Coding Manager

Job ID
2017-20565
Employment Type
full-time
Crystal Lake
Hours Per Week
0.00
IL

Overview

The Coding Manager oversees the on-site processes and functions in Health Information Management related to remote coding to facilitate high quality, cost effective delivery of coding services to the client. Duties include management of scanning staff and acting as a liaison with HIM department, physicians, remote coding staff, and Directors of Remote Coding Operations and Sales Support.

Responsibilities

  • Alongside the DHIM, direct the functions of the Coding division of the HIM department.
  • Participate with various and record review committees / activities.
  • Assist with the ongoing development, interviewing, hiring and training of the HIM Coding staff.  Perform corrective actions when necessary.
  • Lead special HIM projects related to Coding.
  • Develop and deploy HIM systems conducive to departmental success.
  • Monitor systems and sets standards for quality and ethical practices within the Coding division of the HIM department.
  • Participate in the development of departmental policies and procedures.
  • Monitor DNFB and coding days daily and direct expeditious processing to ensure compliance.
  • In the absence of the Director, the Coding Manager has expanded responsibilities related to department functions and performs duties necessary to manage all functions.
  • Interacts with billing office, physicians, IT, and hospital personnel to resolve coding/billing issues.
  • Actively works and understands the DNFB/DNFC process.
  • Works on multiple IT platforms, including patient finance, encoders, as well as Precyse and client IT systems.
  • Stays abreast of the differences in payment processes amongst insurance payers.
  • Possesses a solid grasp of the charge master, revenue codes, processing patient type changes, cancelled accounts, and working multiple edits.
  • Participates in the processing of RAC audits as well as all types of internal and external auditing.
  • Acts as a liaison to CDI specialists to facilitate documentation issues identified by coders.
  • Acts as a liaison to physicians to facilitate any Physician Query questions.
  • Reviews physician queries submitted by coders for leading or non-compliant language.
  • Assists in developing new query forms as needed.
  • Revises and updates coding policies and procedures in collaboration with HIM Director, as requested.
  • Maintains strict physician and patient confidentiality and follows state, federal and hospital guidelines for the release of information.
  • Supports our Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; notifying management when there is a compliance concern or incident; demonstrating knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient information.

Qualifications

  • RHIA or RHIT required
  • 5+ years of Coding Management experience (in can acute care facilty with 250+ bed count) including DNFB management, denials management and periodic auditing of charts to assure quality of coding
  • Experience with 3/M encoder is required
  • CCS or CPC also preferred but not required
  • Candidate should demonstrate excellent verbal and written skills as well as demonstrate working knowledge of Excel Spreadsheet
  • Experience with HIM departmental staff supervision
  • Medical Coding inpatient and outpatient experience in a hospital setting
  • Extensive knowledge of HIM functions and processes
  • Knowledge of information systems and healthcare application

Preferred Skills

  • Experience with McKesson HPF and Paragon.
  • Experience with Computer Assisted Coding implementation.

About nThrive

nThrive is the leader in providing end-to-end revenue cycle services, technology and education solutions. Previously known as MedAssets, Precyse, Equation and Adreima, each formerly a leader in its own right, we’ve combined our talents and capabilities into a single enterprise. At nThrive, we are people who are passionate about empowering health care for every one in every community. We work together to transform financial and operational performance, enabling health care organizations to thrive.
 
nThrive is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

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