Supervisor, Hospital Based Coding (Must reside in KPNW market)

Job description

Job Summary:

In addition to the responsibilities listed below, this position is also responsible for reviewing hospital-based coding for accuracy and completeness; providing feedback to hospital-based coders to foster continuous improvement; supervising hospital-based coding teams; assigning workloads; ensuring adherence to hospital-based coding standards and industry regulations; implementing hospital-based coding productivity tools; ensuring staff stay updated on hospital-based coding guidelines and regulations; and fostering a collaborative work environment.

Essential Responsibilities:


+ Recommends developmental opportunities for others; builds collaborative, cross-functional relationships.

Solicits and acts on performance feedback; provides team members with feedback; and mentors and coaches to drive performance improvement.

Pursues professional growth; provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations.

Implements, adapts, and stays up to date with organizational change, challenges, feedback, best practices and processes.

Fosters open dialogue, supports, mentors, engages, and motivates team members on collaboration.

Delegates tasks and decisions as appropriate; provides appropriate support, guidance and scope.

+ Supervises and coordinates daily activities of designated work team or unit by monitoring the execution and completion of tactical action items and work assignments; ensures all policies and procedures are followed.

Aligns team efforts and standards, and measures progress in achieving results; determines and carries out processes and methodologies; resolves escalated issues as appropriate.

Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources.

Removes obstacles that impact performance; identifies and recommends improvement opportunities; influences teams to execute in alignment with operational objectives.

+ Leads services related to documentation and coding compliance by: coaching the team to support and leverage coding documentation and technology tools to ensure accurate coding in compliance with Official Coding Guidelines, ICD-CM, CPT, and HCPCS codes in the health care documentation system; coaching team members who are performing ongoing accurate documentation and coding of data, and ensuring outcomes are used to improve procedures; and ensuring that others remain compliant with applicable federal, state, and local laws and regulations, The Principles of Responsibility, the Code of Conduct for Kaiser Permanente, internal policies and procedures, professional standards, and accreditation standards.

+ Supervises others updating coding processes and meeting regulatory goals by: driving and influencing the application of strategies for performing analysis/review to assure the accuracy of current procedures and diagnosis codes; fostering an environment for others to implement systems, processes, and methods to maintain up-to-date knowledge of standards and regulatory requirements related to coding, documentation, and management compliance (federal, state, internal); facilitating process improvements and implementing strategies for updating reference materials requiring revision based upon changes in code sets, industry standards, or compliance with state and federal rules; and coordinating staff workflows and performance to ensure goals are met.

+ Leads services related to data management and reporting by: coordinating team to identify and analyze trends utilizing established documentation and coding criteria to support administrative planning and continuous improvement efforts; and supervising team members collaborating to address team needs based on reported data analyses and plans of action.

+ Supervises medical coding procedures by: training others on translating clinical information into appropriate codes for diagnoses, procedures, and other services rendered, following coding guidelines for the most current version of the International Classification of Diseases Clinical Modification (ICD-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Level II for patient encounters, and proactively managing coding workflow; supervising team members assigning appropriate codes for diagnoses, procedures, and other services rendered; ensuring the application of process improvement strategies for identifying and resolving coding issues through partnership with clinicians, department administration, and other coding staff based on review, coding guidelines, and queries or issues with practitioner-submitted medical codes to reduce denials and improve time to submission; and planning teams initiatives to provide consultation to staff and care providers on all coding and documentation questions, and developing solutions for complex issues.


Minimum Qualifications:


+ Minimum five (5) years of experience with hospital-based coding.

+ Minimum one (1) year of experience in a leadership role (e.g., supervisor, trainer, lead) with or without direct reports.

+ Associates degree in Health Information Technology or equivalent, AND minimum five (5) years of experience in coding or a directly related field.

OR Minimum six (6) years of experience with medical coding duties (e.g., abstracting, assigning diagnosis and procedure codes).


+ Registered Health Information Administrator required at hire OR Certified Coding Specialist required at hire OR Registered Health Information Technician required at hire

Additional Requirements:


+ Knowledge, Skills, and Abilities (KSAs): Data Entry; Prioritization; Health Care Coding; Time Management; Quality Improvement; Medical Terminology; Medical Coding; Knowledge Management; Compliance Management; Quality Assurance and Effectiveness; Maintain Files and Records; Stakeholder Management; Health Information Systems; Health Records; Data Quality; Applied Data Analysis


COMPANY: KAISER

TITLE: Supervisor, Hospital-Based Coding (Must reside in KPNW market)

LOCATION: Portland, Oregon

REQNUMBER: 1388183


External hires must pass a background check/drug screen.

Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Required Skill Profession

Other General