Supervisor, Coding Data Management & Education

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PRIMARY FUNCTION:

Provides operational oversight for HIMS (Health Information Management Services) coding data quality monitoring and coder education activities to support the accuracy integrity productivity and compliance of coded data in alignment with organizational regulatory and reimbursement objectives. Supports the implementation and coordination of coder onboarding ongoing education and retraining initiatives using quality reviews audit findings and performance outcomes to reinforce coding standards address knowledge gaps and promote continuous improvement in coding performance. Functions as a member of the Coding Management team providing leadership support and serves as a backup to the Manager of Coding Data Management & Coder Education.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Provides daily supervision and oversight of the coding data accuracy and coder education functions across inpatient and outpatient hospital coding and abstracting activities within HIMS. Acts under the direction of the Manager of Coding Data Management and Coder Education with responsibility for all duties and accountabilities of the staff.

Monitors coding accuracy productivity staffing levels schedules and workload distribution to meet month-end close activities and departmental performance goals.

Performs or assigns record review activities related to prebill edit resolution internal coding audits and responses to internal or external audit requests (e.g. RAC OIG Internal Audit Compliance) or coding accuracy validation requests.

Utilizes reporting tools and database queries to perform audits monitor trends and support process improvements.

Monitors and supports billing edit work queues and coordinates correction activities with Patient Financial Services to support timely resolution of accounts requiring HIMS coding review.

Assists with coding and related system analysis implementation testing database management application maintenance troubleshooting regulatory compliance data accuracy and system security for coding and abstracting applications and interfaces.

Collaborates with MedicalDental Staff Clinical Documentation Improvement (CDI) Specialists Patient Financial Services and other departments to address operational coding documentation and reimbursement issues and to support identified education needs.

Provides day-to-day guidance to coders regarding coding questions workflow processes and system use escalating complex issues to the Senior Manager as appropriate.

Coordinates orientation activities for newly hired coders coding contractors and Coding Associates including training on the ChristianaCare medical record coding systems reference applications and HIMS coding workflows.

Supports Coding Education Coordinators by assisting with coder mentoring activities monitoring coding questions and trends and reinforcing education provided through training programs.

Assists in preparation and coordination of coding staff meetings including distribution of educational materials related to coding regulations regulatory updates system enhancements and documentation practice changes.

Tracks operational metrics related to coder education activities appeals outcomes and workflow performance and reports findings to the Senior Manager to support program oversight.

Maintains documentation related to coder education activities training completion and operational procedures to support consistency and compliance.

Assists with identification of coder education needs based on coding questions workflow challenges and feedback from quality reviews or appeals outcomes.

Conducts quarterly touchbases with staff and provides input on employee selection development training promotion and corrective action including participating in disciplinary or discharge actions as appropriate.

Contributes to the development of departmental goals and objectives and participates in projects assigned by the HIMS Management Team to support departmental and organizational priorities.

SCOPE PURPOSE AND FREQUENCY OF CONTACTS:

Daily contact with coding staff physicians and Information Services staff.

Routine contact with requesters of data and reports.

Routine contact with other departments physicians Corporate Compliance Officer and Peer Review Organization.

Routine contact with coding system vendors contract coding and review agencies.

Routine contact with HIM Coding educators.

Routine contact with HIM Coding Associate and/or coding students.

DIRECTION/SUPERVISION OF OTHERS:

Immediate Supervision: 2 Coding Coordinator V 7 Coding Coordinator IV 7 Coder Associates

Indirect Supervision: none

DIRECTION/SUPERVISION RECEIVED:

Immediate: Manager Coding Data Management & Education and Director Coding and Compliance

Indirect: Director Coding and Compliance HIMS

Department Head: Corporate Director HIMS

EDUCATION AND EXPERIENCE REQUIREMENTS:

Associate degree in HIM or healthcare related field required.

Bachelors degree in HIM or healthcare related field preferred.

One or two years of leadership experience required.

Successful completion of CCHS Leadership classes required within 12 months of hire/promotion into this role.

Five years coding education experience in acute care healthcare environment required.

Demonstrated competence in all Inpatient and Outpatient general record types and 50% of all Inpatient and Outpatient specialty types required.

Experience implementing and maintaining computer systems preferred.

Experience with Project Management preferred.

KNOWLEDGE SKILL AND ABILITY REQUIREMENTS:

Ability to work independently.

Extensive knowledge of medical terminology anatomy physiology pharmacology and disease processes.

Extensive knowledge of ICD and CPT coding nomenclature UHDDS and general coding principles.

Extensive knowledge of Prospective Payment Systems and application.

Thorough knowledge of Encoding Abstracting and Hospital Information Systems.

Ability to effectively communicate and demonstrate strong leadership abilities.

Ability to work well with others on all levels displaying diplomacy and tact.

Ability to utilize computer applications on various platforms.

SPECIAL REQUIREMENTS:

AHIMA: CCS required.

AHIMA: RHIA or RHIT preferred.

AHIMA: Inpatient or Outpatient Auditing Micro-credential strongly preferred.

AHIMA: CDIP or ACDIS: CCDS within 12 months of hire/promotion into role.

AAPC: CIRCC within 18 months of hire/promotion into role.

Christiana Care Health System is an equal opportunity employer firmly committed to prohibiting discrimination whose staff is reflective of its community and considers qualified applicants for open positions without regard to race color sex religion national origin sexual orientation genetic information gender identity or expression age veteran status disability pregnancy citizenship status or any other characteristic protected under applicable federal state or local law.

Post End Date

EEO Posting Statement

ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family including health insurance paid time off retirement an employee assistance program. To learn more about our benefits for eligible positions visit Experience:

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