Inpatient Coding & Clinical Documentation Improvement Quality Supervisor

Houston, Texas, Job Summary Responsible for staying up to date on all Inpatient coding and Clinical Documentation Improvement practices and guidelines. Acts as the lead trainer for both the Inpatient Coding and Inpatient Clinical Documentation Improvement departments. Oversees the DRG Q/A Trainers and DRG Reimbursement Coordinators to ensure consistent monthly quality audits, departmental quality trends, and DRG Denial management. Resource for all quality improvement projects and responsible for providing ongoing education to coders, clinical documentation improvement specialist, and other staff while also serving in an advisory role for coding, CDI, and regulatory compliance. Minimum Qualifications Degrees: Associates Degree Bachelors Degree preferred Licenses & Certifications: Certified Coding Specialist (CCS) Certified Clinical Documentation Specialist (CCDS) Certified Professional in Healthcare Quality (CPHQ) within 2 years from hire. RHIT/RHIA credential preferred Work Experience: Five (5) years Inpatient Coding work experience Five (5) years Clinical Documentation Improvement work experience Management Experience: Three (3) years Leadership, Supervisory, or Auditing experience Communication Skills: Above Average Verbal Communication (Heavy Public Contact), Exceptional Verbal (Public Speaking), Writing/Correspondence, Writing/Reports Proficiencies: MS Excel, MS Word, Personal Computer Job Attributes Knowledge/Skills/Abilities: Analytical, Mathematics, Medical Terminology, Statistical Work Schedule: Flexible, Eligible for Telecommute, Weekends Other Requirements: Detailed knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid Services (CMS), the ICD-9-CM Official Coding Guidelines, and AHIMA for assignment of diagnostic and procedural codes Detailed knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology Detailed knowledge of classification systems of ICD-10 CM and PCS nomenclature, coding rules, guidelines, and proper sequencing Knowledge of JCAHO, Privacy Act of 1974, and HIPAA standards affecting medical records and their impact on reimbursement Knowledge of ethical coding principles and revenue cycle activities Skill in interpreting and applying ethical coding standards, understanding federal and state laws and regulations, and following professional practice standards for health care organization coding compliance program activities Detailed knowledge of Clinical Documentation Improvement practices from Association of Clinical Documentation Integrity Specialists (ACDIS) Proficient in compliant query practices Detailed comprehension of AHRQ quality indicators and manual guidelines along with qualifying inclusionary and exclusionary conditions Equipment Operated: 3M encoder interfaced with EPIC electronic medical record billing system

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