Manager, Coding Hospital – Physician Services

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

📋 Description

• Develop and uphold efficient, timely, accurate, and high-quality coding and abstraction processes across hospital campuses, physician services, and remote locations.

• Educate coders, physicians, and clinical staff regarding documentation, coding, and regulatory compliance.

• Provide guidance to Coding and clinical staff and work in collaboration with the Director, HIS & Coding to enhance coding services.

• Oversee daily operations of the Hospital Coding and Physician Practice Coding Department.

• Investigate coding inquiries, offer feedback to coders, and ensure prompt correction of coding errors and edits.

• Ensure concurrent coding audits, updated audit areas, precise audit reports, and corrective action plans.

• Oversee aging and DNB accounts, as well as monitor coding timeliness, quality, and productivity benchmarks.

• Conduct audits and trend analyses of coding accuracy, productivity, documentation practices, and case mix index.

• Lead recruitment, training, workflow assignments, performance evaluations, complaint resolutions, production, and quality control.

• Identify and initiate process improvements within the Coding department.

• Review coding and medical necessity claim denials and rejections, implementing corrective measures as needed.

• Coordinate updates for ICD-10-CM/PCS and CPT codes with Coding Supervisors and Information Systems & Technology.

• Maintain coding information, manuals, resources, and materials.

• Monitor and reconcile budget expenditures while identifying operational cost savings.

• Engage in Internal Audit Process exit conferences.

• Collaborate with coding managers and business partners on coding policies, procedures, practices, and unbilled activities.

• Mentor team members, promoting continued education and professional development.

• Utilize critical thinking, problem-solving, and change management skills to address systemic issues.

⛳️ Requirements

• Minimum of 3 years of experience in health information management or coding management within a hospital or physician practice/clinic environment.

• Associate degree in Health Information Management/Health Information Technology, or a related healthcare field, or 3 years of managerial experience in Health Information Management or Coding.

• Certification as RHIA, RHIT, CCS, CCS-P, or CPC is required.

• Proficient knowledge of complete and accurate clinical documentation across various healthcare settings and disciplines.

• Experience with coding and billing practices in acute care hospitals and physician/clinic settings.

• Familiarity with ICD-10 diagnosis and procedures, CPT, and Evaluation & Management coding systems.

• Understanding of reimbursement systems such as MS-DRG and APC.

• Knowledge of clinical documentation improvement methodologies.

• Capability to interpret and implement NCCI and MUE regulatory standards.

• Strong analytical and critical thinking abilities.

• Must pass the Basic Microsoft Office Skill Assessment with a score of 80% or higher during the pre-employment interview process.

🏝️ Benefits

• Commitment to equal employment opportunity.

• Day shift hours, Monday to Friday, from 8:00 AM to 4:30 PM.

• Regular employment status.