalent coding certification.
• Valid drivers license where required by assignment.

Additional Qualifications (nice to have)

• Previous supervisor or leadership experience (e.g. team leader educator).
• Experience in multi-specialty coding with comprehensive knowledge of Medicare Medicaid & other third-party billing rules & regulations.
• Certified Professional Medical Auditor (CPMA) credential.

Physical & Mental Requirements & Working Conditions (General Summary)

• Direct Healthcare Services / Indirect Healthcare / Support Services:
• Exposure to conditions which may be considered unpleasant to sight touch sound & / or smell. Occasional
• Exposure to fumes odors dusts mists & gases biohazards / hazards (mechanical electrical burns chemicals radiation sharp objects etc.).Occasional
• Exposure to or subject to noise infectious waste diseases & conditions. Occasional
• Exposure to interruptions shifting priorities & stressful situations. Frequent
• Ability to follow tasks through to completion understand & relate to complex ideas / concepts remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Continuous
• Ability to read small print hear sounds & voice / speech patterns give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Frequent
• Perform manual dexterity activities & / or grasping /
• Ability to climb kneel crouch & / or operate foot controls. Occasional
• Use a computer / other technology. Continuous
• Sit with the ability to vary / adjust physical position or activity. Continuous
• Maintain a safe working environment & use available personal protective equipment (PPE). Continuous
• Comply with applicable Code of Conduct policies procedures & guidelines. Continuous
• Ability to provide assistance in the event of an emergency. Occasional

Indirect Healthcare / Support Services:

• Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional
• Lift a maximum of 30 pounds unassisted. Occasional
• Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional
• Encounter a clinical / patient facing / hands on interactive work environment. Occasional
• Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
• Work outdoors with variable external environmental

Average Workday Activity: Occasional - O (1% - 33%) Frequent - F (34% - 66%) Continuous - C (67% - 100%)

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.