Job Abstract

Who We Are:

St. Johns Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York. Celebrating over 110 years of community care, the 257-bed facility provides people of all faiths with comprehensive preventive, diagnostic treatment and rehabilitative services, regardless of ability to pay.

Come Grow With Us!

Type: Full-Time

Shift: Days

Hours: 8:00 AM - 4:30 PM

Pay: $100,000 - $115,000

Job Description:

The Coding Manager will plan, organize and manage the day to day operations of the hospital coding team
(Inpatient and Outpatient). The Coding Manager is responsible for the professional development of the coding staff and assisting management with providing a hospital-wide educational program to support coders in continued coding and documentation education; performs quality assurance reviews of inpatient and outpatient records to assess and report on the effectiveness of training programs and quality of coders; works with the HIM Operations Manager to provide in-service training and feedback to coding staff, regularly, including coding changes and updates. He or she effectively collaborates with HIM and Revenue Cycle Management on the implementation of coding edits, and ensures that accurate, coded data exists for optimal reimbursement by the organization, and coordinates all quality and compliance monitoring of assignments for hospital technical services. In addition, the HIM Coding Manager will have direct responsibilities for maintaining Discharge Not Final Billed (DNFB) within established thresholds, based on volumes and staffing resources, and responsibility for scheduling, time and attendance, productivity and quality.

Responsibilities:

• Evaluates the impact of innovations and changes in programs, policies, and procedures for the coding unit
• Designs and implements systems and methods to improve data integrity and coding compliance
• Identifies, assesses, and resolves issues impacting coding, documentation, and revenue cycle processes
• Monitors and maintains acceptable accounts receivables associated with un-coded charts (DNFB), and team member productivity and accuracy according to industry standards
• Oversees and monitors the coding compliance program. Develops and coordinates educational and training programs such as appropriate documentation and accurate coding to all appropriate staff including coding staff, physicians, billing staff, and ancillary departments
• Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes in collaboration with HIM Management
• Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy
• Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer
• Reviews claim denials and rejections pertaining to coding and/or support of medical necessity, when necessary, implements corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring
• Interacts with a variety of people who impact the success of coding compliance program, and functions as a facilitator, liaison, and/or motivator
• Assess educational needs and process improvement via team member shadowing and weekly one-on-one with individual coder/team
• Manage coders time PTO approvals to ensure coverage is maintained Payroll System time keeper

Requirements:

• Bachelors Degree required
• CPC and CCS or CIC coding certification required
• RHIT, RHIA preferred
• Minimum of five years progressive coding or coding review experience in ICD-10-CM and CPT/HCPCS with claims processing and data management responsibilities a plus
• Excellent oral and written communication skills