Hospital and Professional Coding Manager - Hospital Rev Cycle - Remote Work Schedule

About the role

The Coding Manager oversees, directs, and plans for inpatient, outpatient, and professional coding teams. This position develops, implements, and maintains standardized policies, procedures, and best practices for coding, auditing, and education functions.

Responsibilities

• Develops, implements, and maintains standardized policies, procedures, and best practices for coding, auditing, and education functions.
• Performs concurrent and retrospective audits of coding services.
• Maintains coding metrics and quality according to industry standards.
• Evaluates individual performance and provides coaching, mentoring, and corrective action.
• Recruits, screens, interviews, and hires staff.
• Provides coding education to medical staff, providers, and departments to ensure accurate and compliant code capture based on clinical documentation based on official coding guidelines.
• Partners with departments across the organization on quality data management planning for coding and reimbursement, health records and documentation compliance with external regulatory and accreditation requirements.
• Participates in the Coding/Billing Compliance Plan/Program.
• Works collaboratively with stakeholders across the organization on reporting, research and analysis, continuous improvement initiatives, financial and strategic planning, and other customer requested projects.
• Leads and participates in enterprise-wide coding-related initiatives and ensures adherence to official coding and regulatory guidelines.
• Partners with physicians, CDI, Quality, Risk, Integrity, Compliance, Revenue Cycle, and other departments to achieve desired outcomes.
• Alerts the organization and works with the appropriate leaders on any identified coding quality and integrity risks and assists in the development of risk-mitigation strategies.
• Communicates ideas or positions in a persuasive manner that builds support, agreement, or commitment.
• Takes actions that directly or indirectly influence others to create buy-in, gain trust, and motivate actions in others or win concessions without damaging relationships.
• Manages and leads staff, and delegates tasks and authority.
• Assists with requests to review and verify codes, charges on patient accounts and denials.
• Responsible for the implementation and education on system changes and new requirements.
• Maintains the confidentiality of patient records and procedures.

Qualifications

• Minimum Education Qualification: Bachelor Degree in Health Information Management. Progressively responsible professional/exempt work experience may be substituted on a year-for-year basis for college education.
• Minimum Experience Qualification: Non-Supervisory - Five (5) years of professional experience in health care involving data quality monitoring, coding, quality improvement function or a background in CPT-4, ICD-10-CM, ICD-10 PCS coding, compliance, and official hospital coding guidelines. AND Three (3) years Management/supervisory role in overseeing a team in an acute care environment OR an approved equivalent combination of experience, education, and certification.
• Minimum Certification Qualification: RHIA, RHIT, CPC or CCS-P required.