Texas Childrens Hospital

Manager Coding Compliance

Texas Childrens Hospital$75K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • H.S. Diploma or GED; Bachelor's degree substitutes for 4 years of experience
  • 7+ years of coding experience with inpatient and outpatient records
  • Certified Coding Associate (CCA) required
  • Certifications in coding such as CCC-P, CCS, CIPC, COC, CPC, or CPC-A required
  • RHIA certification preferred

Responsibilities

  • Manage and oversee coding staff and activities effectively
  • Conduct audits and reviews of medical records for coding accuracy
  • Document and measure performance improvement initiatives
  • Ensure compliance with regulatory and coding guidelines
  • Perform NCCI Edits and Medical Audit Reviews

Benefits

  • Opportunities for professional development and training
  • Engagement in performance improvement initiatives
  • Opportunity to influence coding accuracy and compliance
  • Collaboration with various hospital departments
  • Dynamic work environment
Full Job Description
Job Description

We're searching for a Coding Compliance Manager- someone who works well in a fast-paced setting. In this position, you will effectively manage the coding and auditing process so that Hospital claims are coded in a timely manner and according to coding guidelines. You'll effectively manage accounts holding for coding and review processes for accuracy. You'll also maintain consistent, timely, and compliant coding practices.
Think you've got what it takes?

Job Duties & Responsibilities
• Manages and oversees all coding staff and activities.
• Performs/manages audit and review of medical records process to ensure coding accuracy and compliance with regulatory guidelines and coding guidelines.
• Participates in performance improvement initiatives to meet hospital, departmental, and area goals and strategies. Documents the performance improvement and measures success as reported quarterly to Director.
• Participates in performance improvement initiatives to meet hospital, departmental, and area goals and strategies. Documents the performance improvement and measures success as reported quarterly to Director.
• Conducts NCCI Edits and Medical Audit Reviews.

Skills & Requirements
• Required H.S. Diploma or GED. A bachelor's degree will substitute for 4 years of experience
• Required Licenses/Certifications
• CCA - Certified Coding Associate American Health Information Management Association
• CCC-P - Cert Coding Spec-physician American Health Information Management Association
• CCS - Cert-cert Coding Specialist by the American Health Information Management Association
• CIPC - Certified Inpatient Coder by the American Academy of Professional Coders
• COC - Certified Outpatient Coder by the American Academy of Professional Coders
• CPC - Cert-cert Professional Coder by the American Academy of Professional Coders
• CPC-A - Cert Prof Coder - Apprentice by the American Academy of Professional Coders
• RHIA - Cert-reg Health Inform. Admins by the American Health Information Management Association (AHIMA)
• Required 7 Years experience coding inpatient and outpatient records using the most current coding systems

About Texas Childrens Hospital

Texas Children's Hospital is a pediatric hospital located in Houston, Texas. The hospital was founded in 1954 and is affiliated with Baylor College of Medicine. Texas Children's Hospital has over 4,000 employees and is one of the largest pediatric hospitals in the United States. The hospital provides a wide range of services, including cancer care, cardiology, neurology, and orthopedics. Texas Children's Hospital has been recognized as one of the best children's hospitals in the United States by U.S. News & World Report.
Learn more about Texas Childrens Hospital
Size
14,000 employees
Industry
Founded
1950

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