Manager, Coding Hospital & Physician Services

Children's Healthcare of Atlanta

About The Position

Establishes and maintains an efficient, timely coding process and ensures the accuracy and quality of coded and abstracted information for all patient types across Children’s Healthcare of Atlanta hospital campuses, physician services, and remote facilities. Provides ongoing education to coders, physicians, and other clinical staff. Serves in a management and advisory capacity to coding staff and an educational and advisory capacity to clinical staff and physicians regarding documentation, coding, and regulatory compliance. Works with the Director, HIS & Coding to improve coding services.

Requirements

At least 3 years of experience in health information management or coding management in a hospital or physician practice/clinic setting.
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.
One of the following certifications: RHIA, RHIT, CCS, CCS-P, or CPC.
Knowledge of complete and accurate clinical documentation across healthcare settings and disciplines.
Knowledge and experience in acute-care hospital and physician/clinic coding and billing practices.
Knowledge of conventions, rules, and guidelines for classification systems, including ICD-10 diagnosis and procedures, CPT, and Evaluation & Management coding.
Knowledge of reimbursement systems such as MS-DRG and APC.
Knowledge of clinical documentation improvement methodologies.
Ability to interpret and implement regulatory standards, including NCCI and MUE policies.
Ability to establish rapport with physicians and other healthcare practitioners.
Strong analytical and critical-thinking skills for problem solving and change management.
Must pass the Basic Microsoft Office Skill Assessment with a rating of 80% or higher during the pre-employment interview process.

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.
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 accordance with department policies.
Oversee monitoring of 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.
Review audit reports for accuracy and ensure corrective action plans are implemented.
Provide feedback and facilitate or coordinate focused education for coding and clinical staff on coding and clinical documentation best practices.
Interview, hire, and train employees; plan, assign, and direct workflow; appraise performance; address complaints and resolve problems; and manage production and quality control.
Conduct trend analysis to identify patterns and variations in coding and documentation practices and case mix index.
Identify and implement coding department process improvements.
Review claim denials and rejections related to coding and medical necessity, and implement corrective action plans as needed.
Work with Coding Supervisors to provide staff with annual, quarterly, and semi-annual ICD-10-CM/PCS and/or CPT code changes, and coordinate timely system updates with Information Systems & Technology.
Maintain coding information and provide updated manuals, resources, and other coding materials.
Monitor, verify, and reconcile budgeted expenditures; compile expenditure information, develop cost comparisons, and identify operational cost savings.
Participate in Internal Audit Process exit conferences and provide necessary clarification and supporting information.
Collaborate with coding managers outside the organization to support consistent implementation of coding policies, procedures, and practices; communicate with directors and business partners about unbilled coding activities.
Mentor team members and encourage their personal and professional growth.
Encourage continued skill development by providing opportunities for continuing education.
Apply critical thinking, problem-solving, and change-management skills to identify and resolve systemic issues.