[Hiring] HIM Inpatient Coding Manager @Erlanger Health System

Role Description

This position is responsible for the overall direction and daily operations of the coding functions for the departments within Erlanger that impact the coding processes of inpatient facility operations. This position oversees the coding and workflows of daily unbilled accounts through work queues to ensure timely coding/billing and compliance.

• Hires, trains, onboards, and oversees auditors and coders.
• Performs new employee orientation.
• Identifies opportunities to improve coding performance and documentation.
• Helps create and maintain internal coding policies and procedures.
• Provides coding and audit training to new and existing staff.
• Oversees periodic quality assurance audits on coding and audit team.
• Reviews or prepares reports on coders and auditors productivity and quality.
• Monitors staff workloads, setting coding turnaround time and productivity expectations.
• Serves as an educator for the audit and other healthcare professionals/departments in the use of coding guidelines and proper documentation requirements as it relates to data quality management and reimbursement.
• Reviews and approves timesheets for coding & audit staff.
• Prepares and conducts annual evaluations of team performance, as directed by HR.
• Complies with policies regarding the use and disclosure of protected health information.
• Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures audit staff are appropriately educated.
• Other duties as assigned.

Qualifications

• Required: AS degree in Health Information Management Administration or Health Information Technician from an accredited program.
• Preferred: BS degree in Health Information Management.

Requirements

• Required: Five years in an acute care setting; three or more years in a management position responsible for general areas of department workflow with specific focus on coding & reimbursement processes.
• Must have a broad scope of HIM department understanding of complete workflow and its relationship for chart completion and reimbursement.
• Excellent communication skills, leadership abilities that promote growth and development of employees; critical thinking and decision-making skills.
• Ability to interact with all levels of the organization; must demonstrate resourcefulness and adaptability.
• Knowledge of coding and classifications systems applicable to inpatient accounts and knowledge of reimbursement methodologies applicable to inpatient accounts.
• Preferred: Level 1 Academic Medical center experience.

Benefits

• Required: Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS).
• Preferred: Registered Health Information Administrator (RHIA).

Department Position Summary

Responsible for high quality and efficient management of inpatient accounts for all Erlanger Health facilities. Manages overall activities of personnel (in-house and remote coders) to ensure timeliness and compliance with CMS, OIG, and Erlanger account receivable goals.

• The leader will be responsible for continuous performance improvement in all Fundamentals.
• Reporting regularly on the opportunities and risks identified, the strategies and initiatives implemented, and the performance compared with budget, benchmarks, and prior performance.
• Performance is expected to be measured empirically and compared with organizations of similar size, scope, and complexity.
• Accumulation of data and the development of findings, conclusions, and recommendations are significant expectations of this position.
• Development and leadership of initiatives to improve the performance of the organization in all areas of Strategy and Fundamentals.