Coding Manager - SA

Omega Healthcare Solutions • Boca Raton, FL

1d • $95,560 - $97,760 • Remote

About The Position

The Coding Manager assists in developing and evolving the strategy for coding operations and is responsible for coding compliance, daily coding operations, and coding-specific unbilled functions. The role provides leadership and direction for coding and abstracting activities, supervises coding staff, and supports accurate, timely, compliant coding and reporting. The position is remote and operates in an office environment, with regular virtual interaction using company-approved collaboration technology. Work is generally Monday through Friday, 8:00 a.m. to 5:00 p.m., with occasional long hours and weekend work. Minimal travel of up to 5% is required.

The manager oversees coding validation, auditing, staff education, productivity and quality reporting, month-end abstracting closeout, policies and procedures, and compliance with relevant ethical, payer, state, and federal requirements. The role also assists with coding-system analysis and maintenance, collaborates with clients and IT analysts to improve performance and data integrity, supports budgets and operational metrics, and manages staffing resources and accounts receivable (DNFB) to meet client service levels, financial targets, and turnaround expectations. The role reports to the Director of HIM Operations.

The position requires a bachelor’s degree or advanced formal training in the discipline combined with a dual credential including CCS, as well as RHIA or RHIT certification. The posting’s additional qualifications specify an associate degree in a health-related field and RHIT with CCS certification. At least three years of supervisory experience and five years of inpatient and outpatient coding experience are required. Project management experience is preferred. The role may be full-time or part-time depending on the job requisition.

Requirements

• At least three years of supervisory experience.
• At least five years of inpatient and outpatient coding experience.
• AHIMA certification as an RHIA or RHIT; additional qualifications specify RHIT with CCS certification.
• Bachelor’s degree or advanced formal training within the discipline combined with a dual credential including Certified Coding Specialist (CCS); additional qualifications specify an associate degree in a health-related field.
• Excellent organizational and communication skills.
• Ability to use computer programs and the internet; proficiency with Microsoft Office Suite.
• Ability to prioritize and multitask in a fast-paced, changing environment and work across work types and specialties.
• Ability to self-motivate, set goals, and meet deadlines.
• Leadership, mentoring, interpersonal, presentation, verbal, and written communication skills.
• Ability to build credible, trusting relationships with business partners and maintain professional working relationships across the organization.
• Excellent analytical, critical-thinking, and problem-solving skills, including making key decisions without ongoing upper-management feedback or supervision.
• Ability to understand health information flow in the electronic health record from registration through documentation, discharge, coding, and billing.
• Ability to work occasional long hours and weekends.
• Ability to meet the physical demands of prolonged desk work, computer and telephone use, repetitive hand and wrist motions, prolonged screen viewing, close visual work, sustained concentration, frequent communication, occasional standing, walking, or reaching, and occasional lifting up to 10 pounds.

Nice To Haves

• Project management experience.

Responsibilities

• Provide overall management and direction of coding and abstracting activities and oversee coding staff duties and responsibilities.
• Respond to coding and abstracting data and report requests from clients, physicians, and internal customers.
• Use database queries and reports to perform auditing functions.
• Work with medical staff and other departments to resolve and provide education on coding, documentation, and reimbursement issues.
• Develop and oversee internal and external coding validation programs; identify cases, monitor data collection timeliness, analyze and trend results, provide staff feedback, and report findings to clients monthly.
• Identify clinical documentation improvement and coder education opportunities based on validation findings.
• Maintain knowledge of payment methodologies, grouping classifications, ICD-10-CM, ICD-10-PCS, and ICD-9.
• Provide ongoing training and in-service programs for coding staff to support corporate compliance.
• Prepare and update coding and abstracting policies, procedures, and internal coding guidelines.
• Ensure month-end coding activity is completed for abstracting within client timelines.
• Prepare monthly reports on section productivity and quality.
• Complete performance reviews and recommend or initiate employee selection, promotion, disciplinary, and discharge actions.
• Coordinate coding staff meetings and keep staff informed of HIM and regulatory changes, developments, and events.
• Provide leadership and expertise in coding, compliance, reimbursement, and coded-data reporting; support compliance with OIG, CMS, state Medicaid, third-party payer, RAC, and other state and federal audit contractor requirements.
• Assist with analysis, implementation, testing, database management, maintenance, accuracy, regulatory compliance, troubleshooting, and security of coding and abstracting systems, interfaces, databases, and reporting tools.
• Collaborate with clients and IT analysts to develop products that improve performance, efficiency, and data integrity.
• Follow AHIMA Standards of Ethical Coding, monitor the coding team for violations, and report concerns.
• Assist in preparing and monitoring operating budgets.
• Prepare and complete the weekly Omega Solutions metrics report.
• Work with the Omega Solutions team to vet candidates for appropriate client assignments.
• Meet budgetary goals and margins established by client agreements and Omega Solutions.
• Meet all service-level agreements for client engagement.
• Oversee accounts receivable (DNFB) management and staffing resources to accommodate patient volume within turnaround times and financial targets.
• Attract, recognize, retain, and manage staff, and use staff effectively to improve organizational performance.
• Participate regularly in virtual meetings, training, coaching, audits, and other work-related interactions using company-approved collaboration technology, including audio and video when required.
• Perform duties in compliance with company policies and procedures, including HIPAA and compliance requirements.
• Perform other duties as assigned; duties and responsibilities may change.

Benefits

• Health coverage
• Dental coverage
• Vision coverage
• Voluntary insurance options
• 401(k) plan with employer match
• Professional development opportunities
• Paid time off
• Holiday pay
• Potential eligibility for bonus programs, commissions, or other variable incentive plans

What This Job Offers

• Job Type: Full-time
• Career Level: Manager