Manager Coding Operations

Parrish Medical Center•Titusville, FL

21d•Onsite

About The Position

Reporting to PMC Director of Health Information Management and working closely with the PMG AVP of Parrish Medical Group, this role supervises and coordinates the Coding section of professional fee coding operations. The position involves performing coding, quality reviews, and acting as a liaison to medical staff members and ancillary department personnel regarding coding documentation and assignment. The position shall exemplify the desired Culture of Choice® and philosophies of Parrish Healthcare.

Requirements

Bachelor’s Degree is required within a related field (health information management preferred).
Associate’s Degree (AA or AS) in related field with two of the required certifications (CCS-P, CPC, RHIA, RHIT) and 2 or more years of supervisor experience may be substituted for Bachelor’s Degree.
Minimum 3 years recent experience professional fee coding with emphasis on E/M surgical coding preferred.
Previous review and education consulting experience preferred.
Certified Physician-based Coding Specialist (CCS-P) or Certified Professional (CPC) required.
Also certified as RHIA or RHIT is strongly preferred.

Responsibilities

Coordinates and manages the overall workflow to include leading accuracy and efficiency in coding and abstracting functions working in collaboration with the central business office acting as liaison between internal and external operations.
Conducts coding quality studies on a regular basis.
Assists medical staff, ancillary departments, and other direct patient care providers on documentation, coding assignments through education, communication and review of coding standards, chart documentation and organizational guidelines.
Maintains and continuously improves knowledge base of professional fee coding documentation requirements through review, study of resources (coding clinic, Medicare guidelines, etc.) and continuing education.
Develops, implements, and maintains coding policies and procedures.
Sends updates on CMS guideline changes, weekly newsletters for education and ensures set up quarterly education sessions with providers based on specialty.
Reviews and verifies Incomplete Abstracts (unbilled) Report on a regular basis.
Prepares and distributes training materials to facilitate understanding and compliance with coding standards.
Reviews and corrects any information for all AHCA reporting.
Establishes and informs each employee or provider of their productivity and quality.
Sets up educational sessions as needed for individual providers.
Identifies, evaluates, and assigns diagnostic and procedural codes based on record documentation with a minimum departmental accuracy level and within the established time parameters utilizing established coding classification methodologies.
Requires occasional travel between sites for orientation and educational visits.
With a minimum departmental accuracy level, clinical administrative and financial information abstracts into the hospitals and clinic’s RCM databases.
Verify accuracy of existing information, making the appropriate corrections.
Leads and participates in special projects to improve coding operations and support organizational initiatives.
Collaborates with service line leadership within assigned medical groups to address complex coding questions and ensure accurate coding practices.
Performs similar or related duties as assigned.
Knows fire, disaster and safety procedures and regulations as it pertains to the work area.