Manager Coding Operations

Job Description

Job Description

**ON-SITE POSITION**

Department:
Health Information Management

Schedule/Status:
7:00am-3:30pm; Full Time

Standard Hours/Week:
40

General Description:
Reporting to PMC Director of Health Information Management and working closely with the PMG AVP of Parrish Medical Group will supervise and coordinate the Coding section of professional fee coding operations. Performs coding, quality reviews, and acts as the liaison to medical staff members and ancillary department personnel, re: coding documentation and assignment.

The position shall exemplify the desired Culture of Choice and philosophies of Parrish Healthcare.

Key Responsibilities:

• Coordinates and manages the overall workflow to include leading accuracy and efficiency in coding and abstracting functions working in collaboration with the central business office acting as liaison between internal and external operations.
• Conducts coding quality studies on a regular basis.
• Assists medical staff, ancillary departments, and other direct patient care providers on documentation, coding assignments through education, communication and review of coding standards, chart documentation and organizational guidelines.
• Maintains and continuously improves knowledge base of professional fee coding documentation requirements through review, study of resources (coding clinic, Medicare guidelines, etc.) and continuing education.
• Develops, implements, and maintains coding policies and procedures. Sends updates on CMS guideline changes, weekly newsletters for education and ensures set up quarterly education sessions with providers based on specialty.
• Reviews and verifies Incomplete Abstracts (unbilled) Report on a regular basis. Prepares and distributes training materials to facilitate understanding and compliance with coding standards.
• Reviews and corrects any information for all AHCA reporting.
• Establishes and informs each employee or provider of their productivity and quality. Sets up educational sessions as needed for individual providers.
• Identifies, evaluates, and assigns diagnostic and procedural codes based on record documentation with a minimum departmental accuracy level and within the established time parameters utilizing established coding classification methodologies.
• Requires occasional travel between sites for orientation and educational visits.
• With a minimum departmental accuracy level, clinical administrative and financial information abstracts into the hospitals and clinics RCM databases. Verify accuracy of existing information, making the appropriate corrections.
• Leads and participates in special projects to improve coding operations and support organizational initiatives. Collaborates with service line leadership within assigned medical groups to address complex coding questions and ensure accurate coding practices.
• Performs similar or related duties as assigned.
• Knows fire, disaster and safety procedures and regulations as it pertains to the work area

Requirements:

Formal Education:

• Bachelors Degree in health information or related field is required. Equivalent combination of education (Associates in related field) and relevant coding experience, with a CCS, CPC or equivalent coding certification may be substituted for Bachelors Degree.

Work Experience:

• Minimum 3 years recent experience professional fee coding with emphasis on E/M surgical coding preferred. Previous review and education consulting experience preferred.

Required Licenses, Certifications, Registrations:

• Certified Coding Specialist (CCS), Certified Professional (CPC) or equivalent coding certification required.
• Also certified as RHIA or RHIT is strongly preferred.

Full Time Benefits:
Eligible to participate in a number of PMG-sponsored benefits, including:

• Benefits Start on Day 1
• Health, Dental and Vision Insurance
• 403(b) Retirement Program
• Tuition Reimbursement/Educational Assistance
• EAP, Flex Spending, Accident, Critical and Other Applicable Benefits