The Health Information MGMT Supervisor II independently supervises the performance of and performs coding of patient's records to provide accurate physician, technical, supply, surgical and resident billing and reimbursement, while ensuring compliance. The Health Information MGMT Supervisor II work is performed in a hospital based outpatient clinic setting, which will include two or more of the following professional fees, technical fees, multi-specialties, surgical, and/or resident staff coding and billing. Responsibilities include; collecting visit information, analyzing documentation and identifying discrepancies. Prepares and enters changes to the online charge entry systems. Utilizes reports to monitor adherence to required policies and procedures. Responsible to view workques and resolve all discrepancies according to established guidelines. Responsible for analyzing data, identify trends, recommend solutions, and provide continuing education to both physicians and clinical staff. Will serve as an expert to address questions regarding current rules and regulations, compliance issues and insurance billing requirements.REQUIRED-CCS-P certification -AHIMA certification-Complete working knowledge of abstracting and coding, using ICD-10, CPT and HSCPS sufficient to identify diagnostic procedures, supplies and visit level in accordance with required contact agreements and procedures with a goal of maximizing reimbursements for professional and technical charges with in stated constraints.-Comprehensive knowledge of medical diagnostic and procedural terminology.-Knowledge of disease processes, anatomy and physiology necessary for assigning accurate codes. Knowledge of Co-operative Parties Guidelines pertinent to ambulatory coding.-Knowledge of federal, state and local government regulations and requirements which pertain care information.-Knowledge of third party payor reimbursement requirements and an understanding of relative values for multi-medical specialties, encounters and procedures in an outpatient setting.-Demonstrated experience in preparing and interpreting financial reports and statistical data. Able to complete clinical billing data related to patient encounters.-Remains current with periodic updates of all coding manuals and guidelines in accordance with federal, state and local regulations.-Excellent written and oral communications skills.-Problem solving and decision making skills to independently define a problem, identify the resources available, create viable solutions and take the necessary action.-Filing skills to maintain information in alphabetical, chronological and numerical order such that data is current and easily retrievable.-Abides by American Health Information Management Association's established code of ethical principles to safeguard the public and contribute within the scope of the profession to quality and efficiency in health care, thus promoting ethical conduct. Abides by all compliance principles regarding fraud and abuse in the reimbursement environment. SPECIAL REQUIREMENT - THIS POSITION MAY BE SUBJECT TO A CRIMINAL BACKGROUND INVESTIGATION, DRUG SCREEN, LIVE SCAN FINGERPRINTING, MEDICAL EVALUATION CLEARANCE, AND FUNCTIONAL CAPACITY ASSESSMENT
Internal Number: 054130
About University of California Davis Medical Center
At the end of 2015, we launched a comprehensive and inclusive process to tap into the broad, diverse knowledge of our entire UC Davis Health community to stimulate new and unique ideas for our next strategic plan.Throughout 2016, hundreds of members of our UC Davis Health family, as well as external friends and partners, took part in conversations and provided valuable input into charting a long-term course for our future that will continue the momentum underway to solidify our position as a top-tier health care organization.With your valuable input and talents, I am excited to launch our six new strategic plan goals. Over the next few years, together we will:Lead Person-Centered Care in the best way, at the best time, in the best place, and with the best teamReimagine Education by cultivating diverse, transdisciplinary, life-long learners who will lead transformation in health care to advance well-being and equity for allAccelerate Innovative Research to improve lives and reduce the burden of disease through the discovery, implementation and dissemination of new knowledgeImprove Population Health through the use of big data and precision healthTransform Our Culture by engaging eve...ryone with compassion and inclusion, by inspiring innovative ideas, and by empowering each otherPromote Sustainability through shared goals, balanced priorities and investments in our workforce and in our communityAt a time when our industry is experiencing some of the most formidable changes ever, these are bold aspirations that will anchor us and provide us with clarity of purpose and a path forward. I am fully confident that we will achieve great success knowing we have a solid plan and areas of focus to guide us.I thank everyone who participated in the planning process for their great input and their dedication to our future success.