Inpatient Coding Manager
$90k - $130kHuron Consulting Group Inc
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future.Manages and oversees the systemwide compliance program in areas that relate to the revenue cycle. Works with Munson Healthcareis directly responsible for the daily oversight of coding operational processes and workflow, including but not limited to delivering timely and accurately coded cases for facility billing and for reporting hospital and provider quality metrics. The Coding Manager is responsible for managing all coding staff to achieve expected productivity and quality goals.
This position is responsible for aligning coding performance with the broader revenue cycle goals and Munson Healthcare objectives and assists in the development and evolution of the overall strategy for Munson Healthcare coding operations. Supervises and directs the activities of various levels of assigned personnel utilizing both professional and supervisory discretion and independent judgment. Manages large program(s) with substantial budget/impact. Manages and coordinates the diagnostic and procedural coding processes with Federal/State regulations and payer requirements for legal compliance. Ensures compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and procedures. The System Coding Manager assists the HIM, Coding and CDI System Director with planning, service commitment, budgets and internal quality assessments and controls. The SCM also works in collaboration with the HIM, Coding and CDI System Director to ensure the integrity of coded/abstracted data, the education and training of coding staff.
The SCM serves as a key promoter of Coding operations and actively participates in building positive working relationships with other Revenue Cycle departments, clinical providers, and practice staff. The SCM acts as a resource for all Munson Healthcare on issues related to coding and charge capture.
KEY JOB DUTIES:
- Adheres to established national guidelines and the AHIMA Code of Ethics when developing and implementing ICD-10-CM, ICD-10-PCS and CPT-4 coding policy and procedures.
- Develops and implements goals, objectives and productivity targets incorporating strategic imperatives. Reviews, reports on progress, and revises as necessary.
- Participates in the development of the annual Capital Equipment and Operations Budgets. Is accountable for maintaining the integrity of the Coding budget, utilizing resources appropriately and reporting variances. Maintains an adequate budget with no greater than a +/- 2% variance.
- Coordinate with the Coding team in the operations of daily job responsibilities
- Develop, recommend, and oversee the implementation and administration of policies and procedures of respective area
- Evaluate process and procedures and coordinate with the management team to ensure efficient areas of focus and adhere to federal and local laws and regulations
- Demonstrate, through plans and actions, a consistent standard of excellence to which all department work is expected to conform
- Focus on continuous improvement working with the Senior Manager and respective teams Managers across the Health System with a goal of delivering the highest degree of quality service possible
- Provide support for Human Resource guidance
- Complete, review, manage and monitor department budget
- Performs other duties as assigned
REQURIED SKILLS:
- Effective and efficient organization and planning skills with the proven ability to manage complex multi-workstream performance improvement projects or multiple concurrent client engagements, while delegating and overseeing the work of junior team members
- Proven analytical and critical thinking skills required to synthesize complex data sets and interpret qualitative and quantitative data and trends to implement recommendations resulting in measurable performance improvement and successful organizational change
- Impactful and professional written and verbal communication set clear project team direction, develop key deliverables, escalate risks, and influence key stakeholders inclusive of client and internal senior leadership
- Ability to collaborate with team members and client counterparts to understand business challenges, adapt implementation methodologies and approaches to ensure results align with client’s business objectives
- Team leadership experience including building talent, training, supervising, coaching/mentoring, and performance management
- A comprehensive knowledge and understanding of the revenue cycle, with particular emphasis on facility coding is required. A working knowledge of revenue cycle practices for professional services is highly desirable.
- Demonstrated comprehensive knowledge of coding classification systems (ICD-10, CPT) is required.
- Demonstrated strong problem-solving skills with ability to manage cross-functional resolutions against a deadline is required.
- Demonstrated ability in effective communication, motivational and interpersonal relationship skills is required. Proven ability in written and oral communication is required.
- Previous experience in creating, providing or facilitating meeting and/or training presentations is required.
- Must be able to demonstrate good judgment, be self-motivated and well organized.
- Demonstrated ability to prioritize key tasks and work in a complex, stressful environment is required. Must be able to simultaneously manage multiple projects and staff.
CORE QUALIFICATIONS:
- Current permanent U.S. work authorization required
- Bachelor Degree in Health Information Management (HIM) is required.
- Current standing as a nationally certified RHIT or RHIA is required. Preference will be given to those who additionally possess certification as a CCS and/or CIC.
- Proficient in Microsoft office (Word, PowerPoint, Excel)
- Direct Supervisory Experience required
- Minimum 5 years supervisory experience or coding leadership experience is required
- A comprehensive knowledge and understanding of the revenue cycle, with particular emphasis on facility coding is required. A working knowledge of revenue cycle practices for professional services is highly desirable.
- 3-5 years experience in coding a variety of visit types
The estimated salary range for this job is $90,000 - $130,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huron’s annual incentive compensation program, which reflects Huron’s pay for performance philosophy and Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future.
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