Coding Manager

Scottish Rite for Children•Dallas, TX

2d•Remote

About The Position

The Coding Manager leads the daily operations of the Hospital Coding and Physician Practice Coding departments, supporting steady workflow, data integrity, timely coding, and established quality and productivity benchmarks. The role works with physicians and clinical staff on coding and documentation guidelines and oversees coding audits, accuracy monitoring, audit reporting, corrective action plans, denial review, and process improvements. The manager supervises and develops staff by interviewing, hiring, training, assigning work, evaluating performance, resolving issues, providing feedback, and encouraging continued education. The role also maintains coding resources, communicates unbilled activity to directors and business partners, and develops and monitors coding policies, procedures, guidelines, and compliance plans.

Requirements

High school diploma or equivalent.
Associate degree in Health Information Management, Health Information Technology, or a related healthcare field, or three years of managerial experience in Health Information Management or Coding.
Proven knowledge of complete and accurate clinical documentation across healthcare settings and disciplines.
Demonstrated knowledge and experience in acute-care hospital and physician/clinic coding and billing practices.
Knowledge of conventions, rules, and guidelines for multiple classification systems, including ICD-10 diagnosis and procedures, CPT, and Evaluation & Management coding systems.
Knowledge of multiple reimbursement systems, such as MS-DRG, APDRG, and APC.
Knowledge of clinical documentation improvement methodologies.
Ability to establish rapport with physicians and other healthcare practitioners.
Strong analytical and critical-thinking skills to support problem-solving and change management.
One of the following credentials is required: RHIA, RHIT, CCS, CCS-P, or CPC.

Nice To Haves

Prior use of 3M encoder and Epic software.

Responsibilities

Manage daily operations of the Hospital Coding Department to promote steady workflow and data integrity.
Manage daily operations of the Physician Practice Coding Department to promote steady workflow and data integrity.
Collaborate with and educate physicians on coding and documentation guidelines.
Research coding questions, provide coder feedback, and ensure timely correction of coding errors and edits.
Ensure coding audits are performed concurrently and audited areas are updated in accordance with department policies.
Monitor aging and DNB accounts to ensure timely coding and performance within established quality and productivity benchmarks.
Conduct regular audits and coordinate monitoring of coding accuracy, productivity, and available clinical documentation.
Ensure audit reports are reviewed and accurate, and implement corrective action plans.
Provide feedback and facilitate or coordinate focused education for coding and clinical staff on coding and clinical documentation best practices.
Interview, hire, and train employees; plan, assign, and direct workflow; appraise performance; address complaints; resolve problems; and manage production and quality control efforts.
Conduct trend analysis to identify patterns and variations in coding and documentation practices and case mix index.
Identify process improvement opportunities within the Coding department and implement solutions.
Review claim denials and rejections related to coding and medical necessity, and implement corrective action plans as needed.
Provide Coding staff with annual, quarterly, and semi-annual ICD-10-CM/PCS and/or CPT code changes.
Maintain coding information and provide updated manuals, resources, and other coding materials.
Communicate with directors and business partners regarding unbilled activities related to coding.
Mentor team members and encourage personal and professional growth.
Encourage ongoing skill development by providing continued education opportunities.
Apply critical thinking, problem-solving, and change-management skills to identify and resolve systemic issues.
Develop, implement, and monitor coding policies, procedures, guidelines, and the coding compliance plan.