Arizona Community Physicians is seeking a full-time Medical Coding Supervisor to lead a small team of coding professionals. The Coding Supervisor is an important role in our Revenue Department in which we deliver quality services. We are looking for an experienced coder/supervisor who can roll up their sleeves and bring coding expertise and leadership to our coding team, business partners, employees, and providers. Our position offices at our administrative campus at Rosemont and Broadway and offers a professional, casual, and fun work environment. Our employees enjoy wearing their denim jeans with the option to bring their dog to work which makes for a relaxed, fun work environment. Employees enjoy decorating their offices and celebrating activities all in the spirit of fun and collaboration.
Arizona Community Physicians (ACP) is Arizona’s largest and most successful physician-owned medical group. ACP is a forward-looking organization consisting of approximately 800 employees. Our group includes 166 providers in the specialties of family medicine, internal medicine, geriatrics, pediatrics, endocrinology, rheumatology, dermatology and gynecology. We are located in 50+ locations of varying sizes in Tucson, Oro Valley, and Green Valley.
This position has two primary responsibilities: Provides supervision to Certified Professional Coder team and conducts audits for medical provider clinical documentation while adhering to Medicare/Medicaid billing regulations and Risk Adjustment (RAF) guidelines. Performs in a professional manner, exercising good judgment and ethical standards. Interacts effectively and builds respectful working relationships across the organization. Demonstrates integrity by adhering to high standards of personal and professional conduct. Must be reliable and have the ability to maintain a high level of confidentiality within all aspects of job performance.
- Handles the day-to-day operations of the Coding Team – including personnel issues, process flows, and coding deadlines – in order to ensure proper financial reimbursement.
- Supervises daily coding work flow of coding team and completion of individual and team productivity goals
- Provides coaching and advisement to employees for performance and effectiveness including helping members prioritize daily tasks and resolve of complex coding issues
- Participates in hiring employees and addresses individual and team performance needs
- Audits employee work, ensuring compliance with all established policies, procedures and legal guidelines
- Acts as a coach and positive role model for staff and colleagues establishing / maintaining a work environment that fosters positive morale
- Remains current and maintains a working knowledge of the latest medical terminology
- Identifies areas for coding improvement and provides training and resources as needed
- Performs audit activities including review of medical chart coding and billing documentation as well as medical chart abstraction which includes the analysis and translation of clinical diagnoses and procedures into designated numerical codes
- Analyzes coding audits to improve efficiencies, practices and training resources
- Partners with providers and staff to improve quality and efficiencies in coding and documentation of provider claims which involves educating and coaching on compliant coding practices and risk adjustment guidelines
- Maintains excellent documentation of all reviews, methodologies employed, results and corrective actions implemented and monitored
- Appropriately uses coding principles to code to the highest specificity while complying with CMS regulations and company goals and policies
- Reviews CMS and insurance bulletins, newsletters and periodicals to maintain policies and stay abreast of current coding issues, trends and changes
- Understands and adheres to The Health Insurance Portability and Accountability Act (HIPPA) and CMS Coding requirements
- Maintains knowledge of policies and procedures and performs in accordance with the ACP’s policies and procedures, applicable regulatory requirements, external laws and accreditation standards
- Facilitates and supports a culture of compliance, ethics and integrity
- Maintains professional certifications
- Travel to office locations will be required
- Performs other duties and responsibilities as required
- Minimum of high school diploma or equivalent
- Minimum of two years’ lead or supervisory experience, preferably in a medical billing department
- Minimum 3 years’ experience coding outpatient Evaluation & Management (E/M) Services, preferably Primary Care
- Certified Professional Coder (CPC) certification
- Advanced knowledge of ICD-9, ICD-10, CPT and HCPCS
- Knowledge of HCC codes and the Medicare Advantage “Risk Adjustment” process
- Thorough understanding of healthcare compliance with experience in auditing E/M services and providing professional constructive feedback in regard to billing and documentation practices
- Thorough understanding of Medicare/Medicaid billing regulations and documentation guidelines
- Above average analytical skills and problem-solving skills, including the ability to manage multiple tasks and make decisions from available information
- Strong knowledge of chart auditing/abstracting process
- Ability to establish and maintain effective working relationships across the organization
- Effective communication, relationship-building and interpersonal skills
- Exceptional attention to detail and proficiency in Microsoft Word and Excel
- Ability to travel to clinical offices as needed. Travel is minimal.
To apply for this job email your details to firstname.lastname@example.org