Regional Coding Manager
Community Hospital Corporation
Following the direction of the VP Clinical Services for Post-Acute Services, the Corporate Regional Coding Manager guides, directs, and supervises the Post-Acute Services coding operations including discussing complex coding cases, answering questions, and providing education to the coding staff.
The Corporate Regional Coding Manager also provides support and training across all facilities for HCS Interactant software. S/he disseminates education and training via conference calls, webinars and on-site visits.
Education & Experience
- Bachelor's degree in a healthcare or business or related field required. Master's degree preferred.
- Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred. American Health Information Management (AHIMA) Certified Coding Specialist (CCS) or American Academy of Professional Coder (AAPC) Certified Professional Coder (CPC) or Certified Professional Coder Hospital (CPC-H) Coding Certification required.
- 5+ years medical records coding and auditing experience in an acute care setting with multiple specialty disciplines. Long-term acute care coding experience desired.
- 2+ years prior manager level experience required.
- Experience working with multi-site locations highly desirable.
- Understanding of ICD-10 required.
Skills and Knowledge
- Working knowledge of 3M Encoder.
- HCS knowledge preferred.
- Advanced knowledge of the legal medical record.
- Advanced knowledge of the elements of ICD-10-CM and ICD-10-PCS coding systems and regulatory standards for coding.
- Advanced knowledge of current hospital reimbursement systems and associated regulatory review.
- Knowledge of appropriate methods for auditing and reviewing information for quality control purposes.
- Proficient knowledge of business and professional relationships and the ethics involved among hospitals, physicians and patients.
- Proficient knowledge of the principles and practices of leadership, supervision, work planning and organization.
- Ability to collaborate effectively with all levels of management and staff and respect all differences.
- Ability to identify and resolve operational and administrative problems.
- Possess effective organization skills and attention to detail with effective follow through on responsibilities and requests.
- Ability to be trustworthy with a strong core set of ethical values.
- Ability to communicate and relate well with others
- Possess a strong customer and service to others orientation.
- Proficiency with Microsoft Office products with proficiency in Excel.
- Must have valid driver's license and a safe driving record.
Major Responsibilities
- Designs, implements and documents a process for inpatient medical record coding.
- Directly manages the daily operations of the corporate coding department and has oversight of the CCH coding team and ensures timely and accurate coding of medical records.
- Utilizes daily, monthly and periodic reports to manage staff performance relative to timely and accurate coding.
- Provides development guidance and assists in the identification implementation and maintenance of HIM policies and procedures related to medical coding.
- Manages and analyzes work and information flow process to maximize the revenue cycle.
- Makes recommendations for improvements and executes changes for new coding programs.
- Communicates with hospital personnel supporting coding and billing initiatives.
- Serves as a resource to CHC facilities related to coding.
- Provides continuing education to coding staff on a quarterly and annual basis regarding regulatory changes for coding.
- Supports external coding and documentation evaluations.
- Interviews, selects, ensures orientation and proper training, evaluates and when necessary, disciplines and/or discharges departmental personnel.
- Assists the IT department and HCS with troubleshooting user helpdesk tickets as the SME for Coding.
- Serves as a coding resource for other divisions within CHC.
- Provide education and training to the Revenue Cycle Management team for HCS software.
- Provide education and training to the ContinueCARE Hospital teams for HCS software.
- Participate in any consulting contracts acquired by CHC to conduct external coding audits.
- Performs internal coding audits for each hospital to ensure accuracy and compliance to coding rules and guidelines.
- Create training workshops and manuals for ContinueCARE Hospital and CHC staff regarding revenue cycle, reimbursement systems, and departmental processes.
- Function as a project manager on training projects.
- Provide education programs that ensure proper clinical documentation that impact coders, physicians and other clinical staff.
- Provide support to CHC and CCH staff by researching errors in HCS and educating
General Duties
- Keeps current on federal and state regulations and healthcare law, including LTACH specific requirements, and best practices.
- Supports the mission, vision and values of Community Hospital Corporation.
- Performs other duties as required.
Supervisory Responsibilities
- Directly supervises Corporate Coders and PRN staff within the coding team for assigned Hospitals.
- Ensures that the behaviors of employees are in line with the company values and mission and that performance meets the performance metrics set for the coding department. Enforces the policies and practices of CHC and Post-Acute Services division.