Job Description

Location: Corporate
Posted Date: 7/8/2020

Position Summary:

The Health Information Management Inpatient Coding Manager shall be responsible for Inpatient coding functions within the North East Division. The Inpatient Coding Manager shall ensure a 96% or better DRG/APR-DRG accuracy and that all patient type productivity standards are met consistently.

Key Responsibilities:

  • Direct management responsibility over-all North-East Division inpatient coding.
  • Oversight over all hospital based concurrent coders.
  • Extensive knowledge of DRG and APR-DRG classification and reimbursement structures. Including IPF-PPS (Inpatient Psychiatric Facility Prospective Payment System) and IRF PPS (Inpatient Rehabilitation Facility Prospective Payment System).
  • Responsible for 96% or better DRG/APR-DRG accuracy rate.
  • Responsible for 93% or better moderate coding accuracy rate (C1).
  • Responsible for scheduling coder work shifts and approving time off.
  • Ensure that a provisional DRG is assigned within 24 hours of admission for all Inpatient accounts excluding Psych, Rehab, Hospice, Normal Newborn and Obstetrical Moms.
  • Responsible to ensure coders are meeting productivity standards. Includes presenting a monthly report to the VP, HIM Operations and CFO, Northeast Division
  • Ensure that claim hold reason is assigned before account hits DNFB report.
  • Ensure that second level review is completed on all PSI and Never Event cases.
  • Maintain open communication with hospital leadership team including daily escalation of missing reports from providers.
  • Trend and track coding queries issued by discharged coders.
  • Ensure coding staff holds accounts until all medical content is collected before final billing.
  • Promote a culture of collaboration between hospital leadership and shared service professionals.
  • Coordinate workflow improvements with HIM Operations Management.
  • Ability to develop, adhere to, and monitor policies and procedures for optimal revenue through coding that comply to all regulatory and compliance standards.
  • Supports collaboration between remote Inpatient Coders, hospital based Concurrent Coders, and CDI.
  • Abides by the Standards of Ethical coding set forth by AHIMA and monitors coding team.
  • Present monthly status and goal report to Executive Director, Health Information Management.
  • Maintain Discharged, but Not Final Billed goals set by Executive Director, Health Information Management.
  • Ensure SHC policies related to HIM, Revenue Cycle, and Compliance are implemented and monitored.
  • Implement HIM related projects at the direction of the VP, HIM Operation and/or CFO, Northeast Division.
  • Support hospital-based departments such as Quality, Risk Management, and Case Management with respect to HIM coding.
  • Work with other SHC senior leaders as needed.
  • Assists HIM Leadership team with development and implementation of health information management coding/CDI policies.
  • Monitors changes in legislation and accreditation standards that affect health information management.
  • Ensure that all coders have been awarded a professional AAPC or AHIMA coding credential. Prefer CCS.
  • Responsive to senior management during off hours and/or weekends.

Required Knowledge and Skills:

  • Meditech experience required
  • Extensive experience with IPPS, UHDDS, Coding Clinic
  • Microsoft Office (Word, One Note, Excel, Outlook, PowerPoint)
  • Excellent verbal and written communication skills
  • Ability to meet assigned deadlines.
  • Extensive knowledge of Anatomy & Physiology, Medical Terminology, and Pathopsychology

Education/Licensure/Technical/Other:

  1. Education: Associates degree required; Bachelor’s degree preferred
  2. Experience: 5-10 years progressive HIM Coding Management experience within an Acute Care Hospital setting. Extensive experience with Revenue Cycle operations including acute care coding.
  3. Certification/Licensure: RHIA or RHIT eligible with CCS or COC
  4. Software/Hardware: Meditech and 3M experience required
  5. Other: Required to periodically work onsite in Northeast facilities, Westwood office and/or Richardson office
  6. Travel: Expected travel is up to 10%. Education and/or company growth.

Application Instructions

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