MHN Coding Manager

Essential Responsibilities

• Lead the daily operations of the coding department, including staffing, workload management, employee development, performance evaluations, and quality monitoring.
• Maintain expert knowledge of coding regulations, documentation requirements, reimbursement methodologies, and payer guidelines.
• Oversee the coding compliance program, including education, training, communication of regulatory updates, and compliance monitoring.
• Monitor and manage Discharged Not Final Coded (DNFC) performance, implementing process improvements to achieve organizational goals.
• Analyze coding trends, case mix index, reimbursement patterns, claim denials, and documentation issues to identify opportunities for improvement.
• Collaborate with HIM, CDI, Revenue Cycle, Business Office, Medical Staff, and clinical departments to improve coding accuracy, documentation quality, and operational performance.
• Perform operational assessments across the system and recommend process improvements to enhance coding efficiency and outcomes.
• Assist in developing departmental goals, budgets, staffing plans, and long-range strategic initiatives in collaboration with the System Director of HIM.

Qualifications

• Bachelor's degree in Healthcare Informatics, Health Information Management, or a related field.
• Minimum of 5 years of experience in healthcare coding, preferably in a managerial capacity.
• Knowledge of ICD-10-CM/PCS, CPT, HCPCS, and other relevant coding systems.
• Experience with revenue cycle management and regulatory compliance.
• Strong analytical skills and ability to interpret complex data.
• Excellent interpersonal and communication skills, with the ability to work effectively with diverse groups.
• Proficiency in Microsoft Office Suite.