Coding Manager - PB

Hennepin Healthcare•Minneapolis, MN

3d•Remote

About The Position

Responsible for the management and strategic direction of the hospital billing coding area to ensure coding accuracy, timeliness and maximum equitable reimbursement from all carriers. Hospital billing coding should be completed and processed within the timeframes established by HCMC’s revenue cycle management as well as backlogs and rejections are minimized. Oversight will be required in the following functions: medical record documentation, archiving, coding accuracy audits, and reporting. Other Management responsibilities include: strategic planning, budget preparation and oversight; hiring, disciplining, and terminating employees; staff development to ensure that this area meets the service needs of the organization. Serves as a resource and assists with organizational compliance on HIPAA Privacy standards, and The Joint Commission standards. Ensures appropriate procedures and policies are created and revised as needed and provides direction to the organization regarding the implementation of these policies. Works collaboratively as a key participant in the oversight of Epic and 3M Coding Reimbursement system enhancements to ensure efficient and effective processes and workflows in the professional coding area.

Requirements

Bachelor degree in business and /or healthcare administration, Health Information Management or Health Information Technology
Certified Professional Coder (CPC) certification or Certified Coding Specialist-Physician (CCS-P), Registered Health Information Administrator (RHIA) Registered Health Information Technologist (RHIT) in an active status with the American Health Information Association (AHIMA) preferred
Three (3) years Healthcare management experience with supervisory/management responsibilities.
An approved equivalent combination of education and experience.

Nice To Haves

Certificate of registration as a registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred
Epic Physician Billing Coding functionality
Optum Claims Manager and Encoder
Knowledge of state and federal legislation for HIPAA Privacy, medical record access and release of information, and regulatory and accreditation agencies; retention of medical records; storage and retrieval systems,
Knowledge of current medical record technology, statistics, data presentation and reporting
Skilled in the use of computer systems, including practice management systems, reporting tools and the Microsoft office suite; creating presentations, facilitation of meetings
Develop and implement policies and procedures

Responsibilities

Responsible for the management and strategic direction of the hospital billing coding department, which includes, medical record documentation, archiving, chart audits, and reporting.
This position has shared responsibility to achieve the business unit goals in targeted areas such as unbilled accounts receivable, compliance with regulatory requirements, coding and data accuracy and reimbursement from third-party payers.
Management responsibilities include: strategic planning, budget preparation and oversight; hiring, disciplining, and terminating employees; staff development to ensure this department meets the service needs of the organization as follows:
Interview, hire, orient, review and discipline employees
Conduct employee performance evaluations and reviews, annual salary review, and performance documentation and discussion
Coordinate and prioritize work flow
Oversee the scheduled work hours; monitor staffing, time cards, overtime, vacations, and time off
Conduct appropriate departmental staff meetings
Ensure new employee training is completed and training for all employees is current and ongoing
Assist employees in solving problems as necessary
Monitor and recommend staffing levels
Monitor accuracy, efficiency and productivity of all coding personnel to ensure compliance with departmental performance standards
Develop and maintain budget for the hospital billing coding department
Works with staff to ensure compliance of, and proper coding procedures are adhered to as defined by CMS regulations, Local Medicare Carrier Review Policies (LMRP), Local Carrier Determinations (LCD), the AMA any applicable HCMC compliance policies, as well as any relevant accrediting and payer organizations
Serves as a resource and assists with organizational compliance on coding policy and practices, HIPAA Privacy and interrelated Security standards, release of information standards and The Joint Commission standards that apply to the professional coding functions
Ensures that coding and operational policies are created and revised as needed and provides direction to the organization regarding the implementation of these policies
Serves as a resource for the organization on the assignment of codes which includes diagnoses and procedural codes, and must exhibit knowledge and expertise in ICD-9, ICD-10, CPT, and HCPCS
Leads and is accountable for coding projects
Works collaboratively as a key participant in the development and implementation of system enhancements and modifications of coding workflows
Attends management meetings, interacts with HCMC management to resolve problems and acts as a liaison to the revenue cycle management team
Assists Revenue Cycle Management with the development and implementation of administrative policies, procedures and guidelines for departmental operations.
Responsible for periodic evaluation of operational processes to assess relevancy to changing goals and objectives of the department
Maintains mutual respect and ensures mutual understanding with all HCMC personnel
Proactively identifies and evaluates issues and identifies appropriate subject matter experts and other information resources to resolve problems
Builds a cohesive team by establishing clear direction, goals and responsibilities. Supports the team’s success by providing necessary resources and breaking down barriers. Creates an environment which fosters motivation and builds commitment