Manager of Coding Integrity - New York City job

company building Ontimetalent location New York, NY
Manager of Coding Integrity - New York City
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Job Description

Manager of Coding Integrity

New York City, New York

New York City has long been known for its dense population and cultural diversity. Divided into five boroughs, New York City is home to hundreds of attractions including Times Square, Rockefeller Center, the financial district, as well as thousands of restaurants and activities. Whether you are looking to relocate or are a current resident, job opportunities in New York City are abundant.

The Clinical Coding Quality Specialist is responsible for working with the QA Manager to ensure the quality and integrity of codes abstracted or validated by internal coding staff or vendors to ensure accurate coding compliance with proper medical record documentation. This will include building and managing relationships, processes and audits with vendors that result in accurate and complete submissions to health plans.

Manager of Coding Integrity Responsibilities:
  • Compile results, summarize findings, and report results, findings, and if applicable, develop action plans to address variant findings, on a quarterly basis for the Compliance and Revenue Cycle Committees
  • Serve as the liaison between the Coding and Documentation Integrity Section of and the Quality Department for matters such as Healthcare Acquired Conditions and Patient Safety Initiatives
  • Develop or recommend improvements/enhancements to documentation tools, provider engagement and/or processes related to documentation and related outcomes, as needed
  • Assist in reconciling query and non-query impact within the CDI data entry systems
  • Project management regarding clinical documentation initiatives and analysis of potential scope expansion or opportunity identification and resolution
Manager of Coding Integrity Qualifications:
  • Bachelor's Degree in Nursing, Medicine, Health Information Management or similarly related field of study
  • Current coding certification through AAPC or AHIMA (CPC, CCS, RHIT), CRC required
  • Thorough knowledge of and experience with facility coding and reimbursement including, but not limited to, ICD-10CM and PCS, DRG models, Severity of Illness, Risk of Mortality, Present on Admission and Discharge Disposition codes, as well as CPT-4, HCPCS, APCs/APGs/E-APGs models and HCCs
  • Experience and understanding of Medicare Risk Adjustment compliance rules and regulations and coding guidelines
  • 5 years hospital coding experience in a mid-to-large acute care facility preferred
Application currently closed
This job was posted on Mon May 16 2022 and expired on Tue May 17 2022.


  • Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems.
  • Resolve customer complaints or answer customers' questions regarding policies and procedures.
  • Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.
  • Review records or reports pertaining to activities such as production, payroll, or shipping to verify details, monitor work activities, or evaluate performance.
  • Discuss job performance problems with employees to identify causes and issues and to work on resolving problems.
  • Prepare and issue work schedules, deadlines, and duty assignments for office or administrative staff.
  • Recruit, interview, and select employees.
  • Interpret and communicate work procedures and company policies to staff.
  • Evaluate employees' job performance and conformance to regulations and recommend appropriate personnel action.
  • Train or instruct employees in job duties or company policies or arrange for training to be provided.
  • Research, compile, and prepare reports, manuals, correspondence, or other information required by management or governmental agencies.
  • Implement corporate or departmental policies, procedures, and service standards in conjunction with management.
  • Compute figures such as balances, totals, or commissions.
  • Coordinate activities with other supervisory personnel or with other work units or departments.
  • Participate in the work of subordinates to facilitate productivity or to overcome difficult aspects of work.
  • Make recommendations to management concerning such issues as staffing decisions or procedural changes.
  • Develop or update procedures, policies, or standards.
  • Maintain records pertaining to inventory, personnel, orders, supplies, or machine maintenance.
  • Consult with managers or other personnel to resolve problems in areas such as equipment performance, output quality, or work schedules.
  • Develop work schedules according to budgets and workloads.
  • Analyze financial activities of establishments or departments and provide input into budget planning and preparation processes.
  • Design, implement, or evaluate staff training and development programs, customer service initiatives, or performance measurement criteria.
  • Keep informed of provisions of labor-management agreements and their effects on departmental operations.
  • Discuss work problems or grievances with union representatives.
  • Coordinate or perform activities associated with shipping, receiving, distribution, or transportation.
  • Monitor inventory levels and requisition or purchase supplies as needed.
  • Plan for or coordinate office services, such as equipment or supply acquisition or organization, disposal of assets, relocation, parking, maintenance, or security services.
  • Arrange for necessary maintenance or repair work.
  • Plan layouts of stockrooms, warehouses, or other storage areas, considering turnover, size, weight, or related factors pertaining to items stored.


  • Reading Comprehension - Understanding written sentences and paragraphs in work related documents.
  • Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  • Writing - Communicating effectively in writing as appropriate for the needs of the audience.
  • Speaking - Talking to others to convey information effectively.
  • Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
  • Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.
  • Learning Strategies - Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
  • Monitoring - Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
  • Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.
  • Coordination - Adjusting actions in relation to others' actions.
  • Persuasion - Persuading others to change their minds or behavior.
  • Negotiation - Bringing others together and trying to reconcile differences.
  • Instructing - Teaching others how to do something.
  • Service Orientation - Actively looking for ways to help people.
  • Complex Problem Solving - Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
  • Judgment and Decision Making - Considering the relative costs and benefits of potential actions to choose the most appropriate one.
  • Systems Evaluation - Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system.
  • Time Management - Managing one's own time and the time of others.
  • Management of Personnel Resources - Motivating, developing, and directing people as they work, identifying the best people for the job.


  • Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
  • Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
  • Economics and Accounting - Knowledge of economic and accounting principles and practices, the financial markets, banking and the analysis and reporting of financial data.
  • Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
  • Personnel and Human Resources - Knowledge of principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems.
  • Computers and Electronics - Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
  • English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
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