Manager Coding Compliance

Texas Children's HospitalHouston, TX
Onsite

About The Position

We’re searching for a Coding Compliance Manager— someone who works well in a fast-paced setting. In this position, you will effectively manage the coding and auditing process so that Hospital claims are coded in a timely manner and according to coding guidelines. You’ll effectively manage accounts holding for coding and review processes for accuracy. You’ll also maintain consistent, timely, and compliant coding practices.

Requirements

  • Required H.S. Diploma or GED. A bachelor's degree will substitute for 4 years of experience
  • Required Licenses/Certifications
  • CCA - Certified Coding Associate American Health Information Management Association
  • CCC-P - Cert Coding Spec-physician American Health Information Management Association
  • CCS - Cert-cert Coding Specialist by the American Health Information Management Association
  • CIPC - Certified Inpatient Coder by the American Academy of Professional Coders
  • COC - Certified Outpatient Coder by the American Academy of Professional Coders
  • CPC - Cert-cert Professional Coder by the American Academy of Professional Coders
  • CPC-A - Cert Prof Coder - Apprentice by the American Academy of Professional Coders
  • RHIA - Cert-reg Health Inform. Admins by the American Health Information Management Association (AHIMA)
  • Required 7 Years experience coding inpatient and outpatient records using the most current coding systems

Responsibilities

  • Manages and oversees all coding staff and activities.
  • Performs/manages audit and review of medical records process to ensure coding accuracy and compliance with regulatory guidelines and coding guidelines.
  • Participates in performance improvement initiatives to meet hospital, departmental, and area goals and strategies. Documents the performance improvement and measures success as reported quarterly to Director.
  • Conducts NCCI Edits and Medical Audit Reviews.
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