Enterprise Coding Audit and Education Supervisor

🔥 0 minutes ago

⚔️ Virginia, West Virginia – Remote

⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

📋 Description

• Supervise hospital or professional coding staff and assist the management team with day-to-day department operations involving reimbursement, coding, abstracting, productivity, quality and education • Assist with implementation and facilitation of medical coding and abstracting, auditing, monitoring, and physician/coder education for existing and new clinics, locations and hospitals • Ensure compliance with federal and state healthcare coding rules, regulations, administrative requirements and guidance • Maintain coding backlogs, work queues and charge lag at acceptable levels • Act as an expert coding resource for coders, providers, revenue cycle teams, specialty groups and meetings • Manage coding personnel, including interviewing, hiring, coaching, counseling, discipline and performance evaluations with management • Develop and maintain coding policies, procedures and training materials • Identify budgetary needs and maintain fiscal stewardship • Conduct or oversee internal and external audits for medical record documentation, coding and billing compliance • Analyze and resolve issues affecting coding and billing • Extract, analyze and report data to management • Liaise with vendors and provide input on and test information systems • Assist with staff coding as needed

🎯 Requirements

• High School Diploma or Equivalent • Current HIM/Coding Certification through ONE of the following: American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) • Five (5) years of medical coding experience • Associates degree or higher in Health Information Management or related field (preferred) • Previous clinical experience, as an RN, LPN or Medical Assistant (highly desirable) • Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, MS-DRG, HCC and APR-DRG assignment, hospital supervising positions, multi-specialty coding, E&M coding, procedural/surgical coding, and governmental billing and coding regulations including the Teaching Physician Guidelines (preferred) • Previous supervisory or project management experience (preferred) • Seven (7) years of medical coding experience (preferred) • Excellent written, verbal, and interpersonal communication skills • Knowledge of provider healthcare compliance, revenue cycle operations, and auditing techniques • Ability to mentor, educate and train others • Ability to ensure quality and productivity standards • Ability to handle high stress and critical situations calmly and professionally • Ability to concentrate and maintain accuracy during constant interruptions • Independent decision-making ability • Ability to prioritize job duties • Ability to adapt to changes in the workplace and work assignments • Organizational and time management skills • Knowledge of anatomy, physiology and medical terminology • Analytical and problem-solving skills • Proficiency in office software programs, including medical record and billing systems • Ability to analyze complex data and reports • Ability to sit for long periods, use computer and office equipment, and lift, push or pull 10–20 pounds • May require travel