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Manager, Outpatient Coding

3 months ago

Pasadena, United States Memorial Hermann Health System Full time

At Memorial Hermann, we're about creating exceptional experiences for both our patients and our employees. Our goal is to provide opportunities for our diverse employee population that develop and grow careers in a team-oriented environment focused on patient care.Every employee, at every level, begins their journey at Memorial Hermann learning about the history of the organization and its established culture built on trust and integrity. Our employees drive this culture, and we want you to be a part of it.Job SummaryResponsible for managing the coding functions for all outpatient professional services. The coding manager is responsible for planning, implementing, and educating coding staff, physicians, nurses, and other departments to ensure coding quality and timely reimbursement. This position will report to the Director of Coding/Physician Education and Risk Adjustment Operations.Job DescriptionMINIMUM QUALIFICATIONSEducation: Bachelor's Degree in related area is preferred.Licenses/Certifications: Certified Professional Coder (CPC) required or Certified Outpatient Coding Specialist (COC)Experience / Knowledge / Skills:Minimum of five (5) years of coding in physician and or academic healthcare organization and to include three (3) years supervisory/management progressive leadership experience.Coding/Billing regulatory requirements.Effective oral and written communication skills.Athena, Cerner and or EPIC experience is a plus.Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of "Advancing health. Personalizing care" through compassion, courage, credibility, and commitment to community.PRINCIPAL ACCOUNTABILITIESProvides direction and manages the day to day function within the coding department.Manages staffing plans and work assignments to achieve and maintain established productivity thresholds.Establishes and monitors the quality of the departments aligned with coding to support accurate patient information, compliant coding aligned with billing regulations and minimized corrections and re-work.Supervises coding staff including coding coordinators and other coding staff.Manages, supervises and monitors daily work activities, work lists, evaluates, trains, and motivates the performance of staff.Promotes recruitment and retention of certified coding staff in coding positions.Select and develop qualified staff to perform the coding functions by providing guidance and counseling to improve employee performance; takes the appropriate disciplinary actions as needed.Educate and train coding staff, acts as a professional subject matter expert and mentor to the staff.Enforces coding policies and procedures, conducts trend analysis to identify pattern and variations in coding department.Monitors coding work lists, unbilled accounts, aging of accounts to ensure timely filing of claims, and monitors coding workflows.Assists in department budget and identifies and recommends opportunities to decrease cost and improve services.Keeps abreast of new technology in coding and coding guidelines, stays informed about future issues impacting the coding functions, and acts as a liaison for other departments regarding coding questions.Manage, train and educate staff as it pertains to denials in coding; reviewing, coordinating, and monitoring the denial management and appeals process in a collaborative environment with CBO management and partners at various facilities.Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.Other duties as assigned.