Inpatient Coding and Clinical Documentation Integrity Supervisor

Greater Baltimore Medical Center (GBMC)
United States, Maryland, Towson
6545 North Charles Street (Show on map)
Jun 11, 2025
Under limited supervision of the Manager of Coding and CDI, the Inpatient Coding and CDI Supervisor manages, plans, organizes, and evaluates the daily operations and staff of the day-to-day operations of the department. Provides leadership to coding team members by communicating and guiding toward achieving department objectives. Ensures implementation and evaluation of operating policies, procedures, and processes. Monitors coding compliance, develops and implements ongoing education activities for coding staff. Acts as a subject matter expert on inpatient coding, serving as the organization's resource for coding issues and questions. Education Must possess a high school diploma or GED. Associate's Degree in Health Information Management preferred. Experience A minimum of 5 years of acute care facility coding experience. Prior supervisory experience is preferred. Licensures, Certifications CCS Certified Coding Specialist (CCS) required Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Integrity Practitioner (CDIP) at start of hire is strongly preferred. Is required to obtain within one year of hire. Knowledge, Skills and Abilities Computer literacy required. Must be proficient with Microsoft Word, Excel, and PowerPoint. Must be able to work independently and possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to effectively communicate and deal tactfully with clinical and administrative professionals. Ability to coordinate, monitor, and audit the work of others. Strong time management skills. Physical Requirements Ability to sit, concentrate, and pay close attention to detail Principal Duties and Responsibilities Ensures complete, accurate, timely, and consistent coding and DRG/code validation, while adhering to published coding guidelines and organizational policy. Abides by national Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adhering to official coding guidelines. Maintains up-to-date knowledge of regulatory changes affecting coding requirements, ensuring staff are appropriately educated. Stays abreast of coding, and DRG updates, reference information, such as Coding Clinic, to ensure accurate coding and DRG assignments. Personnel Management Coordinates and maintains work schedules for Clinical Validation Specialists to ensure adequate staffing is in place to meet department metrics for Coding Days and Days in Accounts Receivable (AR), while adhering to personnel budget. Monitors productivity and quality of Clinical Validation Specialists, ensuring appropriate follow-up is taking place. Oversees staff schedules and assignments. Manages and approves staff time and attendance. Orients and trains newly hired Clinical Validation Specialists. Inpatient Coding & CDI Subject Matter Expert Monitors the process of unbilled accounts daily, troubleshooting barriers to timely coding of inpatient accounts. Works with Patient Financial Services to resolve problems related to accounts that cannot be billed because of coding and/or medical necessity issues. Serves as liaison with other hospital departments and colleagues to research, resolve, and respond to issues related to coding. Develops educational materials and presentations for providers regarding documentation improvement. Completes review of inpatient admissions to evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses and procedures for accurate DRG assignment, risk of mortality and severity of illness. Queries regarding missing, unclear, or conflicting EHR documentation by requesting and obtaining additional documentation within the EHR when needed. Performs clinical validation of all diagnoses, abnormal laboratory data, abnormal radiology reports as well as applying internal clinical criteria to documentation. Supports state reporting to the Health Services Cost Review Commission (HSCRC). Identifies problems, recommends solutions and courses of action. Coding Department Leadership Assists Manager of Coding and CDI with projects as assigned. Performs other duties as assigned under direction of the Manager of CDI. Assumes "Manager" role in Manager of Coding and CDI's absence. Assists in developing, recommending, planning, and administration of policies and procedures. Compiles various reports for hospital leadership. All roles must demonstrate GBMC Values GBMC Values Value Description Respect I will treat everyone with courtesy. I will foster a healing environment. Treats others with fairness, kindness, and respect for personal dignity and privacy Listens and responds appropriately to others' needs, feelings, and capabilities Excellence I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. Meets and/or exceeds customer expectations Actively pursues learning and self-development Pays attention to detail; follows through Accountability I will be professional in the way I act, look and speak. I will take ownership to solve problems. Sets a positive, professional example for others Takes ownership of problems and does what is needed to solve them Appropriately plans and utilizes required resources for various job duties Reports to work regularly and on time Teamwork I will be engaged and collaborative. I will keep people informed. Works cooperatively and collaboratively with others for the success of the team Addresses and resolves conflict in a positive way Seeks out the ideas of others to reach the best solutions Acknowledges and celebrates the contribution of others Ethical Behavior I will always act with honesty and integrity. I will protect the patient. Demonstrates honesty, integrity and good judgment Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers Results I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals. Embraces change and improvement in the work environment Continuously seeks to improve the quality of products/services Displays flexibility in dealing with new situations or obstacles Achieves results on time by focusing on priorities and manages time efficiently Pay Range $77,201.00 - $138,961.82 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. COVID-19 Vaccination All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners. Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.