Manager - CDI Facility Inpatient Coding
1 month ago
Position Highlights:The Manager of CDI and Facility Inpatient Coding plans, organizes, and controls the activities within the Clinical Documentation Integrity and Facility Inpatient Coding areas of the HIM Department. That includes communicating expectations to Supervisors and overseeing the activities of the Supervisors in areas that include staffing, employee discipline, training, evaluation, feedback, and recognition. Manages staff engaged in all aspects of coding inpatient stays and CDI, compliance data analysis, and metrics.
The Manager of CDI and Facility Inpatient Coding, monitors productivity and quality to ensure high customer service satisfaction and identifies and implements opportunities to increase productivity. Runs reports and analyzes data to appropriately manage the operations. Participates in the identification of opportunities to improve processes and acts as a catalyst for realizing these improvements.
This position brings awareness of current external environment issues. Develops and enforces policies and procedures to ensure the accuracy, completeness, and security of patient health records. Works with stakeholders to enhance the facility's case mix index, severity of illness, and risk of mortality. While collaborating with the Director of HIM, the manager assures compliance with internal departmental standards of behavior and quality metrics, as well as assuring compliance with Federal and State law, including the Health Insurance Portability and Accountability Act as it relates to Personal Health Information (PHI).
Responsibilities:
- Clinical documentation and coding compliance.
- Relationship Management.
- Running the Operation.
- Team Management.
- Financial Impact.
Credentials and Experience:
- Bachelor's Degree in Nursing, HIM, Business, Healthcare, or related field.
- Minimum seven (7) years experience with Health Information Management Inpatient coding and/or Clinical Documentation Improvement. Inclusive of a minimum of four (4) years of leadership experience as supervisor, manager, or above, in a Health Information Management environment.
Certification:Any "one" of the following certifications is required:
- (CPC-H) Cert Professional Coder-Hosp.
- (CCS) Certified Coding Specialist.
- (CPC) Certified Professional Coder.
- (COC) Certified Outpatient Coding.
- (CCS-P) Certified Coding Spec - Phys.
- (RHIT) Reg Health Info Technician.
- (RHIA) Reg Health Info Administrator.
- *Any certification not listed above but issued by one of the Governing Bodies (American Health Information Mgmt Assoc (AHIMA) or American Academy of Professional Coders ) will be reviewed and considered by the business as satisfying this requirement.
Minimum Skills/Specialized Training Required:
- Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties.
- Experience with automated patient care and coding systems. (Cerner Electronic Health Record, Capstone, OPTUM Professional Computer Assisted Coding and encoder, 3M APC Encoder, Patient Keeper, Soarian financial billing system, Kronos time-card system, Lawson, Halogen, Concur).
- Extensive knowledge of International Classification of Diseases, Tenth Revision, Clinical Modification ("ICD10CM"), Current Procedural Terminology ('CPT"), Healthcare Common Procedure Coding System ("HCPCS"), International Classification International Classification 10 American Healthcare Association ("AHA") coding clinic guidelines, Center for Medicare & Medicaid Services ("CMS") guidelines, American Society for Radiation Oncology ("ASTRO"), American College of Radiation Oncology ("ACRO")), American Health Information Management Association ("AHIMA") and American Academy of Professional Coders ("AAPC") code of ethics.
- Excellent communication and interpersonal skills.
- Competence with MS Office software (Word, Excel, Zoom, and Outlook).
- Excellent analytical skills.
- Excellent Customer service.
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