Coding Manager

Parallon Business Solutions   •  

Virtual / Travel

Industry: Healthcare

  •  

8 - 10 years

Posted 116 days ago

Duties (included but not limited to):
• Provides direct managerial oversight to Coder I, II, III, and IV in management of inpatient and outpatient coding functions, work queues, work processes, and overall work responsibilities
• Provides direct managerial oversight to Data Quality Educators in management of data quality and education work processes, to include quality reviews and educational classes
• Ensures complete, accurate, timely and consistent coding, while adhering to published coding guidelines and Company/HSC policy
• Responsible for operational activities relating to coding and clinical documentation improvement operations (as applicable)
• Coaches and helps develop team members; helps resolve dysfunctional behavior within functional area(s); disciplines and counsel staff as necessary
• Proactively manages (including corresponding communications and escalation paths) significant issues in coding, status of projects, barriers and successes
• Actively manages and monitors coding and clinical documentation improvement operations (as applicable) process and performance according to productivity and quality as defined in job descriptions and Service Level Agreements (SLAs)
• Selects, evaluates, trains, and provides leadership and direction to reporting staff
• Responsible for review and improvement of process and services
• Responsible for ensuring employee work schedules sufficiently meet those requirements as established by the HSC Leadership team and through executed SLAs
• Facilitates problem solving and collaboration within functional area(s)
• Works closely with other members of the HSC Leadership Team in addressing issues related to accurate/timely coding and documentation, and unbilled management
• Works closely with Patient Account Services team members to address issues related to unbilled management
• Responsible for ensuring staff compliance with documented and established workflow guidelines as it relates to adding and re-assigning accounts to work queues
• Performs quality reviews of the coders and Data Quality Coordinators work

• Assists in the development of strategy, specific goals, objectives, budgets and performance standards for the coding and clinical documentation improvement operations (as applicable)
• Assists in identifying and implementing process improvements to decrease costs and improve service for applicable stakeholders
• Performs productivity monitoring and provides timely and consistent feedback to employees and Coding Director
• Prepares coding benchmarking, coding productivity, coding quality, and coding productivity reports for the Coding Director, the SSC Leadership, Facility Leadership, Market/Division leadership and Group leadership
• Promptly reports issues or trends to the appropriate member of the HSC Leadership team, or other appropriate party
• Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures coding staff are appropriately educated
• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
• Ensures Coder compliance with HCA HIM educational requirements
• Coordinates work assignments
• Ensures safe work practices are being followed
• Coordinates training and education for Coder I, II, III, and IV staff
• Works with multi-disciplinary teams in addressing issues related to coding and clinical documentation improvement operations (as applicable)
• Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”
• Other duties as assigned

Job Requirements

Knowledge, Skills & Abilities
• Coding Technical Skills- extensive regulatory coding (ICD-10-CM, ICD-10-PCS, ICD-9-CM, HCPCS, CPT-4, MS-DRGs) and associated reimbursement knowledge
• Case Mix Index Analytical Skills – ability to analyze trends in CMI and determine root cause and address as appropriate
• Leadership - leads individuals and groups toward identified outcomes, setting high performance standards and delivering quality services
• Critical thinking - actively and skillfully conceptualizing, applying, analyzing, synthesizing or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning or communication as a guide to belief and action
• Building and Maintaining Strategic Working Relationships – develops collaborative relationships to facilitate the accomplishment of work goals. Possesses excellent interpersonal skills in building, negotiating and maintaining crucial relationships
• Building Trust – interacts with others in a way that gives them confidence in one’s intentions and those of the organization
• Effective Operational Decision Making - relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values
• Adaptability – maintaining effectiveness when experiencing major changes in work tasks or the work environment; able to adapt to change in environment and/or circumstances with a positive outlook; and adjusting effectively to work within new work structures, processes, requirements, or cultures
• Initiative – independently takes prompt proactive steps towards problem resolution
• Managing conflict – dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people
• Energy – consistently maintaining high levels of activity or productivity; sustaining long working hours when necessary; operates with vigor, effectiveness, and determination over extended periods of time
• Stress tolerance – maintaining stable performance under pressure or opposition; handling stress in a manner that is acceptable to others and the organization
• Planning and Organization - proactively prioritizes initiatives, effectively manages resources and keen ability to multi-task
• Communication - communicates clearly, proactively and concisely with all key stakeholders.
• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Work Independently – is self-supporting; not needing to rely on others to complete a job
• Facilitation – ability to facilitate small to large groups of people at various organizational levels for purposes of planning, problem solving, or strategy development
• Quality Orientation – accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time
• PC skills - demonstrates proficiency in Microsoft Office applications and others as required
• Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems
• Project Management - assesses work activities and allocates resources appropriately
• Coach, Mentor and Educate – provides timely guidance and feedback to help strengthen the knowledge/skill set of others to accomplish a task or solve a problem
• Work Independently – is self-supporting; not needing to rely on others to complete a job

EDUCATION
• Undergraduate degree required. Bachelor’s degree strongly preferred.

EXPERIENCE
• Minimum 3 years health care management/leadership experience required
• Minimum 7 years recent inpatient/outpatient hospital coding experience required
• Experience managing a large coding pool or coding review pool strongly preferred