HIM Coding Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• The Coding Manager is responsible for overseeing the medical coding functions to ensure that healthcare services are coded accurately, promptly, completely, and in compliance with Official Coding Guidelines, AHIMA Standards of Ethical Coding, CMS regulations, and organizational policies.

• Manages daily coding operations while providing guidance and support to the coding team to uphold accurate, compliant, and timely coding practices.

• Tracks coding productivity, quality, accuracy, and turnaround times to ensure that departmental goals and performance standards are met.

• Reviews discharged not final coded (DNFC) days reports and collaborates with the HIM Director and coding staff to resolve issues affecting timely coding completion.

• Engages in coding across all service lines and patient types as necessary, including inpatient, swing bed, same-day surgery, ancillary, ambulatory, emergency department, provider-based clinics, and professional services to support workflow demands and meet required turnaround times.

• Conducts internal and supplemental coding audits as required, analyzing audit results, revenue cycle edit/denial data, and other performance metrics to identify trends, compliance risks, and areas for improvement.

• Develops and delivers coder education and training based on audit findings, coding trends, regulatory updates, documentation requirements, and identified learning needs.

• Provides mentorship, training, and support to coding staff, which includes onboarding new employees, facilitating cross-training initiatives, conducting performance evaluations, and acting as an expert resource for coding-related inquiries and issues.

• Oversees the performance and productivity of coding staff through continuous coaching, feedback, performance evaluations, and professional development opportunities.

• Recognizes training needs, fosters employee growth, and encourages accountability to meet departmental goals, quality standards, and operational expectations.

• Ensures a compliant and effective physician query process in partnership with providers and the coding team.

• Collaborates with CDI and the HIM Director to pinpoint opportunities, tackle process challenges, and implement enhancements that improve documentation quality, coding accuracy, and overall workflow efficiency.

⛳️ Requirements

• A current nationally recognized certification in good standing: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) is required.

• A Bachelor's degree in Health Information Management (HIM), Nursing, or a related field is preferred.

• A minimum of an Associate’s degree is required.

• At least five years of coding experience in an acute care or critical access hospital setting, encompassing coding for all inpatient and outpatient service classifications.

• A minimum of two years in a supervisory position in HIM and/or Coding.

• Comprehensive knowledge of HIM principles and departmental operations.

• Advanced understanding of coding guidelines, rules, conventions, and reimbursement methodologies.

• Capability to review and analyze all components of the medical record to ensure accurate, complete, and compliant code assignment.

• Experience in conducting coding quality audits using statistically valid random sampling methodologies; calculating coding accuracy rates; identifying trends; and delivering meaningful education and feedback to coding staff.

• Proficiency in utilizing encoder software, coding references, and other coding-related applications and tools.

• Self-motivated with the ability to identify improvement opportunities and demonstrate initiative to resolve issues in support of enhancement efforts.

• Strong organizational abilities with the capacity to prioritize tasks, manage multiple projects, and meet deadlines in a fast-paced environment.

• Excellent communication and interpersonal skills, with a proven ability to engage with a variety of team members.

• Commitment to ongoing education and professional development to maintain HIM and/or Coding certifications and remain current with industry standards.

• Strong ethical principles and dedication to preserving patient confidentiality and data security.

🏝️ Benefits

• Health insurance

• Professional development opportunities