Supervisor of Coding Compliance (Finance)

Coding Compliance provides professional services: auditing, training, consultation, audit and feedback to clinicians on their documentation and coding to ensure VC receives appropriate reimbursement and conforms to applicable guidelines and regulations. Advocates compliance with all third-party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid programs. Serves as the coding subject matter expert for the physicians.

Current CCS or CPC certification or equivalent required.

Must be a resident of Washington or Oregon.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES:

• Supervise and coordinate all activities of Coding compliance and auditors
• Lead or participate in cross-functional workgroups/committees as needed to represent coding compliance.
• Develop reports and presentations on projects for senior management
• Understand Medicare billing rules (i.e. LCD/NCD, CCI, Medical Necessity, and ABN) and communicate this information to staff, management and physicians
• Stay abreast of current changes in coding and reimbursement requirements for government programs and other third-party payers
• Conduct system testing, provide feedback, and support conversions/implementations on coding and charge entry issues
• Actively participates in meetings and/or seminars and disseminates the information to peers to enhance the knowledge and skills of the department
• Performs audits utilizing an in-depth knowledge of ICD-10, CPT and HCPCS coding, Correct Coding Initiatives (CCI) and documentation guidelines.
• Provides training for all New and Established clinicians to ensure correct documentation and coding of procedures and diagnoses.
• Performs coding reviews for providers based on areas of deficiency and to support CMS required annual audits.
• Utilizes understanding of Practice Management system to recommend Master File changes to facilitate correct claims coding per carrier specifications.
• Monitoring of Clinical Coders' coding knowledge via audits and other mechanisms.

SKILLS AND ABILITIES:

• Leadership and supervisory skills.
• Knowledge of medical terminology and anatomy and ancillary tests/procedures.
• Excellent organizational skills and strong attention to detail required.
• Strong oral presentation skills.
• Must have demonstrated competence with computer systems including electronic health records, Microsoft Office Suite required.
• Typing skill of 40 wpm.
• Working knowledge of ICD-9, ICD-10, CPT, and HCPCS coding and Correct Coding Initiatives (CCI)
• Ability to train and audit new and established providers as skills are mastered.

SUPERVISORY RESPONSIBILITIES:

• Will supervise Compliance and Coding staff.

EDUCATION AND EXPERIENCE:

• High school diploma or equivalent required.
• Current CCS or CPC certification or equivalent required.
• At least two years of CPT, ICD-9 coding systems and chart auditing experience strongly preferred.
• ICD-10 certification preferred.
• Certified Professional Medical Auditor (CPMA) preferred, or obtain within one year of employment.
• Minimum of three to five years of previous coding experience.
• Minimum of two years of supervisory experience is strongly preferred.
• Must have a valid driver's license and qualify as an acceptable driver per Vancouver Clinic policy.
• Experience educating physicians regarding coding, charting and other relevant processes, in an individual and group setting preferred.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Pay Range:
$68,470.00 - $102,707.00

The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job.

We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, with employer contributions after your first year of employment. Benefits-eligible employees accrue PTO and Personal Time based on hours worked and State worked, totaling 120 hours in the first year for full time staff and 200 hours in the first year for full time supervisors and above, increasing in subsequent years. PTO and Personal Time accruals are pro-rated by FTE/hours worked. Non-benefits eligible employees will accrue Personal Time based on hours worked and State worked. Employees will also enjoy up to six paid holidays per year, depending on schedule. Contact your recruiter for more information.

Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.