Manager, Coding

Adventist Health•Roseville, CA

2d•$98,787 - $148,181

About The Position

Manages, monitors, and coordinates professional and hospital coding functions across Adventist Health, Portland locations. Ensures coding staff perform their duties accurately and efficiently and handle records and data in accordance with HIPAA and Adventist Health regulations. Ensures coding department work products comply with federal, state, and local regulations, as well as organizational standards, practices, policies, and procedures. Oversees daily coding department operations, including workload and staffing, hiring, discipline, performance appraisals, training, and monitoring work quality and productivity. Ensures coded data accurately represents services provided and supports optimal organizational reimbursement.

Requirements

Bachelor’s degree or equivalent combination of education and experience required.
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required.
All associates must receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

Nice To Haves

Master’s degree preferred.
Five years of related experience preferred.
One year of leadership experience preferred.

Responsibilities

Oversee and monitor the coding program.
Develop and coordinate education and training about coding-program compliance, appropriate documentation, and accurate coding for coding staff, providers, billing staff, and ancillary departments.
Ensure regulatory policy and guideline changes are appropriately communicated and disseminated.
Conduct and oversee coding audits and coordinate monitoring of coding accuracy and documentation adequacy.
Report auditing and monitoring noncompliance issues, corrective action plans, and follow-up audit results to the HIM Director and Compliance Officer.
Serve as a facilitator, liaison, and motivator with people whose work affects the success of the coding program.
Evaluate how innovations and changes in programs, policies, and procedures affect the coding team.
Design and implement systems and methods to improve data accessibility.
Identify, assess, and resolve problems; prepare administrative reports.
Review coding- and medical-necessity-related claim denials and rejections and implement corrective action plans when necessary to prevent recurrence.
Conduct trend analyses to identify patterns and variations in coding practices and case-mix index.
Monitor coding performance indicators, including discharged not final coded (DNFC), discharged not final billed (DNFB), and days in coding, as well as other indicators identified by leadership.
Perform other job-related duties as assigned.
Oversee coding department workload and staffing, hiring, discipline, performance appraisals, training, work quality, and productivity.