Manager, Coding

Core Job Responsibilities

• Solves and resolves complex coding issues.
• Ensures coders have the necessary training, education and support.
• Reviews coding audits, identifies areas of concern and makes recommendations for resolution.
• Identifies documentation deficiencies and opportunities to improve Severity of Illness and Risk of Mortality.
• Collaborates with Clinical Documentation Improvement (CDI) teams to optimize reimbursement and quality measures.
• Tracks, trends, and analyzes individual and departmental coding KPIs and reports to the Director of CDI and Coding.
• Ensures coding accuracy according to established guidelines and reimbursement requirements unique to individual payers.
• Utilizes coding resources and tools to justify accurate codes.
• Partners with leadership and Human Resources to make decisions or recommendations related to performance management, hiring, transfers, corrective actions, terminations, etc., and resolves staff issues and grievances in a fair, timely, and consistent manner.

Education/Experience Requirements

• Bachelor's degree in Health Information Management, a related degree, or equivalent work experience.
• 5 years of hospital-based inpatient and outpatient coding/auditing/chart review experience, with a focus on advanced ICD-10-CM and PCS coding, including at least 3 years of supervisory or leadership experience.
• Experience working with high-volume/complex cases in large healthcare organizations, including specialty areas such as cardiology, Interventional Radiology (neurology / stroke related coding), trauma, mother & baby, and pediatrics.
• Strong knowledge of anatomy, disease processes, medical terminology, pharmacology, and surgical procedures.
• Proficient use of electronic health records (EHRs) and encoder systems.
• Excellent verbal and written communication skills.

PREFERRED

• Knowledge of 3M Encoder Software and guidelines or standards of CMS, AHA Coding Clinic, AHIMA, UHDDS, ACDIS, and AAPC.

Licensure/Certification Requirements

• CCS Certification (Certified Coding Specialist), CIC Credential (Certified Inpatient Coder), or CPC Credential (Certified Professional Coder) from the AAPC.
• RHIA or RHIT certification (if preferred).