Catholic Health System Coding Manager- Inpatient - Health Information (CH) in New York
Coding Manager- Inpatient - Health Information (CH)atCatholic Health
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- Coding Manager - Inpatient:The Catholic Health Inpatient Coding Manager will work cooperatively with coding associates, physicians, HIM Managers, Outpatient Coding Manager, Care Management, Documentation Specialists, Quality and Patient Safety, Patient Accounts, Finance, Director of Charge Master, Corporate Compliance, and Ancillary departments to ensure the coding across CHS is consistent, accurate, and meets data integrity for use in billing, reimbursement, in clinical outcomes, and for SPARCS reporting. The Coding Manager will continually monitor coded data for timeliness and accuracy based on documentation in the medical record for the use in patient's continuity of care. The Manager 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 monitor compliance with productivity and support of financial goals for accounts receivable days in Accounts/Receivable (A/R), in addition to goals set for days cash on hand. The Coding Manager will also perform audits on chart documentation and assist with education and training for coding associates and physicians on areas of improvement and performance. The Coding Manager will also assist with the coding standardization of workflow redesign for Soarian Financials and eHIM. This will include coordination and review of the latest technological advances to make recommendations for the latest encoder software, remote coding, compliance and reference tools. The Coding manager will be an expert on all areas of coding aspects and stay updated on changes in the field.REPORTS TO:System Director of Coding Integrity and Health Information with a liaison relationship with the Health Information Manager of each site and Outpatient Coding Manger.SUPERVISORY RESPONSIBILITIES:Direct management responsibility over the Inpatient coders located within the acute care facilities and to routinely give direction to Coding associates (40.35 FTEs) for proper coding, follow-up on errors, guidance toward goals, education, recruitment and interview of potential candidates, share knowledge of all aspects of coding and changes in the field.SKILL AND EDUCATIONAL REQUIREMENTS (MINIMUM):EDUCATION:
• Associates degree in Health Information Management and RHIT certification is required.
• Bachelor of Science degree in Health Information Management with RHIA/CCS preferred.
• RHIT Certification is required, RHIA and CCS is preferred.
• Five (5) years of coding experience utilizing electronic encoders/references, and compliance software, is required.
• Three (3) years of management experience is preferred.
KNOWLEDGE, SKILL AND ABILITY:
• Evidence of coding competency.
• Thorough knowledge of ICD-9-CM, CPT-4, anatomy and physiology, medical terminology, DRG's, APC's, Severity Adjusted DRG's,
• Outpatient referred coding requirements and IPRO is required.
• Partner with and across Teams. Demonstrated ability to work closely with CH associates, medical staff, Clinical Documentation Improvement (CDI) leadership and staff, department managers, and Finance. Superior written and interpersonal communication skills
• Proven track record to develop and maintain policies and procedures
• Drive Performance. Management skills related to leading by example, organization, prioritization, organizational integration and coordination. Takes action and is proactive in all aspects of management role. Addresses problems, and staff performance 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.
• Ability to drive and travel to multiple sites.
• CHS Coding Manager travels frequently to multiple sites to work with coding associates and HIM Managers in an office setting.
• NYS 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. PHYSICAL EFFORT: ACTIVITY & STRENGTH: (LIGHT)Low Lift (floor to knuckle): Occasional 0 to 2.6 hours/day (11-20 lbs.); Frequent 2.7 to 5.3 hours/day (1-10 lbs.); Constant 5.4 to 8 hours/day (negligible)Mid Lift (knuckle to shoulder): Occasional 0 to 2.6 hours/day (11-20 lbs.); Frequent 2.7 to 5.3 hours/day (1-10 lbs.); Constant 5.4 to 8 hours/day (negligible)High Lift (shoulder and above): Occasional 0 to 2.6 hours/day (11-20 lbs.); Frequent 2.7 to 5.3 hours/day (1-10 lbs.); Constant 5.4 to 8 hours/day (negligible)Full Lift (floor to shoulder): Occasional 0 to 2.6 hours/day (11-20 lbs.); Frequent 2.7 to 5.3 hours/day (1-10 lbs.); Constant 5.4 to 8 hours/day (negligible)Carry: Occasional 0 to 2.6 hours/day (11-20 lbs.); Frequent 2.7 to 5.3 hours/day (1-10 lbs.); Constant 5.4 to 8 hours/day (negligible)Push: Occasional 0 to 2.6 hours/day (11-20 lbs.); Frequent 2.7 to 5.3 hours/day (1-10 lbs.); Constant 5.4 to 8 hours/day (negligible)Pull: Occasional 0 to 2.6 hours/day (11-20 lbs.); Frequent 2.7 to 5.3 hours/day (1-10 lbs.); Constant 5.4 to 8 hours/day (negligible)Overall Strength Category: Occasional 0 to 2.6 hours/day (11-20 lbs.); Frequent 2.7 to 5.3 hours/day (1-10 lbs.); Constant 5.4 to 8 hours/day (negligible) Dictionary Of Occupational TitlesConstant (C) 67-100% WorkdayFrequent (F) 34-66% WorkdayOccasional (O) 0-33% WorkdayNot Present (N) Activity - Job DemandWalk –FrequentClimb Stairs –OccasionalStoop –Frequent
Kneel –OccasionalCrouch– OccasionalReach (immediate)– FrequentReach (overhead) –OccasionalHandling –FrequentFingering -FrequentSitting– FrequentStanding– FrequentPush Cart -OccasionalPull Cart- Occasional
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