Coding Manager #4

2 days ago


Garden City, Michigan, United States St. John's Episcopal Hospital Full time
Coding Manager Job Description

St. John's Episcopal Hospital seeks a skilled Coding Manager to lead our coding team and ensure accurate and compliant coding practices.

Key Responsibilities:
  • Evaluate the impact of innovations and changes in programs, policies, and procedures on the coding unit
  • Design and implement systems and methods to improve data integrity and coding compliance
  • Identify, assess, and resolve issues impacting coding, documentation, and revenue cycle processes
  • Monitor and maintain acceptable accounts receivables associated with un-coded charts (DNFB), and team member productivity and accuracy according to industry standards
  • Oversee and monitor the coding compliance program, developing and coordinating educational and training programs for staff
  • Ensure the dissemination and communication of regulatory, policy, and guideline changes in collaboration with HIM Management
  • Conduct and oversee coding audit efforts and coordinate monitoring of coding accuracy and documentation adequacy
  • Report noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer
  • Review claim denials and rejections pertaining to coding and/or support of medical necessity, implementing corrective action plans to prevent similar denials and rejections from recurring
  • Interact with a variety of people who impact the success of coding compliance program, functioning as a facilitator, liaison, and/or motivator
  • Assess educational needs and process improvement via team member shadowing and weekly one-on-one with individual coder/team
  • Manage coders' time, including PTO approvals to ensure coverage is maintained and payroll system time keeper
Requirements:
  • Bachelor's Degree required
  • CPC and CCS or CIC coding certification required
  • RHIT, RHIA preferred
  • Minimum of five years progressive coding or coding review experience in ICD-10-CM and CPT/HCPCS with claims processing and data management responsibilities a plus
  • Excellent oral and written communication skills

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