Wellstar Health System · 8 hours ago
Coding Data Quality Supervisor (10K Sign-On Bonus Available)
Atlanta, GA
Full-time
Onsite
Senior Level
5+ years expWellstar Health System is committed to enhancing the health and well-being of every person they serve. The Coding Data Quality Supervisor oversees coding audit/analyst work, manages team operations, and ensures compliance with coding standards while providing education and process improvement recommendations within the department.
FitnessHealth Care
Responsibilities
Team Supervision
Monitor Auditing/Analyst work queues and auditing software to ensure compliance to Coding CFB, team goals and turnaround times are met
Assess/manages/assigns daily work/volumes. Directs and adjusts staff to volumes, PTO, vacancies, request for overtime, etc. to ensure team and CFB goals are met, seeking budgetary and managerial approval when needed
Direct daily operational needs throughout the day for Auditing/Analyst Team. Troubleshoot issues within the team as well as internal/external customers
Perform staff evaluations, coaching, and constructive feedback as needed. Deliver praise, positive feedback/reinforcement when applicable
Lead productive and timely team and 1-1 meetings with staff. Deliver quality/productivity metrics on team meetings and with individual staff. Ensure all staff meet required metrics and address both positive and negative results. Assist with recognition and process improvement plans
Manage staff time/hours/approvals within UKG
Conduct thorough, prepared interviews and hire competent team members
Implement process improvements within scope of work as well as conduct motivational and team building activities. Connect with staff positively and leverage individuals' strengths in an effort to use resources in the most effective manner
Conduct sporadic or specified coding audits to ensure quality team is meeting quality metrics
Monitors daily staff productivity
Enforce accountability to WellStar Polices and Owning Area Policies and Procedures
Serves as a Subject Matter Expert for, but not limited to PSIs, Vizient methodology, IMO Code requests, 2nd opinion requests from team, other requests from internal/external customers, etc
Investigating and responding to coding questions related to areas of expertise (i.e. inpatient, outpatient, and/or ED coding)
Manage updates for the Internal Departmental Coding Guidelines. Communicate to internal/external customers upon approval from Manager
Review coding updates/trends from various sources and then communicates to Manager/Executive Director
Participate in identifying trends and issues for improvements from review of records, team feedback/meetings, and/or reports
Test software for owning areas workflows, updates, new initiatives, etc
Maintains Reporting Profiles/Dashboard Metrics
Maintains Coder Profile monthly
Monitors Auditing software for corrections at least weekly
Monitors Auditing software and/or reports for validity of Productivity Worksheets at least weekly. Maintains/Updates Productivity and Quality Auditing Spreadsheets and provides deliverable reports from metrics monthly
Creates and maintains updated instructions and tip sheets for all processes/software within scope of work for Auditors and Denial Analysts
Provides/maintains other reports to include but not limited to: Prebill and Mortality Auditing Results, Coder focused results, etc
Oversees management of onboarding of new coders to include but not limited to attending onboarding calls, communicating quality metrics to Data Quality and Coding Managers, and ensuring onboarding processes are followed
Onboard new Auditors/ Analysts to include contractors, if necessary
Interpret trending errors/reports to make recommendations based on results
Provide education within the department to include, but not limited to: trending errors, new code updates, etc
Refer to outside sources for additional education, as needed: 3M Nosology, Coding Clinic, CMS Website
Advocate for issues and improvement opportunities on behalf of owning area
Codes/abstracts/audits accounts and resolve inpatient and outpatient coding denials on a weekly basis to maintain skills and assist in covering workload. Assists with Coding Analyst responsibilities as needed:
Accurately and completely assigns appropriate ICD-10 CM/PCS and/or CPT/HCPCS codes to the greatest specificity with a minimum accuracy rate
Accurately and completely abstracts all required data into the appropriate data fields in compliance with statistical data requirements with a minimum of accuracy rate
Accurately assigns correct APC at a minimum accuracy rate
Meet productivity standards
Queries physicians to further clarify code assignments, if needed
Perform Coding Audits
Validate that the codes, abstracted data and DRGs under focused review are assigned according to official coding guidelines and supported by clinical documentation in the medical record
Identify documentation improvement opportunities in DRG, APC, CPT, ICD-10 CM/PCS codes, POA, Point of Origin, Place of Transfer, and Discharge Disposition, and other coding and documentation elements, as needed
Provide feedback to coding staff on areas of opportunity
Validate adherence to WellStar Coding Policies and Procedures
Validate adherence to WellStar Coding Query Policy
Attend and provide notes back to the Manager for meetings: OCC, Denials, etc. Support other roles within the department. Participate as a Coding representative in meetings
Performs other duties as assigned
Complies with all WellStar Health System policies, standards of work, and code of conduct
Qualification
Required
Bachelor's Degree Health Information Management, Business or other health care related field
Registered Health Information Administrator (RHIA)
Registered Health Information Technician (RHIT)
Certified Coding Specialist (CCS)
Minimum 5 years hospital-based inpatient/outpatient services coding experience currently meeting an accuracy in abstracting, coding and DRG assignment while meeting productivity requirements or passing score on the coding assessment provided by Coding department required
Articulate with critical thinking skills
Ability to use Microsoft Office Suite to include but not limited to Word, PowerPoint, and Excel as well as have operational computer knowledge to manage a large team in a virtual environment which includes web conferencing, email, instant messaging, and other forms of digital technology
Excellent organizational and multi-tasking skills abilities required
Ability to formulate oral and written data in an executive style format to leadership
Ability to represent data professionally and appropriately within owning role to leadership
Extensive experience with Medicare, Medicaid, and reimbursement rules and regulations on all payors
Preferred
Previous auditing in an acute care setting and supervisory or lead experience preferred and demonstrate extensive experience with DRG assignment and hospital coding of diagnosis and surgical procedures with outpatient coding experience preferred
EMR (electronic medical record) knowledge and navigation experience in Epic, 3M, Vizient, HealthStream, Cloudmed, and AudaPro preferred
Company
Wellstar Health System
The largest health system in Georgia.
10001+ employees
H1B Sponsorship
Wellstar Health System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (22)
2024 (18)
2023 (13)
2022 (14)
2021 (18)
2020 (12)
Funding
Current Stage
Late StageLeadership Team
Candice L. Saunders
President and CEO
Alan Muster
SVP Specialty Division
Recent News
BiometricUpdate.com
2025-10-28
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