Coding Manager

Franciscan Alliance, Inc.

7d•$77,750 - $121,493•Remote

About The Position

The Corporate Coding Manager develops and implements coding strategies and provides operational leadership to manage and maintain efficient coding processes. This position supervises staff, prepares and forecasts budgets and strategic plans oversees quality assurance programs, and ensures regulatory compliance. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Provides oversight and leadership to the Coding Supervisors within the department, and manages the performance of coworkers through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team. Oversees the auditing and education program to ensure accurate and compliant coding and billing practices. Makes decisions regarding changes to coding staff day-to-day functions; aligns all aspects of coding operations to align acute and ambulatory corporate initiatives, including standardized corporate coding policy and procedure development and enforcement. Participates in problem identification, performs root cause analysis, and develops a solution that produces expected outcomes and intended results. Assists with the development of the organizational wide standardization and implementation of a corporate coding compliance plan to include compliance with external regulatory and accreditation requirements. Creates an environment that coworkers want to work in and maintain a high level of coworker satisfaction. Serves as department liaison for regional meetings and projects and to other teams that interact with the coding team; assists with items specific to coding needs for planning of new department builds and department revisions. Assists the Coding Manager with inquiries/audits and denials from third party agencies related to coding. Function Purpose Orientation to coding fundamental support role in business operations in supporting the revenue cycle and how coding influences. (ex. Physicians, Clinical Operations teams, BPCI, quality measures Acts as a nosologist, analyzing and interpreting disease and procedure classifications and terminologies for the accurate translation of healthcare data; applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability. Serves as the subject matter expert with regards to diagnosis and procedure codes, coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance. Maintains expert knowledge of Franciscan Alliance coding software tools; assists with development and maintenance of software system workflow for standardization and maximum efficiency. Assists with identification and implementation of process improvements, according to industry best practice standards, to make the best use of resources, decrease costs and improve coding services across the specialized service lines. Director with development and manages departmental budgets, including making budget allocations, approving expenditures and ensuring expenses are within budget. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders, and adheres to official coding guidelines.

Requirements

Associate's Degree Health Information Management - Required
4 years Coding Manager - Required
4 years Franciscan Coding Supervisor - Required
3 years Coding Experience - Required
Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Required - OR - Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Required

Nice To Haves

Bachelor's Degree Health Information Management - Preferred

Responsibilities

Provides oversight and leadership to the Coding Supervisors within the department, and manages the performance of coworkers through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team.
Oversees the auditing and education program to ensure accurate and compliant coding and billing practices.
Makes decisions regarding changes to coding staff day-to-day functions; aligns all aspects of coding operations to align acute and ambulatory corporate initiatives, including standardized corporate coding policy and procedure development and enforcement.
Participates in problem identification, performs root cause analysis, and develops a solution that produces expected outcomes and intended results.
Assists with the development of the organizational wide standardization and implementation of a corporate coding compliance plan to include compliance with external regulatory and accreditation requirements.
Creates an environment that coworkers want to work in and maintain a high level of coworker satisfaction.
Serves as department liaison for regional meetings and projects and to other teams that interact with the coding team; assists with items specific to coding needs for planning of new department builds and department revisions.
Assists the Coding Manager with inquiries/audits and denials from third party agencies related to coding.
Acts as a nosologist, analyzing and interpreting disease and procedure classifications and terminologies for the accurate translation of healthcare data; applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability.
Serves as the subject matter expert with regards to diagnosis and procedure codes, coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance.
Maintains expert knowledge of Franciscan Alliance coding software tools; assists with development and maintenance of software system workflow for standardization and maximum efficiency.
Assists with identification and implementation of process improvements, according to industry best practice standards, to make the best use of resources, decrease costs and improve coding services across the specialized service lines.
Director with development and manages departmental budgets, including making budget allocations, approving expenditures and ensuring expenses are within budget.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders, and adheres to official coding guidelines.