Coding Manager, Work from Home in Orange Park, FL at Parallon

Date Posted: 7/18/2018

Job Snapshot

Job Description

Job Summary – The Coding Manager is responsible for assisting in the development and evolution of the overall strategy for the Company’s coding operations in the Health Information Management Service Center (HSC). The Coding Manager manages, directs and coordinates the coding activities within the HSC. Responsibilities include management of process and personnel. The Coding Manager plans, assigns and directs the HIM coding workflow; actively monitors employee performance and rewards or disciplines accordingly; addresses complaints and resolves problems; and actively oversees and manages production and quality control efforts.
– Coding Director

Supervises – Coder I, II, III, IV, Coding Leads

Duties (included but not limited to):
• Provides direct managerial oversight to Coder I, II, III, and IV in management of inpatient and outpatient coding functions, work queues, work processes, and overall work responsibilities
• Provides direct managerial oversight to Data Quality Educators in management of data quality and education work processes, to include quality reviews and educational classes
• Ensures complete, accurate, timely and consistent coding, while adhering to published coding guidelines and Company/HSC policy
• Responsible for operational activities relating to coding and clinical documentation improvement operations (as applicable)
• Coaches and helps develop team members; helps resolve dysfunctional behavior within functional area(s); disciplines and counsel staff as necessary
• Proactively manages (including corresponding communications and escalation paths) significant issues in coding, status of projects, barriers and successes
• Actively manages and monitors coding and clinical documentation improvement operations (as applicable) process and performance according to productivity and quality as defined in job descriptions and Service Level Agreements (SLAs)
• Selects, evaluates, trains, and provides leadership and direction to reporting staff
• Responsible for review and improvement of process and services
• Responsible for ensuring employee work schedules sufficiently meet those requirements as established by the HSC Leadership team and through executed SLAs
• Facilitates problem solving and collaboration within functional area(s)
• Works closely with other members of the HSC Leadership Team in addressing issues related to accurate/timely coding and documentation, and unbilled management
• Works closely with Patient Account Services team members to address issues related to unbilled management
• Responsible for ensuring staff compliance with documented and established workflow guidelines as it relates to adding and re-assigning accounts to work queues
• Performs quality reviews of the coders and Data Quality Coordinators work

• Assists in the development of strategy, specific goals, objectives, budgets and performance standards for the coding and clinical documentation improvement operations (as applicable)
• Assists in identifying and implementing process improvements to decrease costs and improve service for applicable stakeholders
• Performs productivity monitoring and provides timely and consistent feedback to employees and Coding Director
• Prepares coding benchmarking, coding productivity, coding quality, and coding productivity reports for the Coding Director, the SSC Leadership, Facility Leadership, Market/Division leadership and Group leadership
• Promptly reports issues or trends to the appropriate member of the HSC Leadership team, or other appropriate party
• Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures coding staff are appropriately educated
• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
• Ensures Coder compliance with HCA HIM educational requirements
• Coordinates work assignments
• Ensures safe work practices are being followed
• Coordinates training and education for Coder I, II, III, and IV staff
• Works with multi-disciplinary teams in addressing issues related to coding and clinical documentation improvement operations (as applicable)
• Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”
• Other duties as assigned

Job Requirements

Knowledge, Skills & Abilities
• Coding Technical Skills- extensive regulatory coding (ICD-10-CM, ICD-10-PCS, ICD-9-CM, HCPCS, CPT-4, MS-DRGs) and associated reimbursement knowledge
• Case Mix Index Analytical Skills – ability to analyze trends in CMI and determine root cause and address as appropriate
• Leadership - leads individuals and groups toward identified outcomes, setting high performance standards and delivering quality services
• Critical thinking - actively and skillfully conceptualizing, applying, analyzing, synthesizing or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning or communication as a guide to belief and action
• Building and Maintaining Strategic Working Relationships – develops collaborative relationships to facilitate the accomplishment of work goals. Possesses excellent interpersonal skills in building, negotiating and maintaining crucial relationships
• Building Trust – interacts with others in a way that gives them confidence in one’s intentions and those of the organization
• Effective Operational Decision Making - relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values
• Adaptability – maintaining effectiveness when experiencing major changes in work tasks or the work environment; able to adapt to change in environment and/or circumstances with a positive outlook; and adjusting effectively to work within new work structures, processes, requirements, or cultures
• Initiative – independently takes prompt proactive steps towards problem resolution
• Managing conflict – dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people
• Energy – consistently maintaining high levels of activity or productivity; sustaining long working hours when necessary; operates with vigor, effectiveness, and determination over extended periods of time
• Stress tolerance – maintaining stable performance under pressure or opposition; handling stress in a manner that is acceptable to others and the organization
• Planning and Organization - proactively prioritizes initiatives, effectively manages resources and keen ability to multi-task
• Communication - communicates clearly, proactively and concisely with all key stakeholders.
• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Work Independently – is self-supporting; not needing to rely on others to complete a job
• Facilitation – ability to facilitate small to large groups of people at various organizational levels for purposes of planning, problem solving, or strategy development
• Quality Orientation – accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time
• PC skills - demonstrates proficiency in Microsoft Office applications and others as required
• Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems
• Project Management - assesses work activities and allocates resources appropriately
• Coach, Mentor and Educate – provides timely guidance and feedback to help strengthen the knowledge/skill set of others to accomplish a task or solve a problem
• Work Independently – is self-supporting; not needing to rely on others to complete a job

• Undergraduate degree required. Bachelor’s degree strongly preferred.

• Minimum 3 years health care management/leadership experience required
• Minimum 7 years recent inpatient/outpatient hospital coding experience required
• Experience managing a large coding pool or coding review pool strongly preferred


• RHIA, RHIT and/or CCS required


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