Supervisor, Coding & Auditing

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare. Benefits Benefits, with a whole-person approach to wellness - Lifestyle Engagement e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support Access & Affordability e.g. minimal or zero copays, team member cost sharing premiums, daycare About ThedaCare! Summary The Supervisor, Coding & Auditing oversees the day-to-day operations of the workflow and productivity for clinic health record coding. Ensures the quality of service by maintaining current knowledge of coding, quality initiatives, data collection, reporting, professional coding systems, and federal compliance requirements, and effectively communicating this information to department team members and other affected areas. Oversees the daily operations of the assigned area including administrative, fiscal, and clinical/technical activities to ensure high quality health care services. Develops developing department initiatives that focus on employee engagement, process improvement initiatives, patient satisfaction, and workplace safety. Serves as a resource and facilitates collaboration between team members and other healthcare disciplines throughout ThedaCare to ensure accurate and complete coding and statistical information. Ensures team members are in compliance with state and federal regulations and department/system policies, and that procedures are being followed. Promotes and strengthens employee engagement, process improvement initiatives, patient satisfaction, and workplace safety. Maintains and enhances interpersonal relationships with medical staff, team members, and patients. Job Description SCHEDULE: Full time, benefit eligible Salaried position Remote position - Flexibility in hours Please note qualifications needed below Key Accountabilities Is responsible for supervising the physician coding staff including orientation, training, performance development, competency assessment, and disciplinary actions. Educates the coding team members and other healthcare professionals in the use of coding guidelines, proper documentation techniques, and functions. Evaluates and determines integrity of coding controls and revenue generation is maintained at the highest possible level. Supervises the coding of patient encounters and conducts internal coding audits for accuracy. Is responsible for the timely completion of coding and data/charge entry required in the revenue cycle process. Establishes, implements, and maintains a formalized review process for coding compliance including a formal review (audit) process. Designs and uses audit tools to monitor the accuracy of clinical coding. Monitors Medicare and other payer bulletins and manuals, and reviews the current Office of the Inspector General (OIG) work plans for coding risks. Performs data quality reviews on outpatient encounters to validate the International Classification of Diseases (ICD-9-CM), the Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). Monitors medical visit code selection against facility specific criteria for appropriateness. Assists in the development of such criteria as needed. Identifies patterns, trends, and variations related to provider benchmarks and payer denials. Investigates and evaluates potential causes and takes appropriate steps in collaboration with team members to affect resolution or explain variances. Qualifications High school diploma or GED Certified Professional Coder (CPC) or other equivalent credential Three years of leadership experience including leading work teams and/or projects Five years of coding experience Physical Demands Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties Work Environment Use of computers throughout the work day Frequent use of keyboard with repetitive motion of hands, wrists, and fingers Normally works in climate controlled office environment Frequent sitting with movement throughout office space Schedule Scheduled Weekly Hours: 40 Scheduled FTE: 1 Location CIN 3 Neenah Center - Appleton,Wisconsin Overtime Exempt: Yes Worker Shift Details Days About ThedaCare ThedaCare is a community health system consisting of seven hospitals, numerous clinics and related services. We are the third largest health care employer in Wisconsin and the largest employer in the state's second largest economic market - Northeast Wisconsin - with approximately 6,800 employees. Through our 100-year history, ThedaCare has woven itself into the very fabric of the communities we serve. For our employees, ThedaCare offers an environment that not only welcomes but also encourages innovative thinking and fresh approaches to today's health care challenges. We've improved the health of thousands of individuals. We know this because we track our quality and constantly seek to improve our care and services for the members of our communities. This job posting is available in other languages besides English free of charge. Please contact the ThedaCare Employment Center to make your request at View phone number on click.appcast.io and then prompt "1". ThedaCare is an Equal Opportunity Employer. ThedaCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ancestry, color, religion, sex, gender identity, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law. #J-18808-Ljbffr ThedaCare