Medical Coding Job In Omaha, Nebraska
Hospital Coding Supervisor - (Omaha, Nebraska, United States)Next Steps... Apply Now
Business: Boys Town
In a career as a Hospital Coding Supervisor, you contribute to our greatest asset, our people and culture of Boys Town. The Hospital Coding Supervisor performs duties such as supervision of all hospital facility, coding, and charge entry functions. Responsible for finding resolution of non-standard coding issues and assisting in identifying necessary updates or revisions to optimize revenue generation and maximizing reimbursement. Offers expertise and guidance related to claim transactions, coding, auditing, reconciliation, and compliance. Provides education to departments and staff and also helps improve documentation to support all aspects of coding and billing. No matter your role at Boys Town, you will contribute to helping us change the future of America's youth.
- Serves as the primary point person for facility coding, data entry, and reconciliation of hospital generated for interfaced and manually entered charges, per Pt Financial Svcs protocol and procedures, providing coding education as pertinent within the PFS and to appropriate clinical staff.
- Oversees the interviewing, selection and evaluation of performance of hospital charge entry, and Hospital coding personnel.
- Ensures proper supervision of daily activities of all personnel in the above functions, providing coaching, mentoring, and discipline as necessary, for optimal performance and an overall healthy revenue cycle.
- Reviews documentation (i.e., operative notes, H&P, D/C etc.) coding submissions performed by the Medical Coding Group and billing from various departments and specialties within BTNRH, per the standards set forth in the Boys Town National Research Hospital (BTNRH) Coding Compliance Plan, reporting on the accuracy of procedure coding, ICD-10 coding and billing, to ensure legal regulations and procedural policies are being followed, while ensure the coding reflects the highest complexity and best financial outcome for BTNRH.
- Works collaboratively with medical, nursing, ancillary, and charge reconciliation team to improve the quality of chart documentation, identifying any need to clarify documentation in the medical record. Communicate with clinical staff face to face, or use agreed upon querying mechanism, while serving as the primary resource to educate clinical staff on linking coding guidelines and medical terminology to capture the most accurate final code assignment.
- Responsible for identifying inaccurate coding and/or billing services; preparing reports of findings, and meeting with providers, nursing/ancillary staff, or leadership to provide education and/or training on accurate coding practices. Also monitoring statistical data based on review findings and concurrent reviews for trending purposes and summaries for Administration.
- Develops, revises, and implements policies and procedures for the charge entry and hospital coding functions, ensuring proper training of new personnel on appropriate PFS operations, software and procedural changes.
- Performs charge reviews as requested through the patient concerns/dispute process by comparing the charges against all necessary clinical documentation, looking for discrepancies and communication findings to the appropriate leaders.
- Works closely with the CDI team to ensure clinical documentation is accurate, compliant, and specific to reflect the severity of illness and risk of mortality of the patient, facilitating concurrent reviews and resulting in the most appropriate ICD-10 code and highest level of DRG assignment
- Identifies complications and co-morbid conditions, specify co-existing conditions and causal agents and follow-up with physicians responsible for the care of the patient for appropriate documentation
- Associate Degree or Bachelor’s Degree in Business, Healthcare, or related field preferred.
- Minimum of 5 years’ experience in Hospital Inpatient Coding, including experience with audit and CDI, along with additional coding credentials either from the American Health Information Management Association or the American Academy of Procedural Coders
- Must have extensive knowledge and understanding of ICD-10-CM/ICD-10-PCS, CPT-4, HCPCS Level II, Revenue Code assignments, coding systems, medical terminology, abbreviations, anatomy & physiology, and diseases.
- Minimum of 2 years direct supervisory or leadership experience required.
- Experience with EPIC a plus.
- In depth knowledge of current Centers for Medicare and Medicaid Services, (CMS) requirements as well as Correct Coding Initiative, (CCI) edits, Diagnosis Related Group, (DRG) Hospital Acquired Conditions, (HAC's) and when applicable, National Coverage Determinations, (NCDs) and Local Coverage Determinations, (LCDs,) and overall healthcare coding and billing practices, while serving as the subject matter expert, in hospital coding.
- Ability to apply a thorough knowledge of ICD-10-CM, ICD-10-PCS, CPT-4, HCPCS, Revenue Codes, Coding rules and guidelines and proper sequencing to support and audit staff performance.
About Boys Town:
Boys Town has been changing the way America cares for children and families since 1917. With over a century of service, our employees have helped us grow from a small boardinghouse in downtown Omaha, Nebraska, into one of the largest national child and family care organizations in the country. With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference.
Our employees are our #1 supporters when it comes to achieving Boys Town's mission, which is why we are proud of their commitment to making the world a better place for children, families, patients, and communities. Unique perks to Boys Town employees and their families include free visits to Boys Town physicians and free prescriptions under the Boys Town Medical Plan, tuition assistance, parenting resources from our experts and professional development opportunities within the organization, just to name a few. Working at Boys Town is more than just a job, it is a way of life.
Date Posted: April 23rd, 2021
Boys Town National Research Hospital is a tobacco free campus. This advertisement describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. To request a disability-related accommodation in the application process, contact us at 1-877-639-6003.
What would happen if you could ?improve circumstances for those who are suffering from abuse, addiction, abandonment or violence, so they could reach their potential?
That is the question Boys Town has spent a century answering. It is what inspired and drove our founder, Father Edward J. Flanagan, and it continues to motivate our mission to this day.
Boys Town believes today, as our founder did 100 years ago, that every child deserves a future, every family deserves to stay together and every community deserves to thrive. And we believe that all of these things should be achievable without regard to race, religion or background.
So, for the young man dodging gunfire on the streets just to get to school, the family torn apart by substance abuse, and the community crumbling from neglect and social disorder, Boys Town offers hope. But we offer hope as more than just an abstract concept; we substantiate it with programs and solutions grounded in our deep experience and supported by our decades of research.
Though we have grown to become a national organization that reaches communities from coast to coast, and our scope has expanded to include in-home family counseling, health care and programs to rebuild at-risk schools, Boys Town remains forever driven by our founder’s singular vision. And with your help, we will do so well into our second century and beyond.