Inpatient Coding & Clinical Documentation Improvement Quality Supervisor
Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical schools, Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth), Harris Health is the first healthcare system in Houston to receive the prestigious National Committee for Quality Assurance (NCQA) designation for its network of patient-centered medical homes.
Each year, Harris Health provides more than 1.8 million total outpatient visits through its more than 40 ambulatory care facilities. Additionally, Harris Health sees more than 177,000 emergency visits at its Level 1 and Level 3 trauma centers and 35,000 hospital admissions through its three hospitals: Ben Taub, LBJ and Quentin Mease.
Established by voter referendum to enhance the level of charity care available in the community, Harris Health System has often received national recognition for serving those in need and for its achievements in operational excellence, such as being named to the 2011, 2012, 2013 and 2014 Most Wired Hospitals lists by the American Hospital Association’s Hospitals & Health Networks magazine.
Additionally, Harris Health System is pleased that each of its three hospitals — Ben Taub, Lyndon B. Johnson and Quentin Mease — achieved Pathway to Excellence™ designation by the American Nurses Credentialing Center.
Skills / Requirements
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.
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
Five (5) years Inpatient Coding work experience
Five (5) years Clinical Documentation Improvement work 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
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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Job Status: Full Time
Job Reference #: 166219