Coding Supervisor

Reporting directly to the individual teams’ Coding Manager or Senior Coding Manager of the Coding department in the Combined Professional Billing Office (CPBO), the Supervisor manages the coding specialist from a technical, operational, and human resources perspective in collaboration and coordination with the Coding Manager or Senior Manager. The Supervisor is responsible for managing coding specialists and receivables on a multi-specialty focused coding team. The Supervisor directly manages a team of up to 12 Coding Specialists and ensures that all processes performed within each team are completed in a timely and efficient manner. Manages a variety of complex assignments using numerous electronic systems; performs a variety of special billing projects; acts as an expert resource to all departments within the CPBO on complex coding issues related to their team. In particular, the Supervisor focuses on building direct communication and collaborative relationships with their team members, our providers, the CPBO and other departments. The Supervisor demonstrates a service orientation which consistently aims at exceeding our client expectations using our organizational guiding principles, which contributes positively to the greater working environment.

The Combined Professional Billing Office is the central billing office for physician practices affiliated with Massachusetts General Brigham in Boston, Massachusetts.

• Achieve excellence in performance by working collaboratively with others on Professional Billing Office initiatives

• Supports and demonstrates the values and guiding principles of the CPBO by conducting activities in an ethical manner with integrity, honesty, and confidentiality. Demonstrates a positive, open-minded, can-do attitude. Represents a team perspective and willingness and enthusiasm to collaborate with others. Follows through on commitments and achieves desired results. Exhibits sound judgment, obtains the facts, examines options, gains support, and achieves positive outcomes.
• Maintains high standards of professional conduct at all times. Represents the CPBO Professional Billing Office at events and projects external to the organization.
• Enthusiastically promotes a cooperative team environment to provide value to all. Acts as a leader in creating a positive atmosphere within the team. Listens and interacts tactfully, diplomatically, and effectively to create an inclusive environment.

• Provides opportunities for continuing education, skill training and upward mobility for employees. Creates an environment that encourages quality, productivity, loyalty, job satisfaction and positive reinforcement.

• Ensures that quality services are delivered to the customer. Ensures that adequate monitoring plans are in place with appropriate reward and corrective action systems.

• Leverages technology to improve processes. Is forward thinking with regard to the use of technology and its application to current processes. Utilizes existing technologies to the fullest to ensure revenue optimization and operations are efficient.

• Serves as the primary backup to the Manager or Senior Coding Manager.

Personnel and Performance Management:

• Responsible for hiring (in collaboration with senior management), supervising, process training, and motivating staff. Provides leadership and coaching to develop and help to retain qualified staff. Ensures staff completes all required training and orientation and obtains access to appropriate systems.
• Evaluates work performance. Manages staff accountability for work performance and behavior by providing timely and consistent feedback. Completes all staff evaluations on schedule.
• Collaborates with Team Lead to identify educational opportunities and processes for individual and team meetings.
• Works with Senior Coding Leadership and Human Resources to implement hospital policies and procedures and to address employee issues, (i.e., counseling, discipline, EAP). Enforce corrective action as needed.
• Responsible for managing time (including tardiness and attendance), monitoring earned time, and approving vacation requests and assisting with vacation coverage.

Charge Review, SBO, Claim and Follow Up Management

• Manages the daily activities of the Team members to effectively organize complex work processes including:
• EPIC WQ processing (Charge Review, Claim Edit, Charge Router, SBO Accounts, and Follow Up)
• ICM worklists volume and lag, as well as ICM document manager
• Monitoring Staff Productivity and QA Statistics
• Conducts regularly scheduled staff meetings and 1:1 meetings to facilitate feedback from staff regarding departmental issues. Document minutes and distributes in a timely manner.
• Closely monitors staffing, staff productivity and staff quality. Assigns, monitors, and recommends adjustments to workflows within the specific team to the [Senior] Coding Manager
• Maintains effective relationships with internal and external customers to ensure consistent communication on issues impacting the overall operation of the team.
• Reviews Follow Up workqueue’s to ensure thorough follow up and to trouble shoot issues. Assigns, monitors, and recommends adjustments to workflows within the team as it relates to current denial issues.
• Assists in the development and maintenance of department policies and procedures. Communicates and implements department policies and procedures to all staff and makes recommendations for revisions. Provides oversight for the implementation of new initiatives and processes.
• Participates in continuous quality improvement efforts on an ongoing basis. Establishes goals with Manager and tracks progress. Complies with hospital confidentiality policy (attached).
• Manages special projects and other duties as assigned.

• High School Diploma and/or GED equivalent required
• Solid knowledge of medical terminology, medical billing, A/R systems, ICD-10, and CPT coding, HCPCS required.
• Strong communication and leadership skills required.
• Course work in anatomy and physiology, medical terminology strongly preferred.
• Coding Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) is required. Certification may include CPC®, COC®, CCS, CCS-P.
• Additional coding certifications preferred (Specialty and/or related)
• Completion of a Coding Certificate program or Health Information Technology Program or > 2 years work experience equivalent required.
• A Minimum of 5 years of experience in coding required.

• Effective communication skills (both verbal and written)
• Ability to motivate and lead staff by follow the guiding principles and core values of the CPBO
• Project management skills in order to manage multiple projects and issues simultaneously
• Ability to assume a high level of responsibility and autonomy
• Ability to interact with people from all levels of the organization
• Advanced Proficiency in ICD-10, CPT®, HCPCS, and modifiers for coding of professional fee services.
• Advanced knowledge of anatomy and physiology, medical terminology and insurance reimbursement policies and regulations.
• Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines are required.
• Understands, retains, and can research coding and billing rules, regulations requirements and is able to help others to understand.
• Able to perform all quality assurance duties as described in the Quality Assurance Specialists job description.
• Able to critically think through processes in coding to recognize errors and/or problems. Understands reasons for actions on edits and can help others to understand.
• Able to make recommendations for changes to edits for process improvement.
• Able to identify denials, trends, and resolutions. Able to identify areas for improvement through edit management, education, automation, bots, and/or other technology.
• Able to share/transfer knowledge or train co-workers, peers, billing managers on coding. Able to provide education with physicians in various size group sessions as needed or requested.
• Accuracy and attention to detail
• Proficient with computer applications (MS Office etc.), Excellent data entry skills
• Experience with Epic software is desired.

The Combined Professional Billing Office is located in the Charlestown Navy Yard campus with additional locations in Massachusetts and NH.

This role is primarily a remote position; however, the employee is required to travel to any MGB facilities to attend on-site or off-site meetings as needed and/or required. This includes travel to new client sites

The hours are usually Monday through Friday 8:00 AM to 4:30 PM but vary according to the demands on this exempt salaried position

Supervises a team of Coding Specialists consisting of up to 12 employees

Positions supervised will be Coding Specialists

The Supervisor follows all policies relating to expenses, budgets, and financial matters as appropriate. The Supervisor is mindful of budget when making decisions and/or requests for expenses.

The Supervisor follows appropriate protocol when requesting purchases, reimbursements, and additional funding.

Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.