Coding Manager
Our patients are our number one priority! We're committed to giving children back their childhood! Job Posting Title: Coding Manager Location: Dallas - Hospital Additional Posting Details: Remote Monday - Friday 8:00 am - 4:30 pm Job Description: Duties/Responsibilities - Manages the daily operations of the Hospital Coding Department to promote steady workflow and data integrity. - Manages the daily operations of the Physician Practice Coding Department to promote steady workflow and data integrity. - Collaborate with and educate physicians on coding and documentation guidelines. - Research coding questions and provide coder feedback - Ensures timely correction of coding errors and edits. - Ensures coding audits are performed concurrently and that the areas being audited are updated in conjunction with the department policies. - Oversees the monitoring of the aging and DNB accounts to ensure that accounts are coded in a timely manner and that performance is within established coding quality and productivity benchmarks. - Conducts regular audits and coordinates monitoring of coding accuracy, productivity, and available clinical documentation. - Ensures that audit reports are reviewed, accurate, and corrective action plans implemented. - Provides feedback and assists in facilitating and/or coordinating focused educational programs regarding coding and clinical documentation best practices to Coding and clinical staff as needed. - Interviews, hires and trains employees; plans, assigns and direct workflow, appraises employee performance; addresses complaints and resolving problems; and proactively manages production and quality control efforts. - Conducts trend analysis to identify patterns and variations in coding/documentation practices and case mix index. - Identifies process improvement opportunities within the Coding department and implements solutions. - Reviews claim denials and rejections pertaining to coding and medical necessity issues and implements corrective action plans as needed/required. - Works to provide all Coding staff with annual, quarterly, semi-annual ICD-10-CM/PCS and/or CPT code changes. - Maintains all coding information and provides updated manuals, resources, and other coding material. - Maintain strong communication with Director(s) and business partners in reporting of unbilled activities related to coding. - Mentors team members to encourage personal and professional growth. - Encourages ongoing skill development by providing opportunities for continued education. - Applies critical thinking, problem solving and change management skills to lead the process and team in identifying and resolving systemic issues. - Develop, implement and monitor policies and procedures, guidelines, and coding compliance plan for coding. Required Skills/Abilities - High School Diploma or Equivalent - Associates degree in Health Information Management/Health Information Technology, or related healthcare field, or 3 years of managerial experience in Health Information Management or Coding - Proven knowledge base in complete and accurate clinical documentation in all healthcare settings and for all healthcare disciplines. - Demonstrated knowledge base and experience in acute care hospital and physician/clinic coding and billing practices. - Demonstrated knowledge of the conventions, rules, and guidelines for multiple classification systems, including ICD-10 diagnosis and procedures, CPT and Evaluation & Management coding systems. - Knowledge of multiple reimbursement systems (e.g., Medicare Severity-Diagnosis Related Groups (MS-DRG), All Patient Refined Diagnosis Related Groups (APDRG), and Ambulatory Payment Classification (APC) - Knowledge of clinical documentation improvement methodologies. - Ability to establish rapport with physicians and other healthcare practitioners. - Must have strong analytical and critical thinking skills to support problem solving and associated change management. - Prior use of 3M encoder and Epic software is preferred. Required: - Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist โ Physician (CCS-P), or Certified Professional C coder (CPC).