Supervisor, Coding Quality Auditor

Overview Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives – and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Supervisor, Coding Quality Auditor oversees the Coding Quality Auditors and monitors compliance with the Office of Inspector General (OIG), Hospital acquired condition (HAC) and target review Diagnosis Related Group (DRG's) for Hackensack Meridian Health (HMH) network. Also responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to insure appropriate reimbursement for HMH Network. Responsibilities A day in the life of a Supervisor, Coding Quality Auditor at Hackensack Meridian Health includes: Reviews DRG assignment for selected Medicare/Medicaid inpatients for the purpose of reimbursement, research and statistics in compliance with federal regulations according to International Classification of Diseases 10th Diagnosis & Procedure Coding System (ICD-10-CM/PCS) coding classification systems. Assist in coordinating workflows with Clinical Documentation Improvement (CDI) team regarding quality indicators reviews (i.e. Mortality, Patient Safety Indicators (PSI), Hospital Acquired Conditions (HAC), Severity of Illness (SOI), Risk of Mortality (ROM) etc.) Analyzes physician documentation in the medical record for coding accuracy. Acts as a Superuser for implementation of various computer-related initiatives that affect the Health Information Management (HIM) department such as EPIC, front-end coding, 3M/360, etc. Assists the inpatient coding manager with coordinating the work activities in the coding section of the HIM department. Assists the Inpatient Coding Manager with education sessions for the staff. Assists the HIM team with projects and reviews assigned to HIM which include, but are not limited to, Patient Safety Indicators (PSI), Hospital Acquired Conditions (HAC), ICD-10, 3M/360, clinical reviews, audits, as well as various other projects. Coordinates the daily work activities of the Coding Quality Validators. Ensures adequate staffing of the Coding Quality Validation (CQV) team to prevent any negative impact on AR. Assists in the coordination of all statistical compilations for HIM as well as those requested from various departments. Generates monthly compliance reports of selected DRG's, APC's, HAC, etc and compile data to report findings to corporate compliance and other departments as appropriate. Assists in peer interviews as well as lends recommendations regarding the hiring, terminating or extension of probation periods of trainees based on performance. Maintains productivity and accuracy reports. Performs chart reviews for second opinion or when further review is necessary. Attends all management associated meetings as required. Acts as a resource for the staff as well as various other departments. Provides support for other supervisors as needed; responsible for the CQV team payroll. Other duties and/or projects as assigned. Adheres to HMH Organizational competencies and standards of behavior. Qualifications Education, Knowledge, Skills and Abilities Required: High School diploma, general equivalency diploma (GED), and/or GED equivalent programs. Minimum of 5+ years of experience coding/auditing inpatient accounts in an acute care setting. Excellent computer skills with a strong knowledge of Microsoft Office. Knowledge of ICD-10-CM/PCS and DRG methodologies. Knowledge of data reporting requirements and ability to prepare and present results to multi disciplinary teams. Knowledge in Patient Safety/Quality Management. Knowledge of POA/HAC, PSI and core measures. Extensive knowledge in data collection and clinical reviews. Excellent written, verbal and interpersonal communication skills. Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms. Education, Knowledge, Skills and Abilities Preferred: Associate or Bachelor's degree in Health Information Technology or management. Minimum of 10 years of experience in Medical Record ICD-10-CM/PCS and DRG methodologies. Licenses and Certifications Required: Certified Coding Specialist. Licenses and Certifications Preferred: Registered Health Information Administrator Certification or Registered Health Information Technician or Registered Nurse. If you feel that the above description speaks directly to your strengths and capabilities, then please apply today! Starting Minimum Rate Minimum rate of $97,011.20 Annually Job Posting Disclosure HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to: Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant work experience. Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Skills: Demonstrated proficiency in relevant skills and competencies. Geographic Location: Cost of living and market rates for the specific location. Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization. Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits. #J-18808-Ljbffr Hackensack Meridian Health