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AMHS Supervisor HIM, Practice Coding Operations

Role overview

Qualifications

  • Experience in coding and charge processing
  • Knowledge of CPT, ICD-10, and HCPCS
  • Ability to provide training and feedback to staff
  • Strong communication skills for collaboration with clinical teams

Responsibilities

  • Supervise daily operations of coding teams
  • Assist coding teams with coding and charge processing
  • Perform coding audits and assist with denials
  • Provide education on coding updates and documentation improvements

Key facts

Other skills

  • Supervision
  • Communication
  • Teamwork
  • Training And Development

About the company

Albany Medical Center logo

Albany Medical Center

Albany Medical Center, northeastern New York’s only academic medical center, is one of the Capital Region’s largest private employers with more than 9,000 employees. Albany Medical Center provides the highest level of patient care across disciplines, while receiving regional, national, and international recognition for high standards in patient care, education, and biomedical research.The 766-bed Albany Medical Center offers access to the latest medical services and technological innovations and includes one of the busiest emergency rooms and trauma centers in New York, a children’s hospital and dedicated pediatric emergency room, intensive care units for adults and children, and organ transplant services. Albany Medical College graduates more than 200 medical doctors each year, as well as PAs, CRNAs, biomedical scientists, and bioethicists. Albany Medical College operates a biomedical research enterprise and the region’s largest physician practice with more than 500 doctors. Albany Medical Center, along with Albany Medical College, is a partner in the Albany Med Health System, the largest and only regionally governed, not-for-profit health system serving northeastern New York and western New England.

Company details

Company typeXLarge
Company size5001 - 10000

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Job description

Department/Unit:

Health Information Management

Work Shift:

Day (United States of America)

Salary Range:

$70,068.00 - $108,605.00

Supervise and coordinate workflows and staffing within the AMHS Practice Coding Operations Department related to professional fee coding/charging/denials/auditing/provider and coder education. Reviews CPT, ICD-10, and HCPCS to ensure accuracy, compliance with regulations, and complete documentation. Serves as a critical check and balance to prevent revenue loss, mitigate legal risk, and ensure proper reimbursement by identifying errors. Provides ongoing feedback and education to staff and providers. Collaborate with physicians and clinical teams to clarify medical documentation and provide education on coding updates. Performs coding audits and assists with denials as needed. Remote Position.

1. Supervise the daily operations of coding team(s) to ensure staff is meeting established coding/charge processing productivity and quality standards.  Identify and research performance deficiencies. 2. Assist coding team(s) with coding/charge processing as needed within all applications. 3. Define and submit coding and charging rules for consideration to streamline coding accuracy and efficiency within multiple interfaced systems.   4. Participate and represent Professional Coding in integrated testing to include test script building, script processing through varying test systems and detailed review of accuracy for each process. 5. Supervises staff schedules and ensures workflow meets the needs of the department. 6. Orient and train, provide feedback, evaluate, and provide corrective action to the staff as needed. 7. Complete annual staff evaluations. Perform audits as determined by management. Participate in the recruitment and interview process to fill personnel vacancies. 8. Assure Audit and Education Plan goals and objections are met. 9. Assist with interaction/communication with providers to support accuracy and specificity in documentation and diagnosis coding to include the risk adjustment program.  10. Education of providers and staff may require onsite attendance -Audit and Education Team. 11. Provide input for policies and procedures to include system development and maintenance documentation. Assist in creating and providing education in various formats to AMHS providers and staff regarding clinical documentation improvement, Current Procedure Terminology (CPT) and ICD-10-CM coding and billing regulations and standards-Audit and Education Team 12. Mentor, educate, and train staff on correct coding guidelines.  Participates in research, summarizes and disseminates information regarding new coding requirements (e.g. annual CPT code updates, etc.) and updates appropriate clinic management, providers and coding staff of changes. Audit and Education team 13. Attend and contribute to all PCO staff meetings, department meetings and all other meetings assigned.  14. Fulfills department requirements in terms of providing work coverage and administration notification during periods of personnel illness, vacation, or education. 15. Ability to work well with people from different disciplines with varying degrees of business and technical expertise. 16. All other duties and assignments as assigned.

Thank you for your interest in Albany Med Health System!​

Albany Med Health System is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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