MANAGER CODING HEALTH INFO MANAGEMENT

Overview

The Manager of OP Coding Practice must provide direct oversight of the day-to-day operations of the coding process. This requires efficient throughput to avoid delays in billing that impact medical center cash flow. The Manager must be knowledgeable of coding classifications, reimbursement methodologies and understand the regulatory and accrediting reporting requirements for all patient types in order to provide guidance, monitor quality of work and address problems and issues.

Responsibilities

• The coded and abstracted information plays a major role in obtaining optimal reimbursement and in achieving regulatory and accreditation compliance.
• The information also forms the basis for decision support, research, education and performance improvement.
• The manager must therefore be knowledgeable in all aspects of this process in order to conduct education sessions and perform quality review audits.
• This position also requires knowledge of denial and error management as received from internal and external review agencies and a clear understanding of billing, charge master operations for hard coded vs soft coded charges and reporting requirements.
• The Manager of OP Coding Practice must collaborate with physicians, nursing, case management and quality improvement staff.

Requirements

• Bachelor's Degree Required.
• Professional Certification is required in: RHIA/RHIT/CCS/CPC.
• Minimum of three (3) years' related Management experience in a complex healthcare environment with experience in a variety of care environments.
• This position requires in-depth knowledge of coding classifications, regulatory requirements and reimbursement methodologies.
• Critical thinking, analytical and problem-solving skills, excellent knowledge of disease process, diagnostic and surgical procedures.
• Excellent interpersonal skills for professional communication with all levels of staff -- peers, clinical staff and physicians -- is a critical component for this position.
• Candidate must have the ability to manage multiple projects, deadlines and competing priorities and ensure target dates are met.