Coding Manager

This is a fully remote position.

About the role

Under the direction of the Director of Health Information Management and according to established CVPH policies and procedures, the Manager, HIM (Facility Coding) is responsible for planning and organizing the Facility Coding program at CVPH and ensures that all hospital, state, and federal reporting guidelines are followed. The Manager acts as a liaison with the business office, patient registration, medical, and ancillary staff to resolve problems and improve work processes. The manager communicates regularly with the Manager, HIM (Clerical).

Responsibilities

• Plan and organize the Facility Coding program at CVPH.
• Ensure compliance with all hospital, state, and federal reporting guidelines.
• Act as a liaison with the business office, patient registration, medical, and ancillary staff to resolve problems and improve work processes.
• Communicate regularly with the Manager, HIM (Clerical).
• Understand daily functions, processes, and responsibilities of Health Information Management clerical staff.
• Work actively with the DNFB process and be aware of current differences in payment processes among insurance payers.
• Manage and understand the charge master, revenue codes, processing patient type changes, cancelled accounts, and CMS code edits.
• Code and/or audit inpatient and outpatient accounts as needed.
• Oversee the CDI program and understand the relationship between the CDI specialist(s) and the medical/coding staff.
• Apply process improvement strategies, mentoring, and guidance to the CDI specialist.

Requirements

• Bachelor’s degree in HIM or HIM-related field preferred.
• RHIA, RHIT, CCS, or CCS-P coding credential required.
• Minimum of five years of prior coding/CDI management experience in an acute care facility.
• Strong grasp of MS-DRGs, APR-DRGs, and APCs.
• Knowledge of HIPAA and ROI regulations.
• Good communication, organization, and problem-solving skills.
• Interpersonal skills to interact with subordinates, Medical Staff members, and other departmental and Medical Center personnel.
• Knowledge of anatomy and physiology, medical terminology, ICD-9 CM, CPT-4, HCPCS coding rules and regulations.
• Experience with a CDI program.
• Basic office equipment experience.
• Demonstrated knowledge of computer technology and automated system designs for Health Information Management.
• Strong hands-on experience with MS Office including Excel, Word, and PowerPoint.