Pennsylvania Medicine

Corporate Coding Manager Radiation Oncology

Pennsylvania Medicine$88K — $105K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • CCS or RHIA or RHIT certification required
  • Bachelor's degree in Health Information Management or related field
  • 5+ years acute care hospital coding/clinical experience
  • 2+ years overseeing provider queries
  • 2+ years of leadership experience

Responsibilities

  • Oversee management of post-discharge physician queries for documentation clarity.
  • Train new coding staff on guidelines; provide cross-training for existing staff.
  • Respond to coding questions and quality issues from internal and external departments.
  • Communicate coding and reimbursement issues with coders, management, and hospital staff.
  • Summarize and report coding quality results and productivity weekly and monthly.
  • Conduct audits of ICD-10 and CPT codes, ensuring 95% accuracy in coding standards.
  • Identify and address documentation issues that impact coding and DRG assignment.

Benefits

  • Flexibility in working hours based on operational need
  • Opportunities for training and professional development
  • Work in a team environment with a focus on quality improvement
  • Involvement in organizational coding policy development
  • Access to resources from the University of Pennsylvania support network.
Full Job Description
Job Title: Corporate Coding Manager
Department: Radiation Oncology
Entity: Clinical Practices of the University of Pennsylvania (CPUP)
Location: Perelman Center for Advanced Medicine-3400 Civic Center Blvd
Hours: M-F, 8-4:30 with flexibility in hours based on operational need

Summary:
  • The Coding Manager is responsible for timely and accurately coding, DRG assignment and auditing of the coding and staff across all entities. This includes entity coders and coding and auditing support provided by vendors. This shall be performed in conjunction with the Coding Coordinators and the Manager of the Coding Academy. All coding staff shall have quality audits performed on a consistent basis, the results of which are incorporated into their performance reviews along with their productivity monitoring. The Coding Managers will serve as the organizational coding experts and will represent the department at meetings related to documentation improvement and monitoring, coding compliance and coding guidelines and interpretation.

Responsibilities:
  • Provide oversight and management to post discharge physician queries to assist in clarifying vague or unclear documentation. Oversee data on query response rate and report to management.
  • Provide training to new coding staff and cross training to existing staff on coding guidelines, including but not limited to MS DRG coding and POA assignment.
  • Research, review and respond to coding questions and coding quality issues from various internal and external departments.
  • Communicate with coders, management, physicians, and other hospital staff regarding clinical documentation and reimbursement issues.
  • Summarize and report quality results and coder productivity on a weekly basis and submit or management monthly.
  • Oversee the performance of audits of the assigned ICD-10 and /or CPT codes to insure that charts are coded according to coding conventions and official coding guidelines with 95% accuracy. Present on Admission (POA) assignment is reviewed as part of the auditing process.
  • Identify and communicate documentation issues and concerns that influence coding, DRG assignment, and severity of illness assessment to management as identified. Provide coding awareness and education as necessary to coding/service lines/CDI etc.
  • Manages the performance of Patient Safety Indicator (PSI) reviews, complication and queries conducted for accuracy and compliance.
  • Coordinates communication between the corporate coding the Clinical Documentation Improvement (CDI) departments to achieve optimal documentation and coding efficiencies.
  • Works with the CEQI department on Vizient data and other external measures to ensure documentation is as accurate and thorough as possible.
  • Works closely with the Revenue Cycle Manager to insure that all accounts are addressed and processed in a timely and complete manager.
  • Monitor coding record assignment and completion to ensure that high dollar records, long lengths of stay and older records are prioritized for coding purposes.
  • Facilitate any account completion activities necessary i.e. contacting CRM for disposition, contacting Surgeons for OP notes, answering coder questions, Query completion, missing documentation as needed to positively impact DNFB.
  • Actively coordinate the development of institutional and organizational coding policies.
  • Assist with CFB goals and maintenance of the IP and OP DNFB.
  • Adhere to the American Health Information Management Association code of ethics.
Credentials:
  • CCS or RHIA or RHIT (Required)
Education or Equivalent Experience:
  • Bachelor of Arts or Science in Health Information Management or related field (Required)
  • And 5+ years acute care hospital coding/clinical experience (Required)
  • 2+ years Overseeing provider queries (Required)
  • 2+ years Leadership experience (Required)

About Pennsylvania Medicine

The University of Pennsylvania is a private Ivy League research university in Philadelphia. It is the fourth-oldest institution of higher education in the United States and is ranked among the highest-regarded universities by numerous organizations and scholars. While the university dates its founding to 1740, it was created by Benjamin Franklin and leading Philadelphia citizens in 1749 . The University has four undergraduate schools as well as twelve graduate and professional schools. Schools enrolling undergraduates include the College of Arts and Sciences, the School of Engineering and Applied Science, the Wharton School, and the School of Nursing. Among its highly ranked graduate schools are its law school, whose first professor wrote the first draft of the United States Constitution, its medical school, the first in North America, and Wharton, the first collegiate business school. Penn's endowment is US$20.7 billion, putting it amongst the wealthiest academic institutions in the world, and its 2019 research budget was $1.02 billion. Penn was one of nine colonial colleges chartered before the U.S. Declaration of Independence when Benjamin Franklin, the university's founder and first president, advocated for an educational institution that trained leaders in academia, commerce, and public service. The campus, in the University City neighborhood of Philadelphia, is centered around College Hall, and notable landmarks are Houston Hall, the first modern "student union", and Franklin Field, the first double-decker college football stadium. Penn also is the home of the Morris Arboretum, the official arboretum of the Commonwealth of Pennsylvania, which is located 15 miles northwest of the campus, in the Chestnut Hill section of Philadelphia. The university's athletics program, the Quakers, fields varsity teams in 33 sports as a member of the NCAA Division I Ivy League conference.
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