Coding Manager ELP

Texas Tech University•El Paso, TX

49d•Onsite

About The Position

Provide oversight, training and guidance to multi-specialty coding teams. Initiate researches topics for process improvement, physician/provider and staff training/development around coding processes, regulatory changes, and commercial contracts. Act as consultant and subject matter expert to support leadership and clinical departments on physician documentation, CMS regulations, workflows and related coding issues. Provides direct oversight of daily coding operations while also performing coding specialist functions.

Requirements

Bachelors degree in Business Administration, Healthcare Administration or related field plus 4 years of directly related experience; OR
Directly related experience equal to 8 years.
Current RHIT, RHlA, CPC, CCS, CCSP, or equivalent certification through a nationally recognized credentialing body (i.e., AH.IMA or AAPC).

Nice To Haves

Bachelor's degree in Business Administration, Healthcare Administration or related field.
Previous supervisory and/or management experience.
Previous performance management experience (i.e., evaluation, coaching, etc.).
Previous experience utilizing Athena patient accounting system, Athena EMR and Cerner EMR systems.

Responsibilities

Plan, organize and manage the day-to-day coding operational activities of assigned divisions for both physician and hospital coding within the Medical Coding SOM Department.
Provide direct oversight, training and guidance to assigned multi-specialty coding specialist teams. Coach, develop and make recommendations to the director regarding employee performance and evaluations.
Determines educational needs for physicians, residents, students and coding staff on reimbursement and documentation rules and regulations related to coding. Consults with physicians or other healthcare providers when additional information is needed for coding and or to clarity conflicting or ambiguous information in the medical record.
Serve as a consultant, subject matter expert and liaison to TTUHSC El Paso leadership, clinical Department administrators, physicians/providers, hospital partners/administration, third party intermediaries, billing staff, PFS, and patients.
Initiate researches topics for process improvement, provider and staff training/development around coding processes.
Assist with determining and measuring unit goals; perform regular quality audits while ensuring established goals are met. Perform random internal coding audits for new coding new personnel or personnel undergoing HR coaching to improve their medical coding skills set for accuracy lo meet 95% coding accuracy. Make recommendations on the development and implementation of policies.
Works with outside coding vendors to provide oversight, training and guidance to vendor's assigned multi-specialty coding inventories. Coordinates with vendor quires and questions related to assigned multi-specialty coding inventories.
Review ETM coding denials for coding error. ETM denials assigned to the coding role that are non-coding related are to be assigned back to MPIP with an appropriate system note. May need to email or telephone MPlP office to further address non-coding denials. This will be done timely for MPIP to work the denials prior to filing deadlines.
Prepare and distribute reports to assure quality and productivity expectations are being met, and to summarize departmental coding and billing results/activities. Assist the Coding Director with daily tasks to keep coding productivity current and ensure 6mely filing to distribute the coding work logs to the coding team, coding vendors and account for the coding teams' and vendor productivity
Participate in the interviewing, selection, onboarding and the training of new staff. Issue coaching action in consult with the department director and HR. Maintain employee personnel records (including but not limited to staff certifications, mandatory compliances, etc.), process timesheets, time-off/leave requests and payroll. Develop, distribute and present billing and coding training programs, educational handouts/materials, FAQs, etc. for physicians/providers, coding staff and clinical department administrators.
Assist in planning, developing and implementing computer applications, upgrades to coding and billing systems, dictionary databases, claims submission, and other bolt on software products.
Monitor payer denial data. Recommend and implement operational procedures and protocols to improve services, reduce lag days and increase cash flow.
Extensive knowledge and understanding and/or experience with CMS regulations/industry standards and medical terminology knowledge.
Remains current with all licensure, certifications and mandatory compliances and trainings required of this position.
Adhere to all policies, procedures and practices (Regents Rules, TTUS, HSECEP OPs, etc.).
Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staff across the institution.
AlI other duties as assigned by the department's management