Job description
Company:
AHI agilon health, inc.
Location:
Remote - USA
Job Title:
Supervisor, Medical Coding
Job Description:
Position Summary:
Under the direction of the Coding Manager, the Coding Supervisor is responsible for providing first-line supervision for the Medical Coding Staff. Supervisor responsibilities include but are not limited to daily supervision and monitoring of quality and productivity performance of a predominately remote coding workforce. This position also involves participation in process improvement projects and supporting the work needed to meet department and companywide goals. The supervisor will follow the agilon health coding workflow and guidelines to ensure coding consistency and accuracy across all markets of the Risk Adjustment/Burden of Illness (BOI) program. Your work here will play an integral part in transforming the healthcare delivery system through our partnership with our physicians.
Under the direction of the Coding Manager, the Coding Supervisor is responsible for providing first-line supervision for the Medical Coding Staff. Supervisor responsibilities include but are not limited to daily supervision and monitoring of quality and productivity performance of a predominately remote coding workforce. This position also involves participation in process improvement projects and supporting the work needed to meet department and companywide goals. The supervisor will follow the agilon health coding workflow and guidelines to ensure coding consistency and accuracy across all markets of the Risk Adjustment/Burden of Illness (BOI) program. Your work here will play an integral part in transforming the healthcare delivery system through our partnership with our physicians.
Primary Responsibilities:
- Provide coding support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards.
- Maintain a comprehensive tracking and management tool to track all HCC activities and ensure that all tasks are completed in a timely manner.
- Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
- Review medical record information to identify all appropriate coding based on CMS HCC model.
- Comprehensive understanding of data systems and reporting for health record coding
- Serves as a resource and subject matter expert to coding staff
- Responsible for training and performance management
- Assists with any coding related audits
- Manage the coding workflow for efficiency
- Support and participate in process and quality improvement initiatives.
- Performs AHIMA compliant queries to providers when necessary
- Apply post-query response to make final determination
- Participate in ongoing training and education within assigned timeframe
- Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations
- Educate and mentor others to improve medical coding quality
- Participate in audits of coded data to validate documentation support services rendered for reimbursement and reporting purposes.
- Researches, analyzes, recommends and facilitates plan of action to correct discrepancies and prevent future coding errors
- Demonstrates ability to work independently with minimal supervision
- Handles special projects as requested by leadership
- Communicates to leadership issues and barriers to completing all work processes
- Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded.
- Consistently demonstrates attention to detail and accuracy in work product by meeting or exceeding productivity standards and maintaining a company standard of accuracy
Qualifications, Knowledge, Skills and Abilities
- Advanced understanding of medical terminology, body systems/anatomy, physiology and concepts of disease processes.
- In-depth knowledge of coding process, coding system software, workflow management and electronic medical records
- Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
- Interpersonal skills necessary to provide effective leadership to departmental personnel
- Knowledge of the principals of supervision and directing of personnel
- Ability to adapt to change in workload and work functions and effectively prioritize
- Promotes positive co-worker relationships through teamwork and cooperation
- Progressive work experience in the Healthcare Industry
- Understand, adhere to, and implement the Company’s policies and procedures and Code of Conduct to ensure adherence in a manner that reflects honest, ethical and professional behavior.
- Strong follow-up & organizational skills required.
- Must possess high degree of accuracy, efficiency and dependability.
- Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
- Engage in excellent communication which includes listening attentively and speaking professionally.
- Set and complete challenging goals.
- Consistently demonstrates attention to detail and accuracy in work product by meeting or exceeding productivity standards and maintaining a company standard of accuracy
1. Minimum Experience
- 5+ years of progressive coding and in-depth multispecialty coding experience in assignment of diagnostic coding. (CPT, ICD-9/10, HCPCS)
- Previous leadership or supervisory experience that includes conducting coaching/training of coding staff
- Working knowledge of multiple medical specialties and proper assignment of clinical conditions documented.
- Risk Adjustment and/or HEDIS experience preferred
2. Education/Licensure
- Minimum of High School Diploma, Associates Degree preferred
- Prefer AAPC CRC or AHIMA RHIT/RHIA certification or pursing certification
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