Manager Coding Quality/Education

Texas Children's Medical CenterHouston, TX

About The Position

We are searching for a Manager of Coding Quality and Education -- someone who works well in a fast-paced setting. In this position, you will be responsible for communicating coding regulations, policies and guideline changes to all applicable parties across the health system and will serve as a coding resource for Revenue Integrity departments, physicians and administration on accurate and ethical coding and documentation standards, guidelines, and regulatory requirements.

Requirements

  • Required H.S. Diploma or equivalent
  • CCA - Certified Coding Associate by the American Health Information Management Association (AHIMA)
  • CCC-P - Cert Coding Spec-Physician by the American Health Information Management Association (AHIMA)
  • CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA)
  • CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC)
  • COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC)
  • CPC - Cert-Cert Professional Coder by the American Academy of Professional Coders (AAPC)

Nice To Haves

  • preferred bachelor's degree in a work-related field/discipline

Responsibilities

  • Manages and oversees all hospital and professional coding quality education staff and activities.
  • Develops and provides system wide educational and training program regarding elements of the coding compliance program to coding staff and physicians.
  • Monitors coding accuracy quality of the Coding Compliance team, and reports progress to leadership.
  • Assesses medical record documentation to meet coding compliance and other third-party requirements and identifies documentation trends and issues to bring forward to management, providers, and Clinical Documentation Integrity for resolution.
  • Applies standardized scoring methodology to consistently evaluate coding accuracy and standardizes review findings and methodology to report monitoring results.
  • Serves as a resource for department managers, staff, physicians, and administration to support accurate and ethical coding and documentation standards.
  • Oversees monthly retrospective hospital and professional coding audits and coordinates ongoing monitoring of coding accuracy and documentation adequacy.
  • Promotes a culture of continuous improvement through application of methodologies, coaching, mentoring, problem solving tactics, data analysis and development of staff to meet performance expectations.
  • Builds trust and collaborative relationships with team members, providers, and leaders across the organization.
  • Collaborates with other departments in process improvement projects related to Physician’s, APP’s and PB Coding.
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