Manager of Coding and HIM
Responsible for the overall leadership and oversight of the Coding and Health Information
Management (HIM) functions in the capacity of planning, organizing and managing coding
activities, electronic and paper clinical content, electronic data integrity, accessibility, use,
and protection of health information.
Position Responsibilities:
• Manages both internal and outsourced coding activities.
• Responsible for information governance to ensure organization-wide health data integrity, privacy, and security.
• Provides staff management to include hiring, development, training, performance management and communication to ensure effective and efficient operations.
• Develops and maintains policies and standards to ensure the quality and integrity of provider and facility documentation, coding and revenue capture.
• Assists with completion of claim appeals for clinical denials.
• Oversees HIM and Coding staff training and monitors for consistency in operational processes, compliance and staff dissemination of policies and regulations along with outcomes across HIM, Hospital and Provider Coding, and Clinical Documentation Improvement.
• Completes quality reviews of records for coding and documentation accuracy, compliance and timeliness.
• Reports findings or deficiencies with administration, clinical and financial staff.
• Provides support, education and guidance to Clinical and Administrative Departments to improve quality of documentation and maximize appropriate revenue for the system.
• Keeps abreast of coding and regulatory updates and communicates changes to appropriate staff.
• Works collaboratively with Medical Staff and Facility Leadership to comply with standards and guidelines enforced through the Medical Staff Bylaws/Rules and Regulations and is responsible for facilitation and execution of physician notification processes regarding medical record documentation deficiency and delinquency.
• Ensures compliance with state and federal regulatory requirements.
• Assists in auditing charge capture for accuracy and completeness.
• Recognizes, Drives, and Executes process improvement initiatives.
• Contributes, cooperates, shares knowledge and works collaboratively with others to create the highest level of work performance.
• Performs other duties as assigned.
Minimum Level Qualifications
Education:
• Bachelor’s Degree or equivalent experience in Health Information Management or related field
Experience:
• 5 years of Health Information Technology and Hospital and Clinic Medical Coding, with 2 years in a supervisory role
Certification:
• AHIMA/AAPC Coding Certification and RHIT Certification
Preferred Qualifications:
Education:
• Bachelor’s Degree in Health Information Management
Experience:
• Critical Access Hospital, PPS (Including Psychiatric Hospital), Rural Health Clinic
Certification:
• Hospital Coding and RHIA Certifications
Skills and Qualifications:
• Expert knowledge of inpatient, outpatient and clinic CPT/HCPCS and ICD-10 coding guidelines ·
• Proficient and functional knowledge of reviewing clinical documentation in an EMR system ·
• Expert knowledge of State and Federal regulations governing the maintenance and release of protected health information.
• Proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint
• Knowledge of reimbursement methodologies, and revenue cycle processes
• Must be flexible and able to succeed in a changing environment, including occasional travel
• Excellent communication and interpersonal skills with the ability to effectively interpret, communicate, educate and motivate others
• Strong quantitative, analytical and organizational skills
• Ability to respond to complex inquiries in a professional and efficient manner
Physical Demands:
• Sitting for extended periods.
• Heavy use of computer keyboard.
• Must be able to lift 20 pounds.
Job Type: Full-time
Pay: $68,000.00 - $95,000.00 per year
Benefits:
• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
Application Question(s):
• Would you be open to traveling occasionally for work-related needs?
Education:
• Bachelor's (Required)
Experience:
• Critical Access Hospital, PPS, Rural Health Clinic: 1 year (Preferred)
License/Certification:
• RHIA certification (Preferred)
• Hospital Coding Certification (Preferred)
• AHIMA/AAPC Coding (Required)
• RHIT Certification (Required)
Work Location: Remote
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Management (HIM) functions in the capacity of planning, organizing and managing coding
activities, electronic and paper clinical content, electronic data integrity, accessibility, use,
and protection of health information.
Position Responsibilities:
• Manages both internal and outsourced coding activities.
• Responsible for information governance to ensure organization-wide health data integrity, privacy, and security.
• Provides staff management to include hiring, development, training, performance management and communication to ensure effective and efficient operations.
• Develops and maintains policies and standards to ensure the quality and integrity of provider and facility documentation, coding and revenue capture.
• Assists with completion of claim appeals for clinical denials.
• Oversees HIM and Coding staff training and monitors for consistency in operational processes, compliance and staff dissemination of policies and regulations along with outcomes across HIM, Hospital and Provider Coding, and Clinical Documentation Improvement.
• Completes quality reviews of records for coding and documentation accuracy, compliance and timeliness.
• Reports findings or deficiencies with administration, clinical and financial staff.
• Provides support, education and guidance to Clinical and Administrative Departments to improve quality of documentation and maximize appropriate revenue for the system.
• Keeps abreast of coding and regulatory updates and communicates changes to appropriate staff.
• Works collaboratively with Medical Staff and Facility Leadership to comply with standards and guidelines enforced through the Medical Staff Bylaws/Rules and Regulations and is responsible for facilitation and execution of physician notification processes regarding medical record documentation deficiency and delinquency.
• Ensures compliance with state and federal regulatory requirements.
• Assists in auditing charge capture for accuracy and completeness.
• Recognizes, Drives, and Executes process improvement initiatives.
• Contributes, cooperates, shares knowledge and works collaboratively with others to create the highest level of work performance.
• Performs other duties as assigned.
Minimum Level Qualifications
Education:
• Bachelor’s Degree or equivalent experience in Health Information Management or related field
Experience:
• 5 years of Health Information Technology and Hospital and Clinic Medical Coding, with 2 years in a supervisory role
Certification:
• AHIMA/AAPC Coding Certification and RHIT Certification
Preferred Qualifications:
Education:
• Bachelor’s Degree in Health Information Management
Experience:
• Critical Access Hospital, PPS (Including Psychiatric Hospital), Rural Health Clinic
Certification:
• Hospital Coding and RHIA Certifications
Skills and Qualifications:
• Expert knowledge of inpatient, outpatient and clinic CPT/HCPCS and ICD-10 coding guidelines ·
• Proficient and functional knowledge of reviewing clinical documentation in an EMR system ·
• Expert knowledge of State and Federal regulations governing the maintenance and release of protected health information.
• Proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint
• Knowledge of reimbursement methodologies, and revenue cycle processes
• Must be flexible and able to succeed in a changing environment, including occasional travel
• Excellent communication and interpersonal skills with the ability to effectively interpret, communicate, educate and motivate others
• Strong quantitative, analytical and organizational skills
• Ability to respond to complex inquiries in a professional and efficient manner
Physical Demands:
• Sitting for extended periods.
• Heavy use of computer keyboard.
• Must be able to lift 20 pounds.
Job Type: Full-time
Pay: $68,000.00 - $95,000.00 per year
Benefits:
• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
Application Question(s):
• Would you be open to traveling occasionally for work-related needs?
Education:
• Bachelor's (Required)
Experience:
• Critical Access Hospital, PPS, Rural Health Clinic: 1 year (Preferred)
License/Certification:
• RHIA certification (Preferred)
• Hospital Coding Certification (Preferred)
• AHIMA/AAPC Coding (Required)
• RHIT Certification (Required)
Work Location: Remote
Apply tot his job
Apply To this Job