Manager of Coding and HIM

🌍 Remote, USA 🚀 Full-time 🕐 Posted Recently

Job Description

Responsible for the overall leadership and oversight of the Coding and Health Information

Management (HIM) functions in the capacity of planning, organizing and managing coding

activities, electronic and paper clinical content, electronic data integrity, accessibility, use,

and protection of health information.

Manages both internal and outsourced coding activities.
Responsible for information governance to ensure organization-wide health data integrity, privacy, and security.
Provides staff management to include hiring, development, training, performance management and communication to ensure effective and efficient operations.
Develops and maintains policies and standards to ensure the quality and integrity of provider and facility documentation, coding and revenue capture.
Assists with completion of claim appeals for clinical denials.
Oversees HIM and Coding staff training and monitors for consistency in operational processes, compliance and staff dissemination of policies and regulations along with outcomes across HIM, Hospital and Provider Coding, and Clinical Documentation Improvement.
Completes quality reviews of records for coding and documentation accuracy, compliance and timeliness.
Reports findings or deficiencies with administration, clinical and financial staff.
Provides support, education and guidance to Clinical and Administrative Departments to improve quality of documentation and maximize appropriate revenue for the system.
Keeps abreast of coding and regulatory updates and communicates changes to appropriate staff.
Works collaboratively with Medical Staff and Facility Leadership to comply with standards and guidelines enforced through the Medical Staff Bylaws/Rules and Regulations and is responsible for facilitation and execution of physician notification processes regarding medical record documentation deficiency and delinquency.
Ensures compliance with state and federal regulatory requirements.
Assists in auditing charge capture for accuracy and completeness.
Recognizes, Drives, and Executes process improvement initiatives.
Contributes, cooperates, shares knowledge and works collaboratively with others to create the highest level of work performance.
Performs other duties as assigned.

Minimum Level Qualifications

Bachelor’s Degree or equivalent experience in Health Information Management or related field

5 years of Health Information Technology and Hospital and Clinic Medical Coding, with 2 years in a supervisory role

AHIMA/AAPC Coding Certification and RHIT Certification

Preferred Qualifications:

Bachelor’s Degree in Health Information Management

Critical Access Hospital, PPS (Including Psychiatric Hospital), Rural Health Clinic

Hospital Coding and RHIA Certifications

Expert knowledge of inpatient, outpatient and clinic CPT/HCPCS and ICD-10 coding guidelines ·
Proficient and functional knowledge of reviewing clinical documentation in an EMR system ·
Expert knowledge of State and Federal regulations governing the maintenance and release of protected health information.
Proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint
Knowledge of reimbursement methodologies, and revenue cycle processes
Must be flexible and able to succeed in a changing environment, including occasional travel
Excellent communication and interpersonal skills with the ability to effectively interpret, communicate, educate and motivate others
Strong quantitative, analytical and organizational skills
Ability to respond to complex inquiries in a professional and efficient manner