Coding Manager

Texas Scottish Rite for Children•Dallas, TX

1d•Remote

About The Position

The Coding Manager oversees the daily operations of the Hospital Coding Department and Physician Practice Coding Department, promoting steady workflow, data integrity, coding quality, and productivity. The manager works with physicians and clinical staff on coding and documentation guidelines, supports timely correction of coding issues, and ensures audits and corrective action plans are completed. This role leads the coding team through hiring, training, workflow assignment, performance appraisal, problem resolution, mentoring, and continued skill development. The Coding Manager also reviews coding-related denials and rejections, monitors unbilled and aging accounts, distributes updates about annual and interim code changes, and maintains coding resources. The manager identifies trends and process-improvement opportunities, develops and monitors coding policies and procedures and a coding compliance plan, and communicates with directors and business partners about unbilled coding activities. The position is listed as remote, Monday through Friday, 8:00 am to 4:30 pm, with the posting location identified as Dallas – Hospital.

Requirements

High school diploma or equivalent.
Associate degree in Health Information Management, Health Information Technology, or a related healthcare field, or 3 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 of and experience with 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: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), or Certified Professional Coder (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 conjunction 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 that corrective action plans are implemented.
Provide feedback and facilitate or coordinate focused education on coding and clinical documentation best practices for coding and clinical staff as needed.
Interview, hire, and train employees; plan, assign, and direct workflow; appraise employee performance; address complaints and 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 and continued education.
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.