Glens Falls, NY, US
357 days ago
Coding Reimbursement Appeals Supervisor - Health Information Management (HIM)

Under the direction of the HIM Director, is responsible for compliant, complete and optimal facility coding, and in collaboration with Coding leadership teams ensures DNFC/DNFB dollars are maintained at Finance defined bill hold days. Position ensures Glens Falls Hospital submits codes that reflect the acuity of our patient and DRG’s that include all MCC’s and CC’s for reimbursement. In collaboration with Hospital External Review Team (HERT) members, coordinates reviews and responds to internal and external audits of all coding types but with emphasis on Inpatient Coding. Collaborates with Professional Coders, Clinical Document Improvement Specialists, “Scrubber” Edit Specialists and Providers to educate and offer expertise in the area of documentation, coding and DRG methodologies. Performs ongoing monitoring for coding quality and consistency and is responsible for knowledge, training, and coordination of all applications used by Facility Coding Professionals. Demonstrates subject matter expertise in all coding and regulatory requirements for compliant coding practices. Provides input on staffing needs, recruitment, ongoing performance assessment and the annual performance appraisal.

Under the direction of the HIM Director, is responsible for compliant, complete and optimal facility coding, and in collaboration with Coding leadership teams ensures DNFC/DNFB dollars are maintained at Finance defined bill hold days. Position ensures Glens Falls Hospital submits codes that reflect the acuity of our patient and DRG’s that include all MCC’s and CC’s for reimbursement. In collaboration with Hospital External Review Team (HERT) members, coordinates reviews and responds to internal and external audits of all coding types but with emphasis on Inpatient Coding. Collaborates with Professional Coders, Clinical Document Improvement Specialists, “Scrubber” Edit Specialists and Providers to educate and offer expertise in the area of documentation, coding and DRG methodologies. Performs ongoing monitoring for coding quality and consistency and is responsible for knowledge, training, and coordination of all applications used by Facility Coding Professionals. Demonstrates subject matter expertise in all coding and regulatory requirements for compliant coding practices. Provides input on staffing needs, recruitment, ongoing performance assessment and the annual performance appraisal.

Confirm your E-mail: Send Email