Coding Manager

JOB SUMMARY

The Manager of Coding is accountable for managing the overall operations, functions, workflow, services, staff and expenses related to coding for one or more service lines/patient classes. This position works in conjunction with the department leadership in the development of and responsibility for overall departmental goals, targets, policies and procedures, projects and annual budget.

ESSENTIAL FUNCTIONS OF THE ROLE

• Plans, organizes, develops, staffs and manages coding for Health Information Management (HIM) or Risk Management. Assumes responsibility for the department in absence of the Director, as requested.
• Monitors staffs compliance with production and quality standards, and takes appropriate action when standards are not met.
• Ensures staff perform timely follow-up on audit findings and ensuing coding corrections or rebuttals.
• Ensures areas of responsibility are in compliance with the Centers for Medicare and Medicaid Services (CMS), Medical Staff Rules and Regulations and Bylaws, and other regulatory agencies.
• Manages, trains, measures and monitors personnel and their performance according to policies and procedures. Performs annual appraisals for direct reports. Participates in the recruitment and hiring of staff. Reviews daily operations, including providing work assignments, continuous problem-solving and prioritization. Works closely with staff to maximize operational efficiencies.
• Partners with leadership on finance related goals and duties: monitors budgets for areas of responsibility, promotes cost effectiveness with budgetary guidelines, and ensures monthly budget variance reporting.
• Works in conjunction with department leadership to establish goals and targets, including meeting billing work in progress (WIP) goals, and works toward successful development, documentation, implementation, and evaluation of policies and procedures.
• Manages quality assessment and improvement services for areas of responsibility. Maintains and tracks quality and productivity standards and reports issues to department leadership.
• Serves as subject matter expert and responds to coding related questions that are needed to drive related processes, policies and procedures. Interfaces with other committees, groups and staff.
• Promotes effective departmental communication. Conducts regular team meetings and staff rounding. Participates in hospitals, clinics, health plan and medical staff committee meetings, as needed.

KEY SUCCESS FACTORS

• Expertise in ICD 9 or ICD-10 diagnosis and Current Procedural Terminology (CPT) coding.
• Critical thinking skills to review documentation and apply coding and documentation guidelines.
• Exceptional management skills to manage a diverse group of employees, including those that work remotely.
• Outstanding communication skills to keep others well informed and encourages open dialogue.
• Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiable.
• Ability to manage and perform in a team environment.
• Seeks the win-win situation and builds relationships.

BENEFITS

Our competitive benefits package includes the following

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

QUALIFICATIONS

• EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
• EXPERIENCE - 5 Years of Experience

CERTIFICATION/LICENSE/REGISTRATION

• Must have one of the following:
  • CCS - Cert Coding Specialist
  • CCS-P - Cert Coding Specialist-Physician Based
  • CPC - Cert Coding Specialist
  • RHIT - Reg Health Information Tech
  • RHIA - Reg Health Information Admin
  • Cert ICD-10-CM/PCS Trainer