Inpatient Hospital Coding Manager

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

📋 Description

• Oversees the staff and functions of the coding department.

• Ensures peak performance through effective recruitment, training, development, and performance management.

• Holds staff accountable for meeting plans and performance objectives.

• Collaborates with staff to identify and resolve complex issues and challenges affecting the department.

• Promotes development and ongoing professional growth to align with company and individual long-term goals.

• Exhibits a commitment to continuous quality improvement, considering the needs of all stakeholders.

• Builds a high-performing team that excels in project management and enhances the coding department's overall financial performance in compliance with state and federal regulations.

• Maintains a thorough understanding of coding metrics, leadership skills, and project management, while guiding the team in developing strategies to optimize operational performance through strong analytical skills, process enhancements, and technological advancements.

• Ensures adherence to government and commercial coding standards while maximizing reimbursements for patient claims.

• Collaborates with the company’s compliance and legal teams to uphold proper procedures and represent the organization in litigated issues.

• Advises management on actions and potential risks.

• Directs the coding department's strategic plan objectives and facilitates operational goal setting and execution through effective leadership.

• Designs, implements, and continuously monitors key performance indicators to ensure maximized cash flow throughout the revenue cycle.

• Regularly assesses the efficiency and effectiveness of operations and proposes or implements optimization or transformation initiatives.

• Consistently identifies enhancement opportunities to optimize the overarching coding process within the organization.

• Evaluates current best practices within the coding department and other areas, making necessary improvements.

• Cultivates and maintains strong relationships with clients and providers.

• Effectively manages relationships and business processes across all clinics, physician offices, and hospitals.

• Establishes and nurtures strong working relationships with Revenue Cycle leaders and fosters collaboration with Information Services.

• Develops, implements, and effectively manages policies and procedures for the coding department to maintain coding charge lag, productivity, and quality above target levels.

• Provides education and policy updates for clinic, hospital, and division employees as well as medical staff regarding policies and procedures.

• Establishes and conducts performance reporting for revenue and coding activities at each location.

• Collaborates with local CFOs, physicians, department heads, and practice managers to foster a culture of high performance and accountability across organizational boundaries.

• Regularly provides revenue management reports to clients, providers, and management.

• Alerts senior management about concerns and provides updates on the company's financial conditions by collecting, analyzing, and reporting key financial data.

• Communicates updates on coding changes and CPT modifications.

• Manages operational expenses in line with the budget.

• Directs and supervises the development of the operating and capital budget for the department.

• Works with IT to implement system-wide programs and information systems to maintain top-tier functional capabilities within the industry.

• Provides ongoing leadership and operational oversight in the development, utilization, and maintenance of clinic and hospital information systems for coding.

• Offers coding oversight for system implementations, conversions, and upgrades related to revenue cycle applications.

• Addresses operational issues that hinder cash flow maximization and may result in the adoption of new best practices.

• Collaborates with coding department leadership to achieve strategic goals and develop guidelines and procedures using data analysis.

• Arranges for billing and coding audits as needed in collaboration with the contracted compliance company.

• Consistently upholds high ethical standards, advocates for coding transparency, and commits to excellence in client service.

⛳️ Requirements

• Bachelor’s degree in Healthcare Management, Business, Finance, or Accounting AND Five (5) years of extensive experience in healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing from either a consulting or managerial perspective.

• Associate’s Degree in Health Information Technology AND Seven (7) years of extensive experience in healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing from either a consulting or managerial perspective.

• In lieu of a Bachelor’s or Associate’s Degree, Nine (9) years of extensive experience in healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing from either a consulting or managerial perspective.

• A Master’s degree in Finance, Business Administration, Healthcare Administration, or a related field is preferred.

• Coding certification from AHIMA or AAPC is highly preferred.

• Seven (7) years of extensive experience in healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing from either a consulting or managerial perspective.

🏝️ Benefits

• Health insurance

• Retirement plans

• Paid time off

• Flexible work arrangements

• Professional development

• Equipment allowances