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Job ID: 16521
Location: Chapel Hill, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
**Position is Virtual/Remote**
The System Supervisor of Coding & CDI (Clinical Documentation Improvement) Quality Services will be responsible for selecting, motivating, evaluating, counseling, and disciplining Coding and CDI Auditors. This position will report to the Health Care System Manager of Coding & CDI (Clinical Documentation Improvement) Quality Services. The Supervisor is responsible for supervising Medical Coder Auditors (Inpatient and Outpatient) and Clinical Documentation Specialist Auditors. In addition the Supervisor is responsible for supervising the auditing, education and overall quality functions with appropriate personnel to meet the overall needs of health care system, while ensuring compliance with state/federal requirements, and CMS guidelines. Additionally, the Supervisor is responsible for ensuring Coding and CDI quality and training processes are conducted efficiently and in a high quality manner to meet service level agreement (SLA) expectations and regulatory standards for Coding and CDI.
1. Work collaboratively with HCS System Supervisors, Managers of Coding, CDI, and Quality and Training and key physician leaders to reach the goals and objectives of the HCS Quality and Training team. Actively participate and support the HCS Coding and CDI structure responsible for achieving excellence in Quality and Training, and expected deliverables in relation to the Quality and Training of Coding and CDI as well as Physician Leaders. Participate in quarterly CDI DRG Physician Advisor meetings, oversight of the PWC SMART editing system and process, CDI Physician Advisor schedules, training, and work queue management and assignment.
2. Coordinate training, auditing, and modifications to coding and clinical documentation to ensure accurate depiction of the level of clinical services and patient severity to support appropriate reimbursement and capturing of clinical severity for the level of service rendered to all hospitalized patients. Supervise and coordinate concurrent and pre bill reviews for Patient Safety Indicators (PSI’s), Mortality Reviews and other quality indicators, SOI/ROM, and DRG Management clinical documentation reviews including rounding and educating providers on optimal clinical documentation.
3. Identify measures for evaluating performance objectives. Monitor and maintain staff productivity and quality standards. Identify process improvement opportunities for Inpatient and Outpatient Medical Coder Auditors and CDS Auditors to ensure quality outcomes. Develop, implement, disseminate, and adhere to policy and procedures and training guides and tip sheets related to Coding & CDI Quality and Training activities. Participate in organizational initiatives relative to Coding and CDI technology to improve accuracy and compliance. Serve as subject matter expert on accurate and appropriate coding and documentation standards, guidelines, and regulatory requirements.
4. Serve on local and/or system committees, councils, focus groups and work teams associated with advancing the revenue cycle strategy of the health care system upon request. Such participation may require travel, including overnight travel to affiliate locations. Participate in revenue cycle leadership touchpoint interactions and meetings with affiliate leadership groups upon request of System Manager.
5. Lead and supervise for Inpatient and Outpatient Medical Coder Auditors and CDS Auditors and Coding & CDI Quality and Training activities for the UNC Health Care System (HCS). Assign duties and tasks to Inpatient and Outpatient Medical Coder Auditors and CDS Auditors. Monitor workload and make appropriate adjustments. Coach for performance and reward and recognize accomplishments.
● Associate's degree in Health Information Management, Nursing or related field.
● Successful completion of the Clinical Documentation Specialist Proficiency Test.
● Must have one of the following: - AHIMA (American Health Information Management Association) certification - AAPC (American Academy of Professional Coders) certification - RN (Registered Nurse) license - LPN (Licensed Practical Nurse) license - Advance Practice Provider (NP or PA) license- Medical Doctor (MD) license with applicable credential
Professional Experience Requirements:
● Requires three (3) years’ of clinical documentation specialist (CDS) experience with three (3) years of relevant supervisory, lead or senior level experience
Knowledge/Skills/and Abilities Requirements:
● Strong knowledge of ICD-10/CPT/HCPCS coding and CDI documentation processes with excellent analytical and data mining skills. Ability to effectively supervise projects, plan and implement programs, and evaluate outcomes. Ability to effectively supervise staff as well as supervise vendor relationships and expectations relative to quality. Must possess strong communication skills, both written and verbal. Exhibits effective organizational skills, time management, management of multiple priorities, as well as, strong presentation skills. Ability to interpret federal and state regulations as they relate to coding and compliance.
Legal Employer: STATE
Entity: Shared Services
Organization Unit: UNCHCS HIM Coding And CDI
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill (Remote)
Exempt From Overtime: Exempt: Yes
The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.
UNC Health is an equal opportunity employer. As such, UNC Health offers equal employment opportunities to applicants and employees without regard to race, color, religion, sex, national origin, age, genetic information, disability, sexual orientation, gender identity or political affiliation.