Manager Coding - Hospital Coding

Job Summary

Manages the daily operations of a designated coding team to ensure that diagnoses and procedures have been collected, coded and accurately reflected utilizing PeaceHealth coding and compliance regulations, as well as other legal or accreditation organization requirements. Develops and leads the team that carries out daily coding operations.

Essential Functions

• Supervises caregivers involved in hospital coding to ensure timely and accurate coding of inpatient and outpatient records.
• Maintains quality and training of all coding caregivers.
• Manages staff hiring, evaluation, promotion, coaching, counseling, performance appraisals and other personnel-related actions.
• Develops, implements, and communicates appropriate compliance policies and procedures for evaluating input, coding and sequencing, and providing accurate data to support ICD and CPT coding.
• Solves coding discrepancies with vendor management team.
• Maintains monitoring of potential risk exposure related to coding practices; responds to non-compliance issues; participates in reviews with internal and/or external coding auditing organizations.
• Improves coding and documentation practices to compliantly optimize revenue capture.
• Aids in planning, developing, and controlling budgets, including personnel, capital equipment and operations.
• Participates in the development and deployment of educational programs regarding elements of coding compliance, such as documentation and accurate coding, for all appropriate personnel.
• Conducts trend analyses of coding and reimbursement profiles to identify patterns and variations requiring further investigation.
• Supports caregivers in the use of and policies/procedures related to the use of 3M computer-assisted coding product.
• Manages the denials/appeals process for coding and clinical validation related to DRG downgrades.

Qualifications

• Education: Bachelor's Degree Required or equivalent combination of education and experience.
• Experience: Minimum of 5 years Required: Medical coding experience and Minimum of 2 years Required: Leadership experience.
• Credentials: Registered Health Information Administrator or Certified Coding Specialist or Registered Health Information Technician.
• Skills: Exceptional interpersonal skills to interact with all levels of department personnel, physicians, and individuals outside the System. Proficient with software applications that impact the medical coding functions. Thorough knowledge of medical coding using the ICD-10-CM and CPT4/HCPCS classification coding systems. Familiar with MS-DRG, APR-DRG and APC reimbursement systems. Advanced MS Office skills. Use of 3M. Experience with Epic EMR.

Working Conditions

• Lifting: Consistently operates computer and other office equipment. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Sedentary work.
• Environmental Conditions: Predominantly operates in an office environment.
• Mental/Visual Ability: The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

Benefits

• Full medical/dental/vision coverage.
• 403b retirement plan employer base and matching contributions.
• Paid time off.
• Employer-paid life and disability insurance with additional buyup coverage options.
• Tuition and continuing education reimbursement.
• Wellness benefits, and expanded EAP and mental health program.