Network Facility Coding Manager

St. Luke’s University Health Network•Allentown, PA

About The Position

Under general supervision of the sr. network director of CDCI, oversees and monitors coding operations including but not limited to providing guidance to the supervisors of IP and OP coding and coding appeals, DNB/CFB/CBO management, coordination of the annual external coding audits with feedback (individually & collectively) and establishing education sessions to ensure coding quality and consistency across the network; provides guidance with the coordination of daily workflow for all inpatient and outpatient coding professionals when needed and acts as the back-up to the Sr. Network Director, CDCI. Provides and/or assists with the training of new coding professionals. Maintains current knowledge of ICD-10-CM/PCS, CPT-4, MS-DRG and APR-DRG coding principles and conventions. Updates and maintains AHA coding clinic and department coding resources on a regular basis. Provides assistance to the business office, finance, registration and other departments as needed. The intent of this job description is to provide a summary of the major duties and responsibilities of this position and shall not be considered as a detailed description of all the work requirements that may be inherent in the position. The Network manager is responsible for the day-to-day operational performance of the inpatient and outpatient coding services across the network, ensuring accuracy, timeliness, compliance, and consistency in accordance with departmental and organizational standards

Requirements

Graduate of an AHIMA-accredited Health Information Administration (RHIA) program or Health Information Technology (RHIT) program with Certified Coding Specialist credentials (CCS) required.
Minimum 5-7 years management experience in acute care, teaching hospital with strong inpatient and outpatient ICD-10-CM/PCS and CPT-4 coding experience and MS-DRG/APR-DRG assignment.
Demonstrated experience in organizational, effective communication, time-management, and computer skills.
Expected to maintain designated CEUs for AHIMA credentials (RHIA, RHIT, and/or CCS) in accordance with the AHIMA Governing Body, with confirmation of valid credentials for every two-year cycle reporting.
Adherence to the confidentiality guidelines as outlined within the Hospital and departmental policies.
Promote positive customer satisfaction by way of prompt and courteous customer service.

Nice To Haves

Candidates with a health-care related degree and one of the AHIMA credentials (RHIA, RHIT, or CCS) may be considered.
Approved AHIMA ICD-10-CM/PCS Trainer preferred.

Responsibilities

Oversees internal and external coding audits, including coordination, response management, education follow-up, and monitoring of corrective actions.
Ensures coding practices align with ICD-10-CM/PCS, CPT/HCPCS, MS-DRG/APR-DRG guidelines and applicable regulatory requirements.
Collaborates with Quality and Clinical Documentation teams on medical record quality and documentation integrity initiatives as assigned.
Oversees development and delivery of coding education in collaboration with education/audit coordinators.
Ensures policies, procedures, and reference materials are current and consistently applied.
Identifies operational improvement opportunities and supports implementation of approved process changes.
Manages assigned staff, including scheduling, performance evaluations, coaching, and disciplinary actions in accordance with HR policies.
Participates in hiring, onboarding, and orientation of coding staff and coordinators.
Serves as an escalation point for operational questions from lead coders and coordinators.
Partners with Finance, HIM, Admissions, CDI, and other departments to resolve coding-related operational issues.
Represents coding operations in meetings as assigned and ensures follow-through on action items.
Performs additional duties as assigned to support departmental operations