Coding Output Specialty Manager

1 week ago


Irvine California, United States University of California, Irvine Full time
About the Role

We are seeking a highly skilled and experienced Coding Output Specialty Manager to join our team at the University of California, Irvine. As a key member of our organization, you will play a critical role in ensuring the accuracy and compliance of our coding practices.

Key Responsibilities
  • Manage the coordination of accurate and compliant coding of medical information, including diagnoses and procedures, in accordance with established guidelines.
  • Oversee and maintain overall responsibility for an assigned group of employees in the Outpatient Specialty Coding Unit.
  • Assist in determining strategic priorities and planning for unit operations.
  • Use technical coding subject matter expert (SME) skills to serve as a resource for the organization to ensure compliance with regulatory requirements and official coding guidelines.
  • Participate in provider education when documentation opportunities for improvement are identified.
  • Assist with claims denial review and appeals when appropriate.
  • Participate in audit projects and provide education to the coding team based on audit findings.
Requirements
  • Strong knowledge of ICD-10, CM, and CPT coding, Prospective Payment Systems, and case mix optimization.
  • Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties.
  • Must demonstrate customer service skills appropriate to the job.
  • Excellent written and verbal communication skills in English.
  • Demonstrated coding management experience.
  • Continuing membership with the AHIMA.
  • CCS or CPC Coding Credential.
  • Ability to maintain a work pace appropriate to the workload.
  • Ability to compile, interpret, and evaluate statistical and medical data.
Preferred Qualifications
  • Training in performance improvement methodologies, preferably Lean or Six Sigma.
  • Strong computer skills, including working knowledge of MS Office, Access, Excel, Word, and PowerPoint.
  • RHIA, CCS-P, CPC-H, CDIP, or ACDIS certification.
  • Knowledge of University and medical center organizations, policies, procedures, and forms.
  • Demonstrated coding management experience in an academic medical center.
  • Certification as an ICD-10 trainer through AHIMA.
  • BS or MS degree in HIM.


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