Supv Coding

J  o  b    D  e  s  c  r  i  p  t  i  o  n

JOB INFORMATION

Effective Date:

10/1/2024

Entity:

Wisconsin

Job Code:

452001

Job Title:

Supv Coding

Exemption Status:

Exempt

Management Level:

Supervisor/Program Manager

JOB SUMMARY

The Coding Supervisor is responsible for the daily operations of the coding program(s). Supervisor responsibilities include but are not limited to daily supervision and monitoring of quality and productivity performance, interviewing, hiring and first-line leadership of the Medical Coding Staff.

The Supervisor will actively work with organizational leadership to design, plan, implement, and evaluate solutions that support and enhance business practice, administrative and management needs. The incumbent will facilitate and promote standardization across UW Health by alignment of high-quality documentation and coding that supports compliant and accurate medical record documentation. The Supervisor is expected to oversee the program's organizational goals, performance improvement plans, and collaborate with CDI, HIM, and other entities of coding (technical and professional), quality, population health, compliance, other healthcare professionals, and ambulatory clinics.

The Supervisor utilizes knowledge of official coding guidelines, quality metrics, Hierarchical Condition Categories (when applicable), and AHIMA/ACDIS physician query brief to track and identify opportunities to validate accurate documentation, compliance, and resources to sustain the programs outcomes and success.

MAJOR RESPONSIBILITIES

•

Provides daily supervision of coding staff and provides feedback to the Coding Manager on exceptional and/or substandard performance.

•

Leads all efforts associated with hiring, interviewing, onboarding and discipline

•

Provides ongoing feedback to staff on areas for improvement

•

Ensures that all members of the coding team are following official policies and standard procedures and conducts discipline for those in violation

•

Counsels coding staff on actions required to meet minimum performance requirements.

•

Provides or arranges for necessary knowledge-based resources required by the coding staff to meet quality and production standards.

•

Prepares staffing schedules to provide adequate coverage for all work queues and bodies of work

•

Supervises audits of coded medical records.

•

Compiles, analyzes and presents data related to coder performance, documentation issues, and charging errors.

•

Executes process improvement projects.

•

Communicates documentation and charging concerns to clinical staff.

ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS.

X

Non-Clinical

JOB REQUIREMENTS

Graduate of a Medical Coding Program

Required

or

Associate's Degree

in healthcare related field

Required

Two (2) years of experience may be considered in lieu of a degree in addition to the required experience below

Graduate of a Health Information Technology program

Preferred

2 years

medical coding experience with at least one (1) year in a leadership role (for non-HCC role) or 2 years HCC Risk Adjustment experience with at least one (1) year in a leadership role (for HCC-specific role)

Required

2 years

supervisory experience

Preferred

Certification as Certified Professional Coder (CPC)

Upon Hire

Required

or

Certified Outpatient Coder (COC)

Upon Hire

Required

or

Certified Inpatient Coder (CIC)

Upon Hire

Required

or

Certified Coding Specialist (CCS)

Upon Hire

Required

or

Certified Coding Specialist Physician Based (CCS-P)

Upon Hire

Required

or

Certified Coding Associate (CCA)

Upon Hire

Required

or

HCC-specific Supv: Certified Risk Adjustment Coder (CRC)

Upon Hire

Required

Registered Health Information Technician (RHIT)

Preferred

Registered Health Information Administrator (RHIA)

Preferred

•

In depth knowledge of coding process, coding systems software, workflow management, and electronic medical records.

•

Advanced knowledge of the ICD-10 CM/PCS and CPT/HCPCS coding systems and conventions

•

Advanced knowledge of, but not limited to, Official Coding Guidelines and methodologies. MS-DRGs, APR-DRGs, APCs, and Clinical Documentation guidelines.

•

Familiarity of automated/computerized encoders, groupers, abstracting, database, billing systems, medical records.

•

Proven/demonstrated skills in use of encoder grouping and abstracting software

•

Knowledge of the principles and practices of supervision as applied to the management and direction of personnel

•

Strong organizational, planning, scheduling and project management abilities

•

Excellent leadership ability

•

Excellent oral and written communication skills

•

Excellent critical thinking skills

•

Excellent analytical ability to develop and analyze data to recommend solutions and solve complex problems.

•

Ability to adapt to changes in workload and work functions and to effectively prioritize work assignments.

•

Ability to ensure a high level of customer satisfaction including employees, patients, visitors, faculty and other departments.

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

☒

Sedentary: Ability to lift up to 10 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Up to 10#

Negligible

Negligible

☐

Light: Ability to lift up to 20 pounds maximum with frequent lifting and/or carrying of objects weighing up to 10 pounds. Even though the weight lifted may only be negligible amount, a job is in this category when it requires walking or standing to a significant degree.

up to 20#

Up to 10# or requires significant walking or standing or requires pushing/pulling of arm/leg controls.

Negligible or constant push/pull of items of negligible weight

☐

Medium: Ability to lift up to 50 pounds maximum with frequent lifting and/or carrying objects weighing up to 25 pounds.

20-50#

10-25#

Negligible-10#

☐

Heavy: Ability to lift up to 100 pounds maximum with frequent lifting and/or carrying objects weighing up to 50 pounds.

50-100#

25-50#

10-20#

☐

Very Heavy: Ability to lift over 100 pounds with frequent lifting and/or carrying objects weighing over 50 pounds.

Over 100#

Over 50#

Over 20#

Other - list any other physical requirements or bona fide occupational qualifications not indicated above:

Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.