PRN Clinical Coding Reimbursement Compliance Manager

Job Summary Working with the Vice President/Deputy Compliance Officer and Director Compliance and Audit for Corporate Compliance, this position is responsible for developing, implementing and maintaining a data quality compliance plan for hospital inpatient/outpatient coding and reimbursement. The person in this position is responsible for development of standards, policies, and procedures as well as education and training programs regarding elements of the HIM coding compliance. This includes documentation and accurate coding to all appropriate personnel, including HIM coding staff, physicians, billing personnel and ancillary departments. This person will also coordinate and conduct review of targeted areas to assume timely billing process, correct hospital reimbursements and perform random audits to validate accuracy of DRG, APC, and other coding to ensure compliance with coding and billing requirements. Responsibilities Develop, implement and maintain a data quality compliance plan for hospital inpatient/outpatient coding and reimbursement. Develop standards, policies, and procedures for HIM coding compliance, including education and training programs. Document and ensure accurate coding with all appropriate personnel: HIM coding staff, physicians, billing personnel, and ancillary departments. Coordinate and conduct reviews of targeted areas to expedite billing processes, correct hospital reimbursements, and perform random audits to validate accuracy of DRG, APC, and other coding for compliance with coding and billing requirements. Minimum Qualifications Bachelor's degree and five (5) years of coding management experience in a large acute care hospital setting. OR High school diploma or GED and nine (9) years of coding management experience in a large acute care hospital setting. Certified Coding Specialist (or CCS-P) from AHIMA. Certified Inpatient Coder (CIC). Five (5) years of management experience. Exceptional verbal communication skills (e.g., public speaking). Proficiency with MS Access, MS Excel, MS Word, and PC. Job Attributes Work schedule eligible for telecommute. Strong background in ICD-10-CM classification systems, anatomy and physiology, clinical medical and medical terminology, and current knowledge of federal and all-payer DRG reimbursement methodology for hospital facility billing. #J-18808-Ljbffr Harris Health System, Inc.