Inpatient Level 1 Trauma Coding Supervisor

Position Summary:

Leads Inpatient coding team as assigned and backs up manager in their absence. Trains and mentors new and existing coders.

Reviews and investigates issues sent to IP Coding team and collaboration with coders and other departments to resolve.

Codes all types of Inpatients accounts to assist with backlog as necessary by reviewing inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Diagnosis Related Groups (DRG) - data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement.

Position Responsibilities:

Key Areas of Responsibility

Coding

1. Applies extensive knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes for all types of IP accounts.
2. Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS), interprets documentation and assigns proper International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses and ICD-10-Procedural Classification System (PCS) operative procedure codes utilizing designated software to included Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material.
3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes DRG groupings, and observes for appropriate DRG assignment.
4. Codes all types of cases including the most complex.
5. Adheres to all department coding procedures, policies, guidelines and quality standards.
6. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders and adheres to official coding guidelines.
7. Meets revenue cycle goals (Key Performance Indicators (KPIs) and Productivity Standards).

Issue Resolution

1. Manages the coding and IP edit work queues.
2. Works with coders and other department to resolve.
3. Reviews and investigate other issues related to IP coding and communicates with IP coder and other departments to resolve.
4. Completes combined accounts.
5. Completes reviews of denials and combined accounts.

Communication

1. Collaborates with coders to resolve issues and provide guidance.
2. Collaborates with clinical documentation specialists (CDS) to determine appropriate DRG assignment for compliance and reimbursement purposes.
3. Collaborates with Quality Management and other departments (Billing Registration, etc.) as required.

Seeks clarification from attending physician in cases where documentation is absent, ambiguous, or contradictory.

Training/Leadership/Other

1. Leads coding teams as assigned.
2. Backs up manager in absence.
3. Trains and mentors new coders to become acclimated to new environment, and understanding internal coding policies and procedures.
4. Trains and mentors coders who want to progress to more specialize coding of the more complicated types of accounts.
5. Advances the team by influencing desired H3W Leadership Behaviors
6. Advances the team by influencing positive team behaviors; encourages collaboration and communication within the team and across work groups.
7. Completes additional assignments and special projects as assigned by Manager.

Working Relationship:

This position reports to Inpatient Coding Manager.

Qualifications

Requirements and Specifications:

Education

• Associate’s Degree or equivalent experience

Experience

• Four years or more of progressive on-the-job experience in an acute care hospital setting

Licensure, Certification, Registration

• Certified Coding Specialist (CCS) required and maintained thereafter.

Language Skills

• Strong written and verbal communication skills.

Knowledge, Skills and Ability Requirements

Extensive knowledge of:

• ICD‑10-CM diagnostic and ICD-10-PCS procedure codes
• UHDDS
• Various DRG methodologies (MS-DRG, APR-DRG, Tricare, etc.)
• IP Rehabilitation IRF-PAI coding requirement
• Clinical information related to areas of responsibility
• Microsoft Office Products; Word, Excel
• Encoder and/or CAC

Skills:

• Read, write and speak English proficiently.
• Strong analytical capabilities.
• Excellent organizational skills.
• Project management skills
• Proficiently read and interpret physician writing.

Strong ability to:

• Function independently.
• Handle multiple priorities.
• Deliver results individually and through a team.
• Delegate tasks effectively to others.
• Create a positive learning environment.
• Motivate, mentor and coach team members.
• Listen and acknowledge ideas and expressions of others attentively.
• Converses clearly using appropriate verbal and body language.
• Collaborate with others to achieve a common goal through mutual cooperation.
• Influence others for positive and productive outcomes.
• Utilize coding subject matter expertise to support Levels 1-3 coders and other projects

About Aston Carter:

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At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.