Manager, Coding Support Services

POSITION SUMMARY:

Responsible for managing the remote coding employees as well as monitoring processes and personnel for the Centralized Coding Center. Acts as a coding resource for facility/HSC coding staff, HIMD and medical staff as needed. Participates in the identification of educational areas for the company.

ESSENTIAL FUNCTIONS:

• Supervises and monitors daily coding functions and processes to ensure compliance with all Federal and State regulations within coding area of department.
• Assesses coding accuracy and competency through review and audit results, reporting any discrepancies to senior director, coding and CDI operations.
• Training of new hires on facility specific EHR and HIS systems.
• Maintain the facility assignments.
• Maintain accuracy (EIB, non-productive, missed punches) in Kronos for coding employees.
• Assists with coding as needed. Reviews medical record in its entirety and assigns ICD-10-CM, ICD-10-PCS, CPT and/or HCPCS codes correctly with a coding error rate of less than 5% in accordance with established guidelines for reimbursement and statistical data.
• Must be familiar with Diagnosis Related Groups (DRGs), Ambulatory Payment Categories APC’s), the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative guidelines, Local and National Coverage Decisions and other medical necessity/compliance guidelines for billing and coding.
• Follows department workflow for service type to include addressing compliance reviews. Contacts physicians and/or ancillary departments when additional information is needed to accurately code the record.
• Prioritizes coding functions to assure records are coded within facility defined number of days from discharge. Collaborates with the team to maintain and exceed DNFC goals while maintaining good employee relations.
• Submits physician queries when clarification of documentation is needed.
• Decreases pending accounts with timely follow up. Daily review and response to Business Office holds.
• Accurately enters code hold reasons into abstracting system.
• Identifies any patient type admission order discrepancy or discharge status discrepancy and works with case managers and admitting to code the account with the correct status.
• Uses independent discretion/decision making while effectively working alone.
• Attends educational webinars, conference calls, other coding seminars, and participates in all formal and informal coding discussions. Complete all assigned compliance courses within assigned period of time.
• Maintain at least twenty (20) continuing education hours annually and maintain required credentials.
• Conforms to AHIMA’s Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy and ensures patient/employee privacy and dignity by maintaining confidentiality with no infractions.
• Other related job tasks or responsibilities as assigned.

Additional Information:

• Position serves both internal co-workers and external customers, clients, and contractors.
• Access to and/or works with sensitive and/or confidential information.

KNOWLEDGE, SKILLS & ABILITIES: The requirements listed below are representative of the knowledge, skills and/or abilities required.

Education: Associate degree in health-related field required.

Experience: Minimum of eight years coding experience in an acute care hospital setting with the ability to code all patient types in the acute care hospital setting. Must have background in coding management or HIM department management.

Certifications: Registered Health Information Technician (RHIT) required with Certified Coding Specialist (CCS).

Licenses: N/A

Skills and Abilities:

• Candidate must possess excellent organizational skills and communication skills.
• Candidate must be adept in utilizing computer programs and Internet.
• Candidate must be self-motivated and possess the ability to work independently

PHYSICAL AND MENTAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

While performing the duties of this job, the employee is occasionally required to sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; talk or hear; taste or smell. Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

WORK ENVIRONMENT AND TRAVEL REQUIREMENTS:

Work environment characteristics described here are representative of those that an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

Position is remote based. Travel – less than 10%. Normal business hours are 8 a.m. – 5 p.m., Monday-Friday. However, schedules may vary in accordance with business necessity.