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Manager, Coding Operations

2 months ago

Linthicum Heights, United States University of Maryland Medical System Full time
Job DescriptionJob DescriptionCompany Description

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 Description

Manage the Coding team’s daily operations in accordance with internal policies, procedures and Standard Operating Procedures to maintain appropriate charge log. 

• 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

Qualifications

Education and Experience 
• 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

Knowledge, Skills and Abilities 

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.

• Advanced skill presenting findings, conclusions, alternatives and information clearly and concisely at all levels within the organization.
• Advanced skill to influence, negotiate and persuade to reach agreeable exchange and positive outcomes.
• Advanced skill managing multiple staff initiatives and meeting changing requirements and priorities to accomplish objectives.
• Advanced leadership skills, including situational awareness, conflict resolution, establishing alignment and clear direction, and driving continuous improvement.
• Advanced analytical, conceptual thinking, planning, organizational, and problem-solving skills.
• Advanced skill developing and maintaining collaborative working relationships with all levels of leadership, staff and vendors.
• Keen sense of personal responsibility and accountability for delivering high quality work.
• Advanced verbal, written and interpersonal communication skills.
• Advanced skill in the use of Microsoft Office Suite (e.g., Word, Excel, PowerPoint)