Supv Hosp Coding Outp at Aurora Health Care (Milwaukee, WI)

| Milwaukee, WI
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Major Responsibilities:
  • Monitors daily work queues to ensure timely coding of outpatient accounts across multiple hospital sites. Plans and implement strategies to achieve or exceeds the expected target DNFC goals. Makes real time adjustments to work assignment based on account acuity and volume.
  • Tracks and provides feedback to the coding team regarding coder productivity. Manages PTO requests, work schedules, performance evaluations, and timecards for the coding team. Recommends to Coding Manager when additional working hours are needed (cross state coverage, overtime, contracted coding etc).
  • Serves as liaison between area of responsibility and other groups within Advocate Aurora Healthcare such as patient access, quality and denials management. Works with Health Information Technology to implement and test computer updates. Ensures timely, compliant and efficient processes exist to process records through the outpatient coding and abstracting function. Assists in ensuring coding compliance with federal, state and/or other regulatory agencies, research cases, government payers and other selected third party payers.
  • Manages the software applications and hardware requirements. Provides first line assistance for system users and coordinates communications internally. Reports any software issues to appropriate IT personnel for resolution. Tracks issues to resolution, providing support for hardware and software problem resolution.
  • Identifies any technology learning needs for the coding team which includes verification of coder competency for all software applications utilized including 3M360, Epic, Allegra, Cardone, Care Connection, and Advocate Works.
  • Performs human resources responsibilities for staff which includes coaching on performance, completes performance reviews and overall staff morale. Recommends hiring, compensation changes, promotions, corrective action decisions, and terminations.
  • Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.

Licensure, Registration, and/or Certification Required:
  • Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA), or
  • Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
  • Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or

Education Required:
  • Associate's Degree in Health Information Management or related field.

Experience Required:
  • Typically requires 3 years of experience in integrated acute care hospital coding.

Knowledge, Skills & Abilities Required:
  • Demonstrated leadership skills and abilities including organization, prioritization, project management, delegation, team building, customer service, and conflict resolution.
  • Demonstrates knowledge of National Council on Compensation Insurance, Inc. (NCCI) edits, and local and national coverage decisions.
  • Expert knowledge and experience in ICD-10-CM and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT) modifiers and Ambulatory Patient Categories (APC).
  • Knowledge and understanding of anatomy and physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology.)
  • Advanced knowledge of pharmacology indications for drug usage and related adverse reactions.
  • Expert knowledge of coding work flow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems.
  • Intermediate computer skills including experience with Microsoft Office or similar applications.
  • Excellent communication and reading comprehension skills.
  • Demonstrated analytical aptitude, with a high attention to detail and accuracy.
  • Ability to take initiative and work collaboratively with others.
  • Experience with remote work force operations required.
  • Strong sense of ethics.

Physical Requirements and Working Conditions:
  • Exposed to a home office environment, as this is a remote position. Must be able to provide own desk and chair and that they are appropriate.
  • Must be able to sit majority of the workday.
  • Position may require occasion travel.
  • Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
More Information on Aurora Health Care
Aurora Health Care operates in the Healthtech industry. The company is located in Milwaukee, WI, Glendale, WI, Grafton, WI, Greenfield, WI, Hales Corners, WI, Kenosha, WI, Sheboygan, WI, Oshkosh, WI, De Pere, WI, Green Bay, WI, Green Bay, WI, Green Bay, WI, Green Bay, WI and Green Bay, WI. Aurora Health Care was founded in 2022. It has 13370 total employees. To see all 57 open jobs at Aurora Health Care, click here.
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