Job Description

Under direction from the Manager of Health Information Management, the Coding Supervisor will assist in the day-to-day operations for the Health Information Management (HIM) department related to coding and CDI (clinical documentation improvement). The ideal candidate will have a Bachelor's Degree in Health Information Management, strong Inpatient and Outpatient coding experience and Certified Coding Specialist certification combined with extensive supervisory experience overseeing other coding specialists. PAYROLL TITLE: Senior Program Administrator EDUCATIONAL/BILINGUAL INCENTIVE: Incumbents may be eligible for educational incentive of 2.5%, 3.5%, or 5% based on completion of an Associate's, Bachelor's, or Master's degree that is not required for the classification. Incumbents may also be eligible for bilingual incentive depending upon operational need and certification of skill. DEPARTMENT/AGENCY: Health Care Agency – Administration Senior Program Administrator is a Management classification and is not eligible for overtime compensation. Incumbents in this classification are eligible for benefits at the MB3 level. The eligible list established from this recruitment may be used to fill current and future Regular (including Temporary and Fixed-term), Intermittent, and Extra Help vacancies for this position only. There is currently one (1) Regular vacancy. TENTATIVE SCHEDULE OPENING DATE: 4/4/25 CLOSING DATE: Continuous and may close at any time; therefore, the schedule for the remainder of the process will depend upon when we receive enough qualified applications to meet business needs. It is to your advantage to apply as soon as possible.) Examples Of Duties Duties may include, but are not limited to the following: Performs monthly internal coding audits to evaluate accuracy and quality of coding on inpatient and outpatient accounts, recognize education needs of the coders; provide ongoing education and monitor the progress of coders that are not meeting quality standards; prepare audit reports, audit summary analysis of accuracy rate, compliance rate with quality standards and HCAI requirements; Reviews insurance denials and submit appeals as necessary, provide education to coders based on denials; Assists in organizing, coordinating, and directing of coding activities of the Health Information Management Department at VCMC; Reviews and evaluates policies and procedures for the Medical Records Department in relation to the overall hospital goals; in coordination with the Medical Records Director and subordinate supervisors; Assists in managing a large team of Coders (Inpatient & Outpatient), coding productivity and collaborate with Clinical Documentation Specialist team; Provides coding guidance to staff on the most difficult coding cases; Ensures VCMC coding practices are in compliance with ICD-10 CM/PCS and CPT coding guidelines, Federal and State regulations and Payer-specific guidelines as required; Oversees the Discharged Not Final Coded (DFNC) and knowledgeable of the CDI program; Administers all Office of Statewide Health Planning and Development (OSHPD) cases; Provides education to the physicians on documentation requirements to establish medical necessity based on coding guidelines for assignment of accurate DRG and SOI, ROM as needed; Confers with other managers on policy matters and work problems; interprets policies and procedures and explains their application within the context of the assigned program field; Collaborates with external coding auditors, different departments within the organization including billing, quality and other departments as necessary; Prepares required reports; compiles and analyzes narrative financial information and statistical data to improve operations, identifies program needs and/or change service delivery methods; and Performs other related duties as required. Typical Qualifications These are entrance requirements to the exam process and assure neither continuance in the process nor placement on an eligible list. EDUCATION, TRAINING, and EXPERIENCE Five (5) years of experience performing health information management responsibilities including Revenue Cycle in a medical records department of a hospital or health care facility. Two (2) years of supervisory experience in a medical records unit. NECESSARY SPECIAL REQUIREMENTS Intermediate skill with Excel Must have a current Certified Coding Specialist (CCS) certification Possession and maintenance of valid California driver license DESIRED Bachelor's Degree in Health Information Management or related field Knowledge, Skills, and Abilities: Working knowledge of: the principles and techniques of program management organization and staffing administrative application of data processing electronic health records (EHR) systems CDI program public relations personnel administration as applicable to allocated level and program principal techniques and methods applicable to assigned program Health information Management responsibilities applied to Revenue Cycle Ability to: analyze administrative problems prepare a variety of reports and recommendations effectively utilize electronic health record systems utilize Microsoft Excel proficiently speak effectively in public plan, organize, and supervise the work of others

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