Coding Manager

Coding Manager

Our patients are our number one priority! We're committed to giving children back their childhood!

Location

Dallas - Hospital

Job Description

Establishes and maintains an efficient and timely coding, auditing, and education process while ensuring the accuracy and quality of coded and abstracted information for all patient types across physician services and campuses of Scottish Rite Childrens Hospital. Provides ongoing education to coders, physicians, and other clinical staff. Serves in a management and advisory capacity to the Coding staff and in an educational and advisory capacity to the clinical staff and physicians as it relates to documentation, coding, and regulatory compliance. Works effectively with leadership and coding team to increase and improve coding services.

Duties / Responsibilities

• Manages the daily operations of the Hospital Coding Department to promote steady workflow and data integrity.
• Manages the daily operations of the Physician Practice Coding Department to promote steady workflow and data integrity.
• Collaborate with and educate physicians on coding and documentation guidelines.
• Research coding questions and provide coder feedback - Ensures timely correction of coding errors and edits.
• Ensures coding audits are performed concurrently and that the areas being audited are updated in conjunction with the department policies.
• Oversees the monitoring of the aging and DNB accounts to ensure that accounts are coded in a timely manner and that performance is within established coding quality and productivity benchmarks.
• Conducts regular audits and coordinates monitoring of coding accuracy, productivity, and available clinical documentation.
• Ensures that audit reports are reviewed, accurate, and corrective action plans implemented.
• Provides feedback and assists in facilitating and / or coordinating focused educational programs regarding coding and clinical documentation best practices to Coding and clinical staff as needed.
• Interviews, hires and trains employees; plans, assigns and direct workflow, appraises employee performance; addresses complaints and resolving problems; and proactively manages production and quality control efforts.
• Conducts trend analysis to identify patterns and variations in coding / documentation practices and case mix index.
• Identifies process improvement opportunities within the Coding department and implements solutions.
• Reviews claim denials and rejections pertaining to coding and medical necessity issues and implements corrective action plans as needed / required.
• Works to provide all Coding staff with annual, quarterly, semi-annual ICD-10-CM / PCS and / or CPT code changes.
• Maintains all coding information and provides updated manuals, resources, and other coding material.
• Maintain strong communication with Director(s) and business partners in reporting of unbilled activities related to coding.
• Mentors team members to encourage personal and professional growth.
• Encourages ongoing skill development by providing opportunities for continued education.
• Applies critical thinking, problem solving and change management skills to lead the process and team in identifying and resolving systemic issues.
• Develop, implement and monitor policies and procedures, guidelines, and coding compliance plan for coding.

Required Skills / Abilities

Education

Certification