Coding Manager

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Job Posting Title:

Coding Manager

Location:

Dallas - Hospital

Additional Posting Details:

Remote

Monday - Friday

8:00 am - 4:30 pm

Job Description:

Duties/Responsibilities

• •Manages the daily operations of the Hospital Coding Department to promote steady workflow and data integrity.
• •Manages the daily operations of the Physician Practice Coding Department to promote steady workflow and data integrity.
• •Collaborate with and educate physicians on coding and documentation guidelines.
• •Research coding questions and provide coder feedback - Ensures timely correction of coding errors and edits.
• •Ensures coding audits are performed concurrently and that the areas being audited are updated in conjunction with the department policies.
• •Oversees the monitoring of the aging and DNB accounts to ensure that accounts are coded in a timely manner and that performance is within established coding quality and productivity benchmarks.
• •Conducts regular audits and coordinates monitoring of coding accuracy, productivity, and available clinical documentation.
• •Ensures that audit reports are reviewed, accurate, and corrective action plans implemented.
• •Provides feedback and assists in facilitating and/or coordinating focused educational programs regarding coding and clinical documentation best practices to Coding and clinical staff as needed.
• •Interviews, hires and trains employees; plans, assigns and direct workflow, appraises employee performance; addresses complaints and resolving problems; and proactively manages production and quality control efforts.
• •Conducts trend analysis to identify patterns and variations in coding/documentation practices and case mix index.
• •Identifies process improvement opportunities within the Coding department and implements solutions.
• •Reviews claim denials and rejections pertaining to coding and medical necessity issues and implements corrective action plans as needed/required.
• •Works to provide all Coding staff with annual, quarterly, semi-annual ICD-10-CM/PCS and/or CPT code changes.
• •Maintains all coding information and provides updated manuals, resources, and other coding material.
• •Maintain strong communication with Director(s) and business partners in reporting of unbilled activities related to coding.
• •Mentors team members to encourage personal and professional growth.
• •Encourages ongoing skill development by providing opportunities for continued education.
• •Applies critical thinking, problem solving and change management skills to lead the process and team in identifying and resolving systemic issues.
• •Develop, implement and monitor policies and procedures, guidelines, and coding compliance plan for coding.

Required Skills/Abilities

• •High School Diploma or Equivalent
• •Associates degree in Health Information Management/Health Information Technology, or related healthcare field, or 3 years of managerial experience in Health Information Management or Coding
• •Proven knowledge base in complete and accurate clinical documentation in all healthcare settings and for all healthcare disciplines.
• •Demonstrated knowledge base and experience in acute care hospital and physician/clinic coding and billing practices.
• •Demonstrated knowledge of the conventions, rules, and guidelines for multiple classification systems, including ICD-10 diagnosis and procedures, CPT and Evaluation & Management coding systems.
• •Knowledge of multiple reimbursement systems (e.g., Medicare Severity-Diagnosis Related Groups (MS-DRG), All Patient Refined Diagnosis Related Groups (APDRG), and Ambulatory Payment Classification (APC)
• •Knowledge of clinical documentation improvement methodologies.
• •Ability to establish rapport with physicians and other healthcare practitioners.
• •Must have strong analytical and critical thinking skills to support problem solving and associated change management.
• •Prior use of 3M encoder and Epic software is preferred.
• •Required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), or Certified Professional Coder (CPC).