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Coding Manager

1 week ago

Mount Pleasant, Utah, United States Titus Regional Medical Center Full time
Job: Coding Manager Classification: Salaried/Exempt Job Category: 1.2 First/Mid-level Officials and Managers FLSA Category: Executive Exemption Position Summary The Coding Manager plays a critical role in ensuring accurate and compliant coding practices for TRMC. This leadership position requires a deep understanding of medical coding guidelines, strong analytical skills, and a commitment to quality and efficiency. The Manager will oversee the activities of all internal and external coders, ensuring they assign accurate and timely codes for all healthcare services provided. They will also be responsible for staying abreast of coding regulation updates, implementing process improvements, and maintaining coding compliance. Essential Functions -Provide comprehensive leadership and oversight for all coding operations.-Assigns and sequencing accurate diagnosis (ICD-10-CM) and procedure (CPT) codes based on physician documentation and medical records.-Adheres to all relevant coding guidelines and regulations (e.g., ICD-10-CM, CPT, HCPCS).-Where applicable, utilizes computer-assisted coding (CAC) systems effectively to enhance accuracy and efficiency.-Conducts audits to ensure coding accuracy and compliance with established standards.-Collaborates with external coding leadership, foster a high-performing coding team by:-Assures TRMC goals are met when recruiting, onboarding, and developing skilled medical coders.-Implements ongoing programs to keep staff up-to-date on TRMC specific coding guidelines, regulations, and best practices.Fosters open communication and collaboration between TRMC departments and the coding team.-In collaboration with external coding leadership, continuously evaluates and refines coding processes.-Increases coding accuracy and reduced risk of errors and denials.Improves efficiency in coding workflow and turnaround times.-Effectively utilizes coding technologies and automation tools.-Ensures all coding practices adhere to relevant laws, regulations, and industry standards including federal and state coding guidelines (ICD-10-CM, CPT, HCPCS).-Works closely with physicians to ensure accurate and complete medical documentation for optimal coding.-Creates physician tip sheets to help providers remain informed of coding updates and emerging trends.-Implements system enhancements that provide assistance to providers to promote accurate charging, coding, and documentation.-Utilizes data to be informed of coding practices and performance.-Analyzes coding data to identify trends, potential errors, and areas for improvement.-Monitors key performance indicators (KPIs) such as coding accuracy rates, coding turnaround times, and denial rates due to coding errors.-Prepares reports on coding performance and trends for physicians, leadership and relevant stakeholders.-Builds strong relationships with internal and external departments.-Partners with the revenue cycle management team to ensure timely and accurate claim submission.-Collaborates with TRMC and Ochsner IT to maintain and optimize coding, documentation and CDM management.-Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS).-Performs other duties as assigned. Skills/Competencies -Strong understanding of medical terminology and disease classification systems.-Excellent analytical and problem-solving skills.-Proficient in computer skills and healthcare coding software.-Strong leadership, communication, interpersonal, and collaboration skills.-Experience working in a complex healthcare setting with diverse specialties.-Demonstrated ability to lead and motivate a team to achieve departmental goals. Work Experience -Minimum of 5 years of experience in medical coding, with progressive leadership experience.-In-depth knowledge of ICD-10-CM, CPT, HCPCS coding guidelines and conventions.-Experience with computer-assisted coding (CAC) systems (preferred). Education -Bachelor's degree in health information management (HIM), medical coding, or a related field (preferred).-Certified Coding Professional (CPC) or Certified Professional Coder - ICD-10 (CPC-ICD-10) certification (required).-Additional coding certifications (e.g., CCS, CPC-H) a plus. Physical Demands and Work Environment Lifting/Carrying Pushing/Pulling Lbs. % Time Lbs. % Time 1-10 34-66 1-10 34-66 11-20 0-33 11-20 0-33 21-50 0-33 21-50 0-33 51-75 0-33 51-75 0-33 76-100 None 76-100 None Movement % Time Bend/Stoop/Twist 0-33 Crouch/Squat 0-33 Kneel/Crawl 0-33 Reach above Shoulder 0-33 Reach below Shoulder 0-33 Repetitive Arm None Repetitive Hand 0-33 Grasping 0-33 Squeezing 0-33 Climb Stairs None Walking Uneven 0-33 Walking Even 34-66 Environment % Time Indoors 67-100 Outdoors 0-33 Extreme Heat None Dusty None Excessive Noise 0-33 Equipment % Time Motor Vehicles None Foot Pedals None Extreme Heat None Dusty None Excessive Noise 0-33 Work near % Time Machinery None Electricity None Sharps 0-33 Chemicals 0-33 Fumes 0-33 Heights None Vision Depth Perception Required < 20" Required Color Not Required Peripheral Required Endurance Hours at Once Total in 12HR Sit 3 6Stand 1 3 Walk 1 3