Job Summary
The Manager Coding will manage and oversee a team of coders (inpatient and outpatient) to ensure effective and efficient coding operations. Also, this role will audit the most complex service records to ensure coding and documentation accuracy and compliance. Contributes to revenue and strategic planning initiatives in collaboration with coding and revenue integrity leadership.
Accountable for code assignments, applying expertise and knowledge of compliance, official coding guidelines and revenue cycle to solve complex problems, recommend resolution and implement solutions.
Flexible work arrangements are available (hybrid, remote, etc.).
Core Job Responsibilities
- Problem solves and resolves complex coding issues.
- Ensure coders have the necessary training, education and support.
- Review coding audits, identify areas of concern and make recommendations for resolution of concern. Identify documentation deficiencies and opportunities to improve Severity of Illness and Risk of Mortality.
- Collaborate with Clinical Documentation Improvement (CDI) teams to optimize reimbursement and quality measures.
- Track, trend, and analyze individual and departmental coding KPIs and report up to the Director of CDI and Coding.
- Ensure coding accuracy according to established guidelines and reimbursement requirements unique to individual payers.
- Utilize coding resources and tools to justify accurate codes.
- In partnership with leadership and Human Resources, make decisions or recommendations related to performance management, hiring, transfers, corrective actions, terminations, etc. Resolve staff issues and grievances in a fair, timely and consistent manner, also in partnership with HR.
- Perform related duties as required.
Education/Experience Requirements
REQUIRED:
- Bachelor's degree in Health Information Management, a related degree, or equivalent work experience.
- 5 years of hospital-based inpatient and outpatient coding/auditing/chart review experience, with a focus on advanced ICD-10-CM and PCS coding with at least 3 years of supervisory or leadership experience.
- Experience working with high-volume/complex cases in large healthcare organizations, including specialty areas such as cardiology, Interventional Radiology (neurology / stroke related coding), trauma, mother & baby, and pediatrics.
- Strong knowledge of anatomy, disease processes, medical terminology, pharmacology, and surgical procedures.
- Proficient use of electronic health records (EHRs) and encoder systems.
- Excellent verbal and written communication skills.
PREFERRED:
- Knowledge of 3M Encoder Software and guidelines or standards of CMS, AHA Coding Clinic, AHIMA, UHDDS, ACDIS, and AAPC.
Licensure/Certification Requirements
REQUIRED:
- CCS Certification (Certified Coding Specialist), CIC Credential (Certified Inpatient Coder), or CPC Credential (Certified Professional Coder) from the AAPC.
PREFERRED:
Disclaimer
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.
Job Details
Req Id 94355
Department CODING
Shift Days
Shift Hours Worked 8.50
FTE 1
Work Schedule SALARIED MANAGEMENT
Employee Status A1 - Full-Time
Union Non-Union
Pay Range $80k - $105k/Annually
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