Supervisor Coding Compliance

We're searching for a Supervisor of Coding Compliance, someone who works well in a fast-paced setting. In this position, you will support the Manager of Coding & Quality Assurance. Assist with follow-up on processes assigned, ensure continuity of coded accounts and monitor accuracy to ensure accounts do not exceed acceptable Bill Hold and AR days. Ensure that Texas Children's Hospital is coding according to government regulations and coding guidelines. Assist the Coding Technicians with the implementation and training of any new and existing software applications. Reviews coding denials and provides  education to the Coding Technicians when appropriate. Work closely with Business Services, Admissions, Billing, Medical Records, Care Management, and healthcare providers to retrieve information supporting coding. Assist with special projects as assigned for management.

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Job Duties & Responsibilities

• Supervises, ensures competencies, and evaluates the activities of assigned staff.
• Conducts daily and weekly analysis of reports, which assess the department's performance and identify corrective action plans were required (stats, productivity, quality, staff churn/turnover and attendance).
• Distributes workloads and queues and adjusts staff allocation to ensure the agreed service levels are met.
• Participates in interviewing and evaluating applicants and makes hiring recommendations as requested by leader.
• Completes off-orientation paperwork and provides feedback on annual performance reviews, ensuring objectivity and consistency of the evaluations and development plans.
• Performs staff coaching and counseling as required.
• Assesses competency of staff and identifies training needs to ensure staff can demonstrate required skills to complete staff assignments effectively.
• Ensures appropriate staffing levels by determining requirements for daily coverage, developing, and posting work schedules and making appropriate decisions regarding PTO requests to ensure adequate vacancy coverage to meet operational needs.
• Ensures timely and effective two-way communication of strategic and operational messages to teams.
• Funnels information between staff and leadership regarding workplace issues, resource needs, incidents, and departmental/organizational events by conducting regular staff meetings, one-on-one conferences, and education.
• Performs edits in API system (enters missed punches when appropriate, enters PTO and EIB hours).
• Monitors API system to ensure adherence to punctuality and attendance expectations in strict accordance with Hospital and departmental policies and procedures as measured by API reports and other performance and productivity metrics. Reports tardiest and missed punches to Management.
• Initiates timely contact with providers to be able to code outstanding accounts.
• Conducts quality reviews and provides education to the staff as needed.
• Maintains Bill Hold by following established Departmental Policy & Procedures, Workflow, and Departmental Goals.
• Actively participates in special assignments, programs, or improvement initiatives with successful outcomes.

• Assists in training new employees on how to use work queues and work accounts in the encoder.

  
  

Skills & Requirements

• Required H.S. Diploma or equivalent, preferred bachelor’s degree
• Required Certifications:  
• RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association  
• RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association  
• CCS - Cert-Cert Coding Specialist by the American Health Information Management Association  
• CCA - Certified Coding Associate American Health Information Management Association  
• CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association  
• CPC - Cert-Cert Professional Coder by the American Academy of Professional Coders  
• CPC-A - Cert Prof Coder - Apprentice by the American Academy of Professional Coders  
• COC - Certified Outpatient Coder by the American Academy of Professional Coders  
• CIPC - Certified Inpatient Coder by the American Academy of Professional Coders

• Required 5 years coding experience with preferred experience in a large hospital setting

  
  

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years. 

Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston; and Texas Children’s Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children’s Health Plan, the nation’s first HMO focused on children; Texas Children’s Pediatrics, the largest pediatric primary care network in the country; Texas Children’s Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation. 

 To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

 Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.