General Overview:
The Facility Coding Manager leads and provides consultation and training in coding to ensure quality and meet stringent billing and compliance standards. Collaborates with the Clinical Documentation Improvement Manager for optimal coding documentation and serves as the subject matter expert and technical consultant for new programs in HIM.
Fully remote; Full-time, Benefits-eligible
Essential Functions:
- Oversees daily operations of the Facility Coding Department, ensuring timely completion of coding tasks, continuous communication with Clinical Documentation Improvement, and prompt response to billing inquiries.
- Manages and develops staff through recruitment, training, auditing, goal setting, and feedback sessions, fostering a conducive work environment and promoting career growth.
- Maintains up-to-date operational policies, procedures, and job descriptions, while also initiating policy development with Facility Coding and Clinical Documentation Improvement as required.
- Collaborates with Patient Accounts and other departments to identify and overcome roadblocks to effective coding practices.
- Coordinates continuing education and regular audit findings in-services for staff and medical professionals while also keeping abreast with new diagnoses, coding regulations, and challenging areas.
- Leads the effective implementation and maintenance of EMR/Coding systems and actively participates in the redesign of processes for improved performance, while managing complex projects such as system upgrades and new services.
- Assesses and prepares statistical reports regularly, forecasts upcoming annual capital and operational budgets, aligns set objectives. Presents recommendations to Director promptly and seeks for excess fund utilization.
- Fosters customer relationships and interacts with vendors to ensure the best level of service and actively negotiates for better contract terms and service turnaround times.
- Note: Regular, reliable and consistent attendance is an essential job function. Employees are expected to perform work as scheduled. Please see the physical requirements for this position listed below.
Education Requirement:
- Associate or bachelor's degree in health information management
Licensure Requirement:
- Credentialed coder (must possess at least one of the following certifications: RHIA, RHIT, CPC or CCS)
- Extensive technical experience in ICD-10-CM and PCS and CPT coding with solid knowledge of coding rules and guidelines and reimbursement processes and how they pertain to the support of coding and billing.
- Demonstrated ability to work independently with minimal supervision required.
- Demonstrated ability to handle multiple tasks and priorities and deadlines required.
- Excellent written and oral communication skills required in order to communicate with poise, confidence, and control.
- Effective interpersonal, customer service, and problem-solving skills required with ability to deal with physicians, employees, and other hospital staff with tact and diplomacy.
- Ability to maintain confidentiality and work with sensitive employee performance, salary information, and operational material.
Certifications:
- RHIA, RHIT, CPC or CCS required.
Experience:
- 3 years of experience in a large acute care hospital setting, pediatric experience preferred.
- 2 years of management experience in a supervisory or training capacity.
Skills:
- Previous management experience required
- Experience in pediatric setting strongly preferred.
Physical Requirements:
OCCASIONALLY: (none specified)
FREQUENTLY: (none specified)
CONTINUOUSLY: (none specified)
Bachelor's Degree, Business Analytics - Working Knowledge (Meets Expectations), Emotional Intelligence - Extensive Experience (Meets Expectations), NCH Core Values - Basic Understanding (Meets Expectations), Organizational Savvy and Politics - Extensive Experience (Meets Expectations), Self-Directed Growth and Development - Extensive Experience (Meets Expectations), Workforce Diversity Management - Extensive Experience (Meets Expectations)
The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet