Supervisor, HIM Coding Quality
Company: Parkland Health and Hospital System
Location: Dallas
Posted on: May 19, 2025
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Job Description:
Interested in a career with both meaning and growth? Whether
your abilities are in direct patient care or one of the many other
areas of healthcare administration and support, everyone at
Parkland works together to fulfill our mission: the health and
well-being of individuals and communities entrusted to our care. By
joining Parkland, you become part of a diverse healthcare legacy
that's served our community for more than 125 years. Put your
skills to work with us, seek opportunities to learn and join a
talented team where patient care is more than a job. It's our
passion.Primary Purpose Supervises day-to-day operations with the
Parkland coding editor team. Coordinates with all areas of Parkland
HIM, Parkland Revenue Cycle, and Clinics to provide timely,
completeness, and accuracy of coding which triggers edits for
optimalPrimary PurposeSupervises day-to-day operations with the
Parkland coding editor team. Coordinates with all areas of Parkland
HIM, Parkland Revenue Cycle, and Clinics to provide timely,
completeness, and accuracy of coding which triggers edits for
optimal reimbursement. Proactively identifies and resolves
potential coding denials for trending and education. Monitors team
production, and quality all while maintaining workflows to support
efficiencies. - Must demonstrate the ability to provide direction
to editors as it relates to coding integrity, established coding
guidelines and Parkland's policies to ensure accuracy of recorded
patient medical information and appropriate reimbursement for
services rendered. -Minimum SpecificationsEducation
-Skills or Special Abilities--- - - - - - - - - - - - - Must
possess strong supervisory, leadership, and interpersonal
skills.--- - - - - - - -Must have worked closely with physicians
and APPs to include ongoing education that fosters documentation
improvement. ---- - - - - - - - - - - - - Must be able to
demonstrate time management, organizational, oral, and written
communication skills.--- - - - - - - - - - - - - Must be proficient
and demonstrate advanced knowledge of ICD-10-CM/PCS and CPT/HCPCS
coding and abstracting and have advanced clinical knowledge of
medical terminology, disease process, and pharmacology.--- - - - -
- - - - - - - - Must be able to demonstrate knowledge of
reimbursement (Medicare and Medicaid) principles and methodologies
(MS-DRG and APC).--- - - - - - - - - - - - - Must have a working
knowledge of compliance guidelines related to coding and
billing.--- - - - - - - - - - - - - Must have strong skills in
diplomacy, professionalism, and trustworthiness.--- - - - - - - - -
- - - - Must be able to demonstrate excellent computer skills,
including word processing, spreadsheet, and database management
software proficiency.--- - - - - - - - - - - - - Must be able to
adjust to multiple demands, shifting priorities, ambiguity, and
rapid change.--- - - - - - - - - - - - - Must be able to build
trust with others by demonstrating authenticity and follow-through
on commitments.--- - - - - - - - - - - - - Must be able to
demonstrate critical thinking, time management, and organizational
skills.--- - - - - - - - - - - - - Must have strong skills in
diplomacy, professionalism, and trustworthiness.
-Responsibilities1. Assists in the selection of new team members,
trains, schedules, motivates, supervises, and
evaluates employees making recommendations for disciplinary actions
up to and including
termination, to ensure maximum utilization of individual and group
capabilities. Ensures that
assigned employees receive opportunities to further their
knowledge.
2. Demonstrate the ability to formulate an appeal rationale based
on clinical documentation,
application of LCD, relative carrier policies and published coding
guidelines and charge entry staff
for single or low volume errors.
3. Responsible for working with coding denials team on accuracy in
reviewing supporting
documentation, CCI/LCD, carrier policies and utilization of coding
software applications.
4. Report any and all coding denial trends to Coding Integrity
Quality Review leadership team with
direct collaboration with Coding Operations and HIM Provider
education team.
5. Works in collaboration with PFS denials management team on
governmental, payer-specific
guidelines to identify any coding and billing requirements to make
recommendations for system or
human process changes or education.
6. Responsible for ensuring the performance of quality assurance
activities with designated service
level agreements in place.
7. Provides input into procedural changes in order to maintain
efficient operation of the Coding
Quality Review and Revenue Integrity process.
8. Understands "official coding guidelines" as published in AHA
Coding Clinic and AMA CPT
Assistant, and hospital policy, including specific payer
guidelines, rules, and regulations in
analyzing questionable documentation to ensure the accuracy and
completeness of clinical and
financial information reported for billing of hospital services.
Provides reports and feedback to the
Coding Quality Manager on findings as needed.
9. Maintains knowledge of applicable rules, regulations, policies,
laws, and guidelines that impact
the coding quality area. Provides input as requested to assist in
the development of effective
internal controls that promote adherence to applicable
state/federal laws, and the program
requirements of accreditation agencies and federal, state, and
private health plans.
10. Stays abreast of the latest developments, advancements, and
trends in medical records coding
by attending educational programs, reading professional journals,
actively participating in
professional organizations, and maintaining certification.
Integrates knowledge gained into current
work practices.
11. Maintains a positive working relationship with physicians,
nurses, medical staff, and hospital
employees to ensure that all work-related encounters are
productive.
12. Identifies ways to improve work processes and improve customer
satisfaction. Makes
recommendations to the Coding Quality Manager and implements and
monitors results as
appropriate in support of the overall goals of the department and
Parkland.
13. Conducts training and integration of new staff to the Revenue
Integrity and Quality Review
department, as required.
14. Maintains positive communication with various departments.
Takes the lead on researching
opportunities and presents options regarding how to resolve issues
that impact the revenue cycle
and operational processes. Notifies the Coding Quality Manager when
trends and opportunities
for improvement are discovered.
15. Identifies opportunities for process improvement and assists in
plan development to achieve
process performance goals to improve effectiveness, productivity,
and efficiency that support the
overall goals of the department and Parkland. -Job
Accountabilities1. Identifies ways to improve work processes and
improve customer satisfaction. Makes
Created By: Tamia Jackson May 05, 2025 Version: 7
recommendations to supervisor, implements, and monitors results as
appropriate in support of the
overall goals of the department and Parkland.
2. Stays abreast of the latest developments, advancements, and
trends in the field by attending
seminars/workshops, reading professional journals, actively
participating in professional
organizations, and/or maintaining certification or licensure.
Integrates knowledge gained into
current work practices.
3. Maintains knowledge of applicable rules, regulations, policies,
laws and guidelines that impact the
area. Develops effective internal controls designed to promote
adherence with applicable laws,
accreditation agency requirements, and federal, state, and private
health plans. Seeks advice and
guidance as needed to ensure proper understanding.Parkland Health
and Hospital System prohibits discrimination based on age (40 or
over), race, color, religion, sex (including pregnancy), sexual
orientation, gender identity, gender expression, genetic
information, disability, national origin, marital status, political
belief, or veteran status. -As part of our commitment to our
patients and employees' wellness, Parkland Health is a tobacco and
smoke-free campus.
Keywords: Parkland Health and Hospital System, Waco , Supervisor, HIM Coding Quality, Other , Dallas, Texas
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