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Manages, plans, organizes and evaluates the daily operations and staff of the day to day operations of the Coding/Analysis area.
1. Ensures implementation, and evaluation of operating policies, procedures and processes.
2. Oversees the Coding and Charge Specialist staff Acts as an administrator for the 3M products, including CAC and CDIS.
3. Selects, develops, manages and evaluates direct reports; and oversees the selection, development, management and evaluation of indirect reports.
4. Ensures operating compliance with government and agency regulations.
5. Manages resources including operating budget, supplies, equipment, space, staff and information.
6. Coordinates DRG validation reviews. Prepares responses, follows up with 3rd party payors.
7. Assists in establishment of qualitative and quantitative standards for coding, data abstraction and analysis and routinely monitors these standards.
8. Coordinates in service education activities for physicians and staff.
9. Provides reports on productivity, variance and Case Mix Index Reports.
10. Develops and prepares provider, clinician and CDI education tools (newsletters, tip cards, etc).
11. Conducts coding compliance reviews.
12. Assures accuracy of all UHDDS, SPARCS and Hospital specified data.
13. Performs related duties, as required
*ADA Essential Functions
Qualifications
• Bachelor’s Degree in Nursing, Health Care administration or equivalent, required.
• Minimum of five (5) years medical records experience, required. Prior supervisory experience, preferred.
• CCS Eligible/CCS Certification, preferred
• Formal coding (ICD-10-CM) course with certificate of satisfactory completion or enrolled within three months.
•Formal Medical Terminology course or adequate experience, required.
I regularly conduct code reviews and provide feedback to ensure adherence to coding standards.
We, the coding managers, train and supervise coding staff to make sure the hospital or medical facility obtains adequate reimbursement and adheres to applicable regulations and guidelines. We report to the top management and manage subordinate staff to supervise their day-to-day job performance. We follow up on unpaid claims within standardized billing cycle timeframe.
Core tasks: