University Health Network

Manager, HIM (Facility Coding)

University Health Network$75K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Health Information Management or related field preferred.
  • RHIA, RHIT, CCS or CCS-P coding credential required.
  • 5+ years of coding/CDI management experience in acute care facilities.
  • Strong understanding of MS-DRGs, APR-DRGs, and APCs.
  • Experience with process improvement strategies and mentoring CDI specialists.

Responsibilities

  • Plan and organize the Facility Coding program at CVPH.
  • Ensure compliance with hospital, state, and federal reporting guidelines.
  • Act as a liaison with business office and medical staff to resolve issues.
  • Coordinate communication with the Manager, HIM (Clerical).
  • Maintain knowledge of coding rules and regulations, and participate in coding audits as needed.

Benefits

  • Opportunity for professional development and growth in Health Information Management.
  • Collaborative work environment with healthcare professionals.
  • Engagement in process improvement initiatives.
  • Access to a variety of resources and tools in coding and documentation.
Full Job Description
POSITION SUMMARY:
Under the direction of the Director of Health Information Management and according to established CVPH policies and procedures, the Manager, HIM (Facility Coding) is responsible for planning and organizing the Facility Coding program at CVPH and ensures that all hospital, state and federal reporting guidelines are followed. The Manager, HIM (Facility Coding) acts as a liaison with the business office, patient registration, medical, and ancillary staff to resolve problems and improve work processes. The manager communicates regularly with the Manager, HIM (Clerical).

POSITION REQUIREMENTS:
  • Bachelors degree in HIM or HIM related field preferred.
  • RHIA, RHIT, CCS or CCS-P coding credential required.
  • Minimum of five years of prior coding/CDI management experience in an acute care facility and a strong grasp of MS-DRGs, APR-DRGs, and APCs. Must also possess an understanding of daily functions/processes/responsibilities of Health Information Management clerical staff and be knowledgeable in HIPPA and ROI regulations. Must also actively work and understand the DNFB process and be aware of current differences in payment processes amongst insurance payers. Solid grasp of the charge master, revenue codes, processing patient type changes, cancelled accounts, and CMS code edits is required.
  • Good communication, organization, and problem-solving skills. Interpersonal skills to interact with subordinates, Medical Staff members, and other departmental and Medical Center personnel. Work requires knowledge of anatomy and physiology, medical terminology, ICD-9 CM, CPT-4, HCPCS coding rules and regulations. Manager must be able to code and/or audit inpatient and/or outpatient accounts as needed. Manager must also have experience with a CDI program and understand the relationship between the CDI specialist(s) and the medical/coding staff. Experience in process improvement strategies, mentoring, and guidance to the CDI specialist is required.
  • Basic office equipment experience required.
  • Demonstrated knowledge of computer technology and automated system designs for Health Information Management required. Strong hands-on experience with MS Office including Excel, Word, and PowerPoint.

About University Health Network

University Health Network (UHN) is a healthcare organization that provides patient care, research, and education services. The organization operates several hospitals and clinics in Toronto, Ontario, including Toronto General Hospital, Toronto Western Hospital, and Princess Margaret Cancer Centre. UHN offers a range of medical services, including cancer care, cardiovascular care, neurosciences, transplantation, and rehabilitation. The organization is affiliated with the University of Toronto and is one of Canada's largest research hospitals. UHN employs over 16,000 people and serves patients from across Canada and around the world.
Learn more about University Health Network
Size
16,000 employees
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