Job DescriptionUnder the direction of the Physician Group Coding Director, the coding manager is responsible for the supervision of assign Physician Group team members l including productivity tracking/trending, timekeeping and attendance, staffing, training, coaching and counseling as well as hiring and terminations (as appropriate). Host routine regional coding meetings. Responsible for quarterly internal evaluation and management audits, reporting results to compliance/risk, and individual Provider meetings to review coding accuracy/opportunities. Manage records review/audit requests from governmental, regulatory and other third-party commercial requests. Provides leadership in the development of coding tools for use.
Responsibilities1. Management and Daily Operations
- Provides leadership and manages processes of functional teams ensuring all coding is performed in accordance with established laws, regulation, rules and guidelines. Works closely with team members who reviews with special concentration on specialty services, surgical procedures, and inpatient medicine services ensuring appropriate coding of charges.
- Works closely with Providers to ensure that coding is accurate, updates EHR as appropriate and coding documentation tool is adjusted as necessary.
- Interviews, coaches, counsels' staff to ensure optimal work product and productivity. Coordinates with HR, peers and leadership for appropriate hiring decisions. Attain senior leadership approval prior to taking action on in-voluntary terminations.
- Maintains appropriate controls to ensure compliance with Federal/State Regulations and practice policies to include HIPAA, Privacy Act, Safe Environment, etc...
2. Performance Improvement and Quality
- Manages governmental and commercial record request/review processes and serves as the liaison with governmental agencies. Serve as FMOLHS Physicians Group Coding Compliance throughout the enterprise.
- Trends data and makes operational changes for improvement in compliance with the practice quality improvement initiatives. Reports data timely and accurately. Integrates process improvement strategy into daily operational flow and proactively streamlines processes; develops clinic participation in and support organizational processes.
- Promotes the quality and efficiency of work performance by remaining current with the latest trends in field of expertise through participation in job-relevant seminars and workshops, attendance at professional conferences, and affiliations with national and state professional organizations.
- Monitors and implements performance improvement of coding work flows based on functional teams. Review audits, productivity reports, as well as educational calendar/material ensuring best Provider learning experience using the latest techniques as prescribed by payor guidelines.
- Promotes and encourages the growth and development of staff members by encouraging their participation in approved continuing education activities such as professional conferences, seminars, and workshops. Advocates continuing education as a means of promoting the high quality services provided by all departmental personnel. Acts as a mentor to staff and promotes the personal and professional growth and development of staff members by encouraging participation in approved continuing education activities.
3. Other Duties
- Performs other duties as assigned.
Qualifications- Five (5) years multi-specialty Physician Group coding experience. with three (3) years Leadership experience with demonstrated success of leading multiple employees (both on-site and remote) and managing multiple priorities.
- Associates degree (or 5 years Coding Experience in addition to Min Req. Experience.)
- Electronic Medical records experience required.
- CPC or CCS;Coding certification (CCS);CPC;RHIT;RHIA
