Manager Medical Coding and Chart Audit Services HCS

Salary: 79,393.63-119,080.04 USD Facility: Administrative Regional Training Cntr Shift: Shift 1 Status: Full Time FTE: 1.066667 Bargaining Unit: Catholic Health Emmaus Exempt from Overtime: Exempt: Yes Work Schedule: Days Hours: 8a-4:30p Summary: The Healthcare Solutions Manager Coding and Chart Auditing Services will supervise HCS Medical Coding Educator and Auditors as well as work cooperatively with CH coding associates, physicians, Inpatient and Outpatient Coding Managers, CDEI Education Manager and Documentation Specialists, Quality and Patient Safety, Corporate Compliance, and ancillary departments to ensure coding across CH physician practices is consistent, accurate, and meets data integrity for use in billing, reimbursement and clinical outcomes. The Manager will oversee chart audits and provide coding education to HCS private clients per the contracted services. The Manager will monitor and perform audits of coded data for accuracy based on documentation in the medical record and through these audits will ensure that medical records are coded and billed in accordance with coding conventions, billing rules and Federal and State regulations. The Manager will also provide timely education and feedback for Coding to CH and HCS private client's Physicians and practices in regards to quarterly coding updates, as well as updates to the Medicare, New York. The Manager will provide mentoring for new coding staff as well as assist with the coding standardization of workflow redesign for Epic and HCS client's EMR systems. Responsibilities: EDUCATION

• Associates degree in Health Information Management or related field required
• Bachelor of Science degree in Health Information Management or related field preferred
• CPC, COC, RHIT, CCS, or CCS-P is required
• CPMA required

EXPERIENCE

• Minimum Three (3) years of coding experience utilizing electronic encoders/references, and compliance software, is required
• Minimum Two (2) years of coding education and auditing experience is required

KNOWLEDGE, SKILL AND ABILITY

• Evidence of coding competency
• Thorough knowledge of ICD-10-CM, CPT-4, HCPCS, Evaluation and Management (E/M), anatomy and physiology, medical terminology, APC's, and Outpatient referred coding requirements
• Partner with and across Teams. Demonstrated ability to work closely with CH associates, medical staff, Clinical Documentation Improvement (CDI) leadership and staff, department managers, Finance and HCS Private Clients
• Superior written and interpersonal communication skills
• Proven track record to develop/maintain policies and procedures
• Drive Performance. Professional skills related to leading by example, organization, prioritization, organizational integration and coordination
• Takes appropriate actions and is proactive, addressing problems and coding/compliance issues head-on, solution-oriented
• Visual acuity for oversight of computer encoders, groupers, on-line references, Electronic Health Record
• Demonstrated proficiency with computers, software, hardware and technological advances
• Computer and Microsoft Office proficiency to generate reports and collect data
• Problem solving. Excellent analytical skills. Ensure difficult and/or most important issues and challenges are addressed appropriately
• Must be able to respond to diverse scheduling and availability of associates and physicians to adjust schedules to accommodate needs of others
• Coaching and Developing Others. Ability to use praise and positive/helpful feedback to recognize others regarding skills, specific knowledge, understand personal strengths and weaknesses, willingly shares expertise, helps other develop abilities, create realistic career goals and plans, rounding. Ability and willingness to coach staff with negative behaviors and/or knowledge deficits, or reach out to others with ability to coach/assist these staff members in improvement
• Mobilizer. Ability and willingness to set goals and clear expectations for work performance and behaviors. Holds self and staff accountable for all aspects of their assigned job. Ability to meet deadlines consistently and generate reports
• Change Driver. Embraces improvements and creative thinking, generates creative solutions, open to ideas of others, helps others embrace change

WORKING CONDITIONS:

• Availability to work with coding associates, Clinics, Physicians Practices and Coding Managers remotely or in an office setting
• Active driver's license and transportation is required
• Occasional change in work schedule to accommodate project implementation, auditing, meetings, or other departmental concerns

ENVIRONMENT

• Normal heat, light space, and safe working environment; typical of most office jobs

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