Hospital Inpatient Coding Manager
About The Position
The Hospital Inpatient Coding Manager develops and implements coding strategies and provides operational leadership to maintain efficient coding processes. The role oversees Coding Supervisors and supports staff performance through ongoing coaching, feedback, and development. It also oversees auditing and education programs, supports accurate and compliant inpatient coding and billing, and helps ensure alignment with corporate coding policies and initiatives. The position contributes to coding compliance planning, regulatory and accreditation compliance, problem solving, root cause analysis, and process improvement. It serves as a liaison for regional meetings, projects, and teams that work with coding, and assists with coding-related inquiries, audits, and denials from third-party agencies. The manager acts as a subject matter expert in coding and related clinical, reimbursement, quality, and compliance matters; maintains expertise in Franciscan Alliance coding software; and assists with workflow development and standardization. The role also assists the Director with departmental budget development and management, including budget allocations and expenditure oversight.
Requirements
- Associate's degree in Health Information Management is required.
- Four years of Coding Manager experience is required.
- Four years of Franciscan Coding Supervisor experience, or three years of coding experience, is required.
- Inpatient coding experience is required.
- RHIA certification from AHIMA or RHIT certification from AHIMA is required.
Nice To Haves
- Bachelor's degree in Health Information Management is preferred.
Responsibilities
- Provide oversight and leadership to Coding Supervisors and manage coworker performance through coaching, feedback, and development.
- Oversee auditing and education programs to promote accurate and compliant inpatient coding and billing practices.
- Make decisions about changes to coding staff day-to-day functions and align coding operations with acute and ambulatory corporate initiatives.
- Develop and enforce standardized corporate coding policies and procedures.
- Identify problems, perform root cause analysis, and develop solutions that produce expected outcomes.
- Assist with organizational standardization and implementation of a corporate coding compliance plan, including external regulatory and accreditation requirements.
- Promote coworker satisfaction and a positive work environment.
- Serve as a department liaison for regional meetings, projects, and teams that interact with the coding team.
- Assist with coding-related planning for new department builds and department revisions.
- Assist the Coding Manager with coding inquiries, audits, and denials from third-party agencies.
- Analyze and interpret disease and procedure classifications and terminologies to accurately translate healthcare data, applying broad guidelines independently to specific coding situations.
- Serve as a subject matter expert on diagnosis and procedure codes, coding guidelines, medical terminology, anatomy and physiology, reimbursement schemes, payer-specific guidelines, public reporting of outcomes, quality measures, and coded data as it relates to revenue cycle compliance.
- Maintain expert knowledge of Franciscan Alliance coding software tools and assist with development and maintenance of software workflow for standardization and efficiency.
- Assist with identifying and implementing process improvements based on industry best practices to use resources effectively, decrease costs, and improve coding services across specialized service lines.
- Assist the Director with departmental budget development and management, including budget allocations, expenditure approvals, and expense oversight.
- Follow the Standards of Ethical Coding set forth by AHIMA/AAPC and adhere to official coding guidelines.
Benefits
- Franciscan provides eligible employees with comprehensive benefit offerings; details are available in the benefits section of the company career site.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Associate degree
