Job Description

Reporting to the HIM Director, the Coding Manager manages the daily operations of coders within the Health Information Management (HIM) department. The Coding Manager collaborates with staff across the continuum to ensure utmost return on HIM coding activities.

JOB RESPONSIBILITIES

The HIM Coding Manager directs coding processes in a manner that ensures compliance and efficiency.
Accountabilities:

• Develops and monitors productivity standards for coding of medical records.
  Acts as a liaison with Patient Financial Services, Inpatient, and Outpatient Program Managers.
• Utilizes coding/abstracting systems and ensure that appropriate computer systems are updated with the annual code changes or charges as needed.
• Acts as a resource for the coding staff as well as the medical staff to address coding documentation issues and questions.
• Provides orientation, handles personnel action tasks, staff evaluations, training, and in-service to coding staff.
• Assures codes are supported by provider documentation and reliable data collection
• Promotes a culture of integrity, maintains an “open door” policy, and does not participate in or allow retaliation against those who report good faith concerns.
• Performs the functions of hiring, training, scheduling, counseling, evaluating, and terminating employees for assigned areas of supervision.
• Practices proper safety techniques in accordance with Center and departmental policies and procedures. Responsible for the reporting of employee/patient/visitor injuries or accidents, or other safety issues to the supervisor and in the occurrence notification system.
• Monitors and ensures compliance with all regulatory requirements, organizational standards, and policies and procedures related to area of responsibility. Identifies potential risk areas within the area of responsibility and supports problem resolution process.
• Other duties as assigned.

REQUIRED MINIMUM EDUCATION

• Two- or four-year degree from an accredited Health Information Technology or Management program or from an accredited healthcare-related course of study.

REQUIRED MINIMUM CERTIFICATION

• RHIT, RHIA certification preferred.

• CPC or RHIT/RHIA or CCS-P/CCS or combination
  

REQUIRED MINIMUM EXPERIENCE

• Minimum of 3 years of recent acute care and/or physician practice coding experience with a minimum of 3 years of progressive supervisory and/or management experience in Coding and/or HIM preferred; preferably over a large group or at a system level.
• Proven history of managing a successful coding team.
• 5 or more years related healthcare experience; 4-5 years of experience coding in outpatient/inpatient (depending on the setting)
• Proficiency at researching and solving problems; Willingness to engage and assist in the education of physicians within both services
• Experience with 10-key, medical terminology, ICD-10 and CPT; Proficiency in ICD-10, CPT and HCPCS
• In depth knowledge of Medicare and various other payer coding, billing, and reimbursement guidelines; Leadership and communication skills.
  

REQUIRED MINIMUM SKILLS

• Advanced knowledge of ICD-10-CM/PCS Coding Guidelines, CPT-4 and HCPCS Coding, Coding Clinic, DRG reimbursement, professional fee coding and reimbursement.
• Extensive knowledge of complex disease processes. Extensive knowledge of reimbursement systems. Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation and coding.
• Advanced software user skills in Microsoft Office, Cerner Millennium, and Encoder and Chargemaster systems. Epic experience a plus.
• Product development and continuous quality improvement knowledge and skills essential.
• Broad knowledge of insurance regulations and Medicare and Medicaid guidelines.
• Skilled in preparing and maintaining records and written reports.
• Skilled in establishing and maintaining effective working relationships with physicians, hospital staff and vendors.
• Ability to interpret, adapt, and apply guidelines and procedures.
• Ability to analyze complex clinical scenarios and apply critical thinking.
• Libman Coding Education platform (preferred)

PREFERRED QUALIFICATIONS

• Three years recent acute care experience, progressive supervisory experience within Coding or HIM environment
• Bachelor's degree is preferred.
• Three years recent acute care or LTACHexperience…..

PHYSICAL DEMANDS

• Work is primarily seated but may involve walking or standing briefly. Occasionally lifting or carrying up to 15 pounds

WORKING CONDITIONS

• None

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be an exhaustive list of all job duties performed by the personnel so classified.