[Hiring] Manager, Coding @Adventist Health

Role Description

Manages, monitors, and coordinates the professional and hospital coding functions within all locations of Adventist Health, Portland. Ensures that the coding staff performs their duties accurately and efficiently and handles records and data according to Health Insurance Portability & Accountability Act (HIPPA) and Adventist Health regulations. Ensures that all work products of the coding department conform with all federal, state and local regulations as well as institution/organization standards, practices, policies and procedures. Oversees the daily operations of the coding departments including:

• Workload and staffing
• Hiring, disciplining, and performance appraisals
• Training and monitoring quality of work and productivity

Makes sure coded data accurately represents the services provided and results in optimal reimbursement for the organization.

Qualifications

• Bachelor’s Degree or equivalent combination of education/experience: Required
• Master's Degree: Preferred
• Five years' related experience: Preferred
• One year's leadership experience: Preferred
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS): Required

Requirements

• Oversees and monitors the coding program.
• Develops and coordinates educational and training programs regarding elements of the coding program such as compliance, appropriate documentation, and accurate coding to all appropriate staff including coding staff, providers, billing staff, and ancillary departments.
• Ensures the appropriate dissemination and communication of regulatory policy and guideline changes.
• 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 HIM Director and the Compliance officer.
• Interacts with a variety of people who impact the success of the coding program and functions as a facilitator, liaison, and/or motivator.
• Evaluates the impact of innovations and changes in programs, policies, and procedures for the coding team.
• Designs and implements systems and methods to improve data accessibility.
• Identifies, assesses, and resolves problems.
• Prepares administrative reports.
• Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plans to prevent similar denials and rejections from recurring.
• Conducts trend analyses to identify patterns and variations in coding practices and case-mix-index.
• Monitors key coding performance indicators such as discharged, not final coded (DNFC), discharged, not final billed (DNFB), days in coding, and others as identified by leadership.
• Performs other job-related duties as assigned.

Company Description

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness, and hope.