Manager, Coding

OhioHealth

1d

About The Position

This position is responsible for managing all coding personnel, education and operations, department metrics, data abstracting, and related billing processes for inpatient and outpatient encounters to meet financial goals for the OhioHealth enterprise. Vendor management is a key function, ability to engage, hold accountable and partner with external resources to drive success. Responsible for coordination of data collection efforts with other primary users in clinical and non-clinical roles as necessary regarding Claims Processing, Quality Metrics and Data Integrity. Serves as subject matter expert and as an internal Revenue Cycle consultant for OhioHealth initiatives. This position is responsible for the development of coding guidelines in accordance with the most recent published regulations from CMS, AHIMA, and Official Coding Guidelines. Accountable for collaboration with any new payment methodology impacting any area of the department and/or reimbursement. The Manager of Coding encompasses participation in implementation of new or upgraded coding software and hardware systems. Manager is also charged with the development and monitoring of standards of performance, including revisions as new technologies become available and potentially affect production.

Requirements

• Equivalent Experience and Relevant Coding Certification by AHIMA or AAPC (must).
• Minimum 7 years coding experience, at least 3 years in a large acute care network with multiple specialties.
• Minimum 1-year progressive leadership experience.
• High School or GED (Required)
• CCS - Certified Coding Specialist - American Health Information Management Association, RHIS - Routine Health Information Systems - State of Ohio, RHIT - Registered Health Information Technician - American Health Information Management Association
• SPECIALIZED KNOWLEDGE Experience with large multi-facility coding operations and vendor management.
• Certification in coding by AHIMA or AAPC.
• Evidence of successful KPI management and driver.
• Strong background in ICD-10 and CPT classifications and corresponding reimbursement methodologies.

Nice To Haves

• Bachelor's Degree - Field of Study: Health Information or related.
• RHIA – Registered Health Information Administrator or RHIT - Registered Health Information Technician.
• Minimum 3 years of hands-on coding experience.
• Minimum 1 year leadership experience.
• Technical skills a plus.

Responsibilities

• Manage department operations aligning daily function with desired outcomes to meet KPIs. Major goals include workflow efficiency, production to meet coding turnaround time targets, coding accuracy and education, processes, and system integration, DNFB and Pre-AR targets.
• Works with departments to ensure processes are in place to collaborate on initiatives and/or address issues. Support plans requiring intervention as indicated through identified industry trends, changes, payer behavior or any relevant OhioHealth goal. Serves as an internal consultant with new initiatives, reviews and provides recommendations.
• Coordinates billing/coding activities with Revenue Cycle representatives Patient Accounts, Patient Access and participates with problem-solving.
• Develops Coding Supervisors through delegation and direct operational support.
• Manages staffing scheduling within budget for coding operations. Conducts staff evaluations and disciplinary actions as necessary at all campus locations. Hires and/or fires any direct reporting positions.
• Works with Medical Record Services management team on department and enterprise-wide processes and operations as related to coding, abstracting, billing, and documentation. Implements and/or updates new IS systems.
• Maintains current information on governmental regulation changes, especially ICD-10, CPT-4 and HCPCS coding, and APC and DRG updates affecting coding, staffing, and health system reimbursement.
• Administers physical, procedural, and technical safeguards for protection, control, and monitoring of information assets, including access management, staff education, responses to breaches, business continuity planning, auditing, and information security risk management.

Benefits

• We are a unique organization in the healthcare field. Our model system of facilities encompasses a wide scope of expertise and care.
• OhioHealth is recognized as a Great Place to Work CertifiedTM organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees