Inpatient Coding

Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County.

Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging.

We are currently seeking an Inpatient Coding and Clinical Documentation Improvement Manager to join our Middle Revenue Administration team. This full-time role will primarily work remotely (days ).

Purpose of this position: Under the direction of the Middle Revenue Cycle Director the manager will lead the coordination and collaboration of health information, inpatient clinical documentation and inpatient coding within the HCMC systems to ensure an effective and consistent reflection of care provided while ensuring compliance, quality and financial viability.

• Responsible for the management and strategic direction of the hospital billing inpatient coding and clinical documentation improvement teams.
• Interview, hire, orient, review and discipline employees.
• Conduct employee performance evaluations and reviews, annual salary review, and performance documentation and discussion.
• Coordinate and prioritize inpatient coding and CDI work flow.
• Oversee the scheduled work hours; monitor staffing, time cards, overtime, vacations, and time off.
• Conduct appropriate departmental staff meetings.
• Ensure new employee training is completed and training for all employees is current and ongoing.
• Assist employees in solving problems as necessary.
• Monitor and recommend staffing levels.
• Monitor accuracy, efficiency and productivity of all inpatient coding personnel to ensure compliance with departmental performance standards.
• Develop and maintain budget for the hospital billing coding and CDI department.
• Develop and maintain all policies and procedures pertaining to the Clinical Documentation Improvement Program, inpatient coding and the specific duties related to each of these areas.
• Build a cohesive team by establishing clear direction, goals and responsibilities.
• Ensure compliance of, and proper coding procedures are adhered to as defined by CMS regulations, Local Medicare Carrier Review Policies (LMRP), Local Carrier Determinations (LCD), the AMA any applicable HCMC compliance policies, as well as any relevant accrediting and payer organizations.
• Develop long range plans for work teams' activities and monitor results to ensure compliance with expectations for Clinical Documentation Improvement and Inpatient Coding functional areas.
• Abstract and compile data that contribute to measuring and improving provider medical record documentation.
• Manage audit processes of medical record documentation and facilitates monitoring, tracking, and trending of audit results.
• Develop, implement, and maintain quantity and quality performance improvement standards.
• Participate in the development of the Clinical Documentation Improvement and Inpatient Coding strategy and manages the supporting projects.
• Coordinate education to providers regarding overall documentation and coding requirements for inpatient records.
• Implement strategies to address audits results that identify areas of opportunity related to physician documentation.
• Lead the communication effort with physicians, physician leaders, administrative leaders, and other stakeholders regarding the progress, success, and opportunities of the program on a regular basis.
• Work collaboratively as a key participant in the development and implementation of system enhancements and modifications of coding workflows.
• Facilitate the collection of information to provide ongoing feedback to physician on work performance.
• Assist Revenue Cycle management with the development and implementation of administrative policies, procedures and guidelines for departmental operations.
• Manage the PSI/HAC review program in conjunction with Quality Performance Department.
• Coordinates the escalation of documentation queries and issues to Physician Liaison's as needed.
• Work with clinical department physician chairmen to obtain timely completion of queries and provide physician education.
• Develop and plan educational programs to providers about quality documentation, ICD coding, profiling and hospital metrics.
• Facilitate the resolution of coding documentation issues and DRG mismatches.
• Performs other duties as assigned.

Minimum Qualifications:

• Bachelor degree in nursing, business and/or healthcare administration, health information management or health information technology.
• Three (3) years Healthcare management experience with supervisory/management responsibilities.
• Three years of experience working with documentation to meet quality, financial and regulatory requirements.

-OR-

• An approved equivalent combination of education and experience.

• Master's Degree in Nursing or other healthcare field.

• Experience with Epic electronic medical record functionality and 3M Coding Reimbursement products recommended.
• Knowledge of state and federal legislation for HIPAA Privacy, medical record access, and regulatory and accreditation agencies.
• Knowledge of current medical record technology, statistics, data presentation and reporting.
• Knowledge of budget preparation and management.
• Knowledge of project management and performance improvement.
• Ability to communicate effectively with all levels of the organization and within the health care community.
• Excellent written and verbal communication skills and critical thinking skills.

• Certified Clinical Documentation Specialist (CCDS), Clinical Documentation Improvement Practitioner (CDIP), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).

You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. Thank you for considering Hennepin Healthcare as a future employer.

Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.

Total Rewards Package:

• We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.
• We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement.

Department: Middle Revenue Administration

Primary Location: MN-Minneapolis-Downtown Campus

Standard Hours/FTE Status: FTE = 1.00 (80 hours per pay period)

Shift Detail: Day

Job Level: Manager

Employee Status: Regular

Eligible for Benefits: Yes

Union/Non Union: Non-Union

Min: 47.31

Max: 70.96

Job Posting: Oct-04-2024