Manager, Coding Operations
6 days ago
Renowned as the academic flagship of the University of Maryland Medical System, our Magnet®-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing. Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won’t find a more vibrant place to work
Job DescriptionManage the Coding team’s daily operations in accordance with internal policies, procedures and
Standard Operating Procedures to maintain appropriate charge lag.
• Manage, plan, organize, monitor, and evaluate outpatient functions to ensure effective and efficient
operations and compliance with established standards, rules, and regulations.
• Serve as a professional coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from Clinical staff and Corporate Compliance as needed.
• Oversee the day-to-day management of coding operations for physician and advance practice provider services.
• Manage charge lag and coding volumes to facilitate the billing process within established timeframes across the health system.
• Identify and ensure accurate assignment of ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, inpatient, ambulatory and general surgery, observation and other professional service encounters for the purpose of reimbursement, research and compliance with federal and state regulations.
• Identify coding risks and/or client issues and problems proactively and make appropriate recommendations.
• Maintain appropriate coverage and associate workload. Engage contract coders and/or overtime as needed to maintain appropriate turnaround times.
• Manage coding productivity and quality reports for assigned medical groups and specialties.
• Work collaboratively with ancillary departments, pathology, and other medical departments to ensure
accurate documentation to achieve optimal coding accuracy and proficiency accuracy.
• Communicate with various departments within the medical groups regarding coding and billing issues within assigned areas of oversight.
• Serve as a coding liaison expert to analyze and evaluate documentation issues in collaboration with the medical and clinical staff as needed.
• Participate in corporate and local medical group meetings as needed to support the professional billing coding function.
• Develops and implements appropriate coding queries.
• Reviews questions and provide guidance to staff regarding employee relation matters.
• Ensure compliance with coding industry standards of ethical coding and coding compliance guidelines.
• Demonstrate support and compliance with University of Maryland Medical System mission, vision, values statement, goals, objectives, and policies.
• Attend seminars and in-services as required to remain current on pertinent issues and trends.
• Foster a culture of collaboration, problem solving, innovation, continuous learning, and a one team mindset.
• Mentor staff in both technical and soft skills to craft a team of highly competent, consistent, thoughtful, and customer-centric experts.
• Evaluate personnel effectiveness and develop/implement training programs to improve performance.
• Perform managerial functions including hiring, discipline, training and development, and preparing and reviewing performance reviews in accordance with UMMS policies and procedures.
• Perform other duties as assigned
Associate’s degree Health Information Technology, or related field, or the equivalent combination of education, training, and experience. Bachelor’s degree preferred.
• 5 years’ experience with coding professional services medical records.
• 3 years’ supervisory managerial experience in the coding field required.
• Experience managing multi-facility, multi-specialty coding departments preferred.
• Certified Coding Specialist (CCS-P), Certified Professional Coder (CPC) or related credential from AHIMA or AAPC required upon hire.
• AHIMA approved ICD10CM/PCS Training Certification preferred
Additional Information
Advanced knowledge of NCCI edits and medical necessity.
• Advanced knowledge of medical terminology.
• Advanced knowledge of payer policies and guidelines.
• Advanced knowledge of applicable federal and state laws, rules and regulations.
• Demonstrated proficiency using Coding Encoder tools (e.g., 3M, Optum, etc.).
• Demonstrated leadership ability to successfully motivate and inspire team members to high performance levels.
• Ability to analyze, compare, contrast, and validate work with keen attention to detail.
• Proven ability to lead teams effectively, prioritizing requests, workload and establishing a goal oriented work environment with clear and concise work procedures and productivity metrics
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